X-ray sinus tract/fistula/abscess at Emory University Hospital
1364 Clifton Road, Ne, GA · Emoryhealthcare · · NPI 1588640692
$1,784.00
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.
$1,784.00
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.
$51.97 with Aetna vs $1,203.95 with Unitedhealthcare — 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 | $51.97 | ↓ -97% |
| Cigna | Hmo/Pos | $51.98 | ↓ -97% |
| Bcbs | Blue Pathways Exchange | $52.32 | ↓ -97% |
| Kaiser | Hmo | $57.32 | ↓ -97% |
| Aetna | Hpn Whole Health Other Commercial Plan | $62.37 | ↓ -97% |
| Bcbs | Hpn Other Commercial Plan | $65.14 | ↓ -96% |
| Oscar Health | Exchange | $66.17 | ↓ -96% |
| Humana | Medicare Managed Care Plan | $75.40 | ↓ -96% |
| Humana | Hmo/Pos | $75.40 | ↓ -96% |
| Bcbs | Hmo | $76.58 | ↓ -96% |
| Devoted Health | Medicare Managed Care Plan | $548.07 | ↓ -69% |
| Bcbs | Blue Value Secure Medicare Managed Care Plan | $553.55 | ↓ -69% |
| Aetna | Medicare Managed Care Plan | $559.03 | ↓ -69% |
| Cigna | Healthspring Medicare Managed Care Plan | $564.51 | ↓ -68% |
| Clover Health | Medicare Managed Care Plan | $575.47 | ↓ -68% |
| Wellcare | Medicare Managed Care Plan | $580.95 | ↓ -67% |
| Ambetter Health | Peach State Exchange | $1,161.90 | ↓ -35% |
| Unitedhealthcare | Core/Charter/Nexus Other Commercial Plan | $1,203.95 | ↓ -33% |
| Unitedhealthcare | Hmo/Pos | $1,203.95 | ↓ -33% |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Wellstar Cobb Hospital | Austell | $414.96 | $66.19 – $1,026.75 |
| Wellstar Douglas Hospital | Douglasville | $414.96 | $66.19 – $1,017.52 |
| Wellstar Kennestone Hospital | Marietta | $414.96 | $66.19 – $1,026.75 |
| Wellstar MCG Health | Augusta | $414.96 | $66.19 – $938.51 |
| Wellstar North Fulton Hospital | Roswell | $414.96 | $66.19 – $1,026.75 |
| Wellstar Paulding Hospital | Hiram | $414.96 | $66.19 – $1,026.75 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280 | $414.96 | not published |
| Wellstar Spalding Regional Hospital | Griffin | $414.96 | $66.19 – $1,074.21 |