Ins/rpl pm gen exist dual lead at Emory University Hospital
1364 Clifton Road, Ne, GA · Emoryhealthcare · · NPI 1588640692
$8,442.00
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.
$8,442.00
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.
$5,405.00 with Aetna vs $22,225.25 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 |
|---|---|---|---|
| Aetna | Exchange | $5,405.00 | ↓ -36% |
| Cigna | Hmo/Pos | $5,495.00 | ↓ -35% |
| Aetna | Hpn Whole Health Other Commercial Plan | $6,277.00 | ↓ -26% |
| Humana | Medicare Managed Care Plan | $6,293.23 | ↓ -25% |
| Humana | Hmo/Pos | $6,293.23 | ↓ -25% |
| Bcbs | Blue Pathways Exchange | $6,309.89 | ↓ -25% |
| Oscar Health | Exchange | $7,823.00 | ↓ -7% |
| Bcbs | Hpn Other Commercial Plan | $9,038.79 | ↑ +7% |
| Unitedhealthcare | Core/Charter/Nexus Other Commercial Plan | $9,932.00 | ↑ +18% |
| Bcbs | Hmo | $10,249.52 | ↑ +21% |
| Devoted Health | Medicare Managed Care Plan | $10,483.61 | ↑ +24% |
| Bcbs | Blue Value Secure Medicare Managed Care Plan | $10,588.44 | ↑ +25% |
| Aetna | Medicare Managed Care Plan | $10,693.28 | ↑ +27% |
| Cigna | Healthspring Medicare Managed Care Plan | $10,798.11 | ↑ +28% |
| Clover Health | Medicare Managed Care Plan | $11,007.79 | ↑ +30% |
| Wellcare | Medicare Managed Care Plan | $11,112.62 | ↑ +32% |
| Unitedhealthcare | Hmo/Pos | $11,685.00 | ↑ +38% |
| Ambetter Health | Peach State Exchange | $22,225.25 | ↑ +163% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Wellstar Cobb Hospital | Austell | $5,400.72 | $1,937.00 – $19,640.03 |
| Wellstar Douglas Hospital | Douglasville | $5,400.72 | $1,937.00 – $19,463.42 |
| Wellstar Kennestone Hospital | Marietta | $5,400.72 | $1,937.00 – $19,640.03 |
| Wellstar MCG Health | Augusta | $5,400.72 | $1,937.00 – $47,862.00 |
| Wellstar North Fulton Hospital | Roswell | $5,400.72 | $1,937.00 – $19,640.03 |
| Wellstar Paulding Hospital | Hiram | $5,400.72 | $1,937.00 – $19,640.03 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280 | $5,400.72 | not published |
| Wellstar Spalding Regional Hospital | Griffin | $5,400.72 | $1,937.00 – $20,547.87 |