Biopsy skin incisional single lesion at Emory Hillandale Hospital
2801 Dekalb Medical Parkway, Lithonia, GA · Emoryhealthcare · · NPI 1962403865
$7,856.00
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.
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What you pay up front if you don't use insurance.
$7,856.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$741.31 with Devoted Health vs $4,840.09 with Humana — 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 |
|---|---|---|---|
| Devoted Health | Medicare Managed Care Plan | $741.31 | ↓ -91% |
| Bcbs | Blue Value Secure Medicare Managed Care Plan | $748.72 | ↓ -90% |
| Aetna | Medicare Managed Care Plan | $756.13 | ↓ -90% |
| Cigna | Healthspring Medicare Managed Care Plan | $763.55 | ↓ -90% |
| Clover Health | Medicare Managed Care Plan | $778.37 | ↓ -90% |
| Wellcare | Medicare Managed Care Plan | $785.79 | ↓ -90% |
| Ambetter Health | Peach State Exchange | $1,571.57 | ↓ -80% |
| Unitedhealthcare | Core/Charter/Nexus Other Commercial Plan | $1,952.00 | ↓ -75% |
| Unitedhealthcare | Hmo/Pos | $2,296.00 | ↓ -71% |
| Aetna | Exchange | $2,572.00 | ↓ -67% |
| Bcbs | Blue Pathways Exchange | $2,678.54 | ↓ -66% |
| Cigna | Hmo/Pos | $3,590.00 | ↓ -54% |
| Bcbs | Hpn Other Commercial Plan | $3,722.82 | ↓ -53% |
| Bcbs | Hmo | $4,221.48 | ↓ -46% |
| Humana | Medicare Managed Care Plan | $4,840.09 | ↓ -38% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Wellstar Cobb Hospital | Austell | $995.28 | $750.69 – $4,066.00 |
| Wellstar Douglas Hospital | Douglasville | $995.28 | $743.94 – $4,066.00 |
| Wellstar Kennestone Hospital | Marietta | $995.28 | $750.69 – $4,066.00 |
| Wellstar MCG Health | Augusta | $995.28 | $647.66 – $2,572.00 |
| Wellstar North Fulton Hospital | Roswell | $995.28 | $750.69 – $4,066.00 |
| Wellstar Paulding Hospital | Hiram | $995.28 | $750.69 – $4,066.00 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280 | $995.28 | not published |
| Wellstar Spalding Regional Hospital | Griffin | $995.28 | $741.31 – $4,066.00 |