Incision of tibia at Emory University Hospital
1364 Clifton Road, Ne, GA · Emoryhealthcare · · NPI 1588640692
$5,753.00
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.
$5,753.00
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.
$3,295.00 with Aetna vs $15,429.70 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 | $3,295.00 | ↓ -43% |
| Aetna | Hpn Whole Health Other Commercial Plan | $3,826.00 | ↓ -33% |
| Cigna | Hmo/Pos | $4,797.00 | ↓ -17% |
| Humana | Hmo/Pos | $5,345.54 | ↓ -7% |
| Humana | Medicare Managed Care Plan | $5,345.54 | ↓ -7% |
| Bcbs | Blue Pathways Exchange | $6,156.44 | ↑ +7% |
| Kaiser | Hmo | $6,187.00 | ↑ +8% |
| Oscar Health | Exchange | $7,118.00 | ↑ +24% |
| Devoted Health | Medicare Managed Care Plan | $7,278.16 | ↑ +27% |
| Bcbs | Blue Value Secure Medicare Managed Care Plan | $7,350.94 | ↑ +28% |
| Unitedhealthcare | Core/Charter/Nexus Other Commercial Plan | $7,357.00 | ↑ +28% |
| Aetna | Medicare Managed Care Plan | $7,423.72 | ↑ +29% |
| Cigna | Healthspring Medicare Managed Care Plan | $7,496.50 | ↑ +30% |
| Clover Health | Medicare Managed Care Plan | $7,642.07 | ↑ +33% |
| Wellcare | Medicare Managed Care Plan | $7,714.85 | ↑ +34% |
| Unitedhealthcare | Hmo/Pos | $8,655.00 | ↑ +50% |
| Bcbs | Hpn Other Commercial Plan | $8,824.84 | ↑ +53% |
| Bcbs | Hmo | $10,006.92 | ↑ +74% |
| Ambetter Health | Peach State Exchange | $15,429.70 | ↑ +168% |
Visitor-reported prices
Comments
Incision of tibia at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Emory Johns Creek Hospital | Johns Creek | $5,753.00 | $3,295.00 – $15,624.90 |
| Emory Rehabilitation Hospital | Atlanta | $5,753.00 | $3,295.00 – $8,655.00 |
| Emory Saint Joseph's Hospital | Atlanta | $5,753.00 | $3,295.00 – $15,624.90 |
| Emory University Hospital Midtown | Atlanta | $5,753.00 | $3,295.00 – $15,624.90 |
| Emory Decatur Hospital | Decatur | $5,753.00 | $3,295.00 – $15,429.70 |
| Emory Long-Term Acute Care Hospital | Decatur | $5,753.00 | $7,118.00 – $7,118.00 |
| Emory Hillandale Hospital | Lithonia | $5,753.00 | $3,295.00 – $15,429.70 |
| Wellstar Cobb Hospital | Austell | not published | $1,694.00 – $13,634.93 |