Chromosome analysis 5 at Emory Decatur Hospital
2701 N Decatur Road, Decatur, GA · Emoryhealthcare · · NPI 1093716979
not published by hospital
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.
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What you pay up front if you don't use insurance.
not published by hospital
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.
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The hospital's undiscounted list price — almost no one pays this.
$198.26 with Bcbs vs $560.40 with Ambetter Health — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 |
|---|---|---|---|
| Bcbs | Blue Pathways Exchange | $198.26 | — |
| Bcbs | Hpn Other Commercial Plan | $224.69 | — |
| Cigna | Hmo/Pos | $264.34 | — |
| Devoted Health | Medicare Managed Care Plan | $264.34 | — |
| Bcbs | Hmo | $264.34 | — |
| Unitedhealthcare | Core/Charter/Nexus Other Commercial Plan | $264.34 | — |
| Unitedhealthcare | Hmo/Pos | $264.34 | — |
| Bcbs | Blue Value Secure Medicare Managed Care Plan | $266.98 | — |
| Aetna | Medicare Managed Care Plan | $269.63 | — |
| Cigna | Healthspring Medicare Managed Care Plan | $272.27 | — |
| Clover Health | Medicare Managed Care Plan | $277.56 | — |
| Wellcare | Medicare Managed Care Plan | $280.20 | — |
| Oscar Health | Exchange | $361.06 | — |
| Kaiser | Hmo | $375.71 | — |
| Aetna | Exchange | $396.51 | — |
| Aetna | Hpn Whole Health Other Commercial Plan | $475.81 | — |
| Ambetter Health | Peach State Exchange | $560.40 | — |
Visitor-reported prices
Comments
Chromosome analysis 5 at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Emory Long-Term Acute Care Hospital | Decatur | not published | $361.06 – $361.06 |
| Wellstar Cobb Hospital | Austell | $878.67 | $264.34 – $489.03 |
| Wellstar Douglas Hospital | Douglasville | $878.67 | $264.34 – $489.03 |
| Wellstar Kennestone Hospital | Marietta | $878.67 | $264.34 – $489.03 |
| Wellstar MCG Health | Augusta | $878.67 | $222.24 – $552.31 |
| Wellstar North Fulton Hospital | Roswell | $878.67 | $264.34 – $489.03 |
| Wellstar Paulding Hospital | Hiram | $878.67 | $264.34 – $489.03 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280 | $878.67 | not published |