Repair blood vessel w/graft lower extremity 35286 at Emory Hillandale Hospital
2801 Dekalb Medical Parkway, Lithonia, GA · Emoryhealthcare · · NPI 1962403865
$12,566.00
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.
$12,566.00
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.
$4,419.21 with Bcbs vs $11,832.39 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 | $4,419.21 | ↓ -65% |
| Kaiser | Hmo | $4,743.00 | ↓ -62% |
| Humana | Medicare Managed Care Plan | $4,840.09 | ↓ -61% |
| Devoted Health | Medicare Managed Care Plan | $5,581.32 | ↓ -56% |
| Oscar Health | Exchange | $5,611.00 | ↓ -55% |
| Bcbs | Blue Value Secure Medicare Managed Care Plan | $5,637.13 | ↓ -55% |
| Aetna | Medicare Managed Care Plan | $5,692.94 | ↓ -55% |
| Cigna | Healthspring Medicare Managed Care Plan | $5,748.75 | ↓ -54% |
| Clover Health | Medicare Managed Care Plan | $5,860.38 | ↓ -53% |
| Wellcare | Medicare Managed Care Plan | $5,916.19 | ↓ -53% |
| Bcbs | Hpn Other Commercial Plan | $6,409.58 | ↓ -49% |
| Aetna | Exchange | $7,045.00 | ↓ -44% |
| Bcbs | Hmo | $7,268.12 | ↓ -42% |
| Unitedhealthcare | Core/Charter/Nexus Other Commercial Plan | $7,797.00 | ↓ -38% |
| Unitedhealthcare | Hmo/Pos | $9,172.00 | ↓ -27% |
| Ambetter Health | Peach State Exchange | $11,832.39 | ↓ -6% |
Visitor-reported prices
Comments
Repair blood vessel w/graft lower extremity 35286 at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Emory Johns Creek Hospital | Johns Creek | $12,566.00 | $4,419.21 – $11,982.08 |
| Emory Rehabilitation Hospital | Atlanta | $12,566.00 | $4,419.21 – $9,172.00 |
| Emory Saint Joseph's Hospital | Atlanta | $12,566.00 | $4,419.21 – $11,982.08 |
| Emory University Hospital Midtown | Atlanta | $12,566.00 | $4,419.21 – $11,982.08 |
| Emory University Hospital | Ne | $12,566.00 | $4,419.21 – $11,832.39 |
| Emory Decatur Hospital | Decatur | $12,566.00 | $4,419.21 – $11,832.39 |
| Emory Long-Term Acute Care Hospital | Decatur | $12,566.00 | $5,611.00 – $5,611.00 |
| Wellstar Cobb Hospital | Austell | not published | $5,651.92 – $15,026.00 |