Breast reconstruction 19357 at Emory Decatur Hospital
2701 N Decatur Road, Decatur, GA · Emoryhealthcare · · NPI 1093716979
$11,148.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$11,148.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$5,730.00 with Aetna vs $29,303.98 with Ambetter Health — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | Exchange | $5,730.00 | ↓ -49% |
| Bcbs | Blue Pathways Exchange | $6,309.89 | ↓ -43% |
| Aetna | Hpn Whole Health Other Commercial Plan | $6,654.00 | ↓ -40% |
| Oscar Health | Exchange | $7,118.00 | ↓ -36% |
| Cigna | Hmo/Pos | $7,750.00 | ↓ -30% |
| Unitedhealthcare | Core/Charter/Nexus Other Commercial Plan | $7,797.00 | ↓ -30% |
| Kaiser | Hmo | $7,798.00 | ↓ -30% |
| Humana | Hmo/Pos | $8,364.54 | ↓ -25% |
| Humana | Medicare Managed Care Plan | $8,364.54 | ↓ -25% |
| Bcbs | Hpn Other Commercial Plan | $9,038.79 | ↓ -19% |
| Unitedhealthcare | Hmo/Pos | $9,172.00 | ↓ -18% |
| Bcbs | Hmo | $10,249.52 | ↓ -8% |
| Devoted Health | Medicare Managed Care Plan | $13,822.63 | ↑ +24% |
| Bcbs | Blue Value Secure Medicare Managed Care Plan | $13,960.86 | ↑ +25% |
| Aetna | Medicare Managed Care Plan | $14,099.08 | ↑ +26% |
| Cigna | Healthspring Medicare Managed Care Plan | $14,237.31 | ↑ +28% |
| Clover Health | Medicare Managed Care Plan | $14,513.76 | ↑ +30% |
| Wellcare | Medicare Managed Care Plan | $14,651.99 | ↑ +31% |
| Ambetter Health | Peach State Exchange | $29,303.98 | ↑ +163% |
Visitor-reported prices
Comments
Breast reconstruction 19357 at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Emory Long-Term Acute Care Hospital | Decatur | $11,148.00 | $7,118.00 – $7,118.00 |
| Wellstar Cobb Hospital | Austell | $21,008.52 | $2,664.00 – $25,895.37 |
| Wellstar Douglas Hospital | Douglasville | $21,008.52 | $2,664.00 – $25,662.51 |
| Wellstar Kennestone Hospital | Marietta | $21,008.52 | $2,664.00 – $25,895.37 |
| Wellstar MCG Health | Augusta | $21,008.52 | $2,664.00 – $23,669.94 |
| Wellstar North Fulton Hospital | Roswell | $21,008.52 | $2,664.00 – $25,895.37 |
| Wellstar Paulding Hospital | Hiram | $21,008.52 | $2,664.00 – $25,895.37 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280 | $21,008.52 | not published |