CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Grady Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$106
about 0.9× the $118 Medicare rate · typically $76–$220
modeled estimate · not a bill or quote
What this hospital charges insurers
$109
About the fair price
about $3 over the fair price · 0.9× Medicare
Medicare pays $118 Fair price $106 This hospital $109 Cash price $562 Hospital's list price $562

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $57 Priciest $109

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a New patient office visit (30-44 min) is about $106 (about 0.9× the $118 Medicare rate). Grady Memorial Hospital charges insurers about $109, or about $562 in cash — about the fair price. Located in Atlanta, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $80 - $405 68%
Blue Cross Blue Shieldmajor $80 - $450 68%
Aetnamajor $80 - $250 68%
Cignamajor $80 - $332 68%
Humanamajor $80 - $110 68%
Kaiser Permanentemajor $80 - $426 68%
Ambetter (Centene) $80 - $110 68%
Amerigroup $77 - $109 65%
CareSource $77 - $175 65%
Clover Health $84 - $115 71%
Oscar Health $113 - $365 96%
WellCare $80 - $110 68%
+ 1 smaller / regional plan $84 - $115
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 80 Jesse Hill, Jr Drive Se, Atlanta, GA 30303
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals