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Hospital Profile Children's Hospital Voluntary non-profit - Other 319 Beds · urban Updated: 5/14/2026

Children's Healthcare of Atlanta at Scottish Rite

1001 Johnson Ferry Road, Atlanta, GA 30342 · 87 Priced Procedures

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
1.71×vs. Fair Market Price
Position vs. 1.00× Fair Price+71% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +71% above the fair benchmark (1.71×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).63/100 · Caution
63/100Self-Pay Cash Beats Insurance 12% of the Time
File Completeness66Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment68Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing71Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount11Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup · Check Safety
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Children's Healthcare of Atlanta at Scottish Rite prices shoppable and inpatient services (1.1× to 1.3× Medicare, divergence 1.18×) in alignment with regional hospital peers (1.71× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#88 of 100 in GA · 87th State Percentile#2,890 of 3,385 in U.S. · 85th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 1.06× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 12% of shoppable procedures (25/100 Cash Honesty)
  • CMS clinical safety score (54/100 safety score) with 72% patient recommendation
  • IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (64.8% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
  • Captive ER (1.6×) & laboratory (4.5×) services average 1.18× higher multiples than routine shoppable care (1.1×)
  • Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
  • Unnegotiated chargemaster list prices average 18.8× Medicare (22¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.18× Divergence
1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+4% Upper Tail
Q25 1.06× · Q50 1.32× · Q75 1.37×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.
Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×
Front-Door Shoppable CareFront-Door Shoppable
1.1× MedicareGood
Outpatient Surgery & ORBack-Door Captive
1.1× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
2.5× MedicareFair
Back-Door Captive ER VisitsBack-Door Captive
1.6× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
4.5× MedicareWatchout
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.1× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
12% Cash Edge · 25/100Watchout
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 54/100Elevated

Procedure Prices at Children's Healthcare of Atlanta at Scottish Rite

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 87 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $8,435 18.8×
MRI, brain (with and without contrast)
CPT Code: 70553
 $6,374 12.5×
MRI, knee or other leg joint
CPT Code: 73721
 $6,181 16.8×
Upper endoscopy with biopsy
CPT Code: 43239
 $5,632 5.7×
Sleep study (overnight, in lab)
CPT Code: 95810
 $5,321 5.2×
CT scan, head (with and without contrast)
CPT Code: 70470
 $4,388 17.0×
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $4,355 7.5×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $3,881 12.8×
MRI, brain (no contrast)
CPT Code: 70551
 $3,782 11.0×
CT scan, head (with contrast)
CPT Code: 70460
 $3,646 15.1×
MRI, lower back (no contrast)
CPT Code: 72148
 $3,658 10.8×
CT scan, sinuses
CPT Code: 70486
 $3,339 20.1×
CT scan, neck (cervical spine)
CPT Code: 72125
 $3,173 18.8×
CT scan, pelvis
CPT Code: 72192
 $3,138 19.3×
CT scan, chest (no contrast)
CPT Code: 71250
 $3,138 18.8×
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $3,150 18.8×
CT scan, head (no contrast)
CPT Code: 70450
 $2,512 15.7×
Ultrasound, abdomen (complete)
CPT Code: 76700
 $1,733 12.9×
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,671 6.1×
Blood transfusion
CPT Code: 36430
 $1,667 3.3×
Ultrasound, thyroid and neck
CPT Code: 76536
 $1,436 10.9×
Ultrasound, abdomen (limited)
CPT Code: 76705
 $1,402 11.1×
Ultrasound, pelvis
CPT Code: 76856
 $1,232 9.5×
Speech therapy (group session)
CPT Code: 92508
 $907 33.6×
X-ray, ankle
CPT Code: 73610
 $885 9.5×
Showing top 25 high-impact procedures of 87 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 64.8%

Audit a Bill or Quote at Children's Healthcare of Atlanta at Scottish Rite (Zero PHI Required)

CMS CCN: 113301
CPT 74177
Fair BaseRate™ $448
Medicare Rate $356
Self-Pay Cash $8,435
Insurer Median $8,435
Pre-filled with Children's Healthcare of Atlanta at Scottish Rite’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $5,464 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $5,464

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (64.8% of gross = $5,464).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $8,435

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Children's Healthcare of Atlanta at Scottish Rite's published 45 CFR § 180 self-pay cash rate is $8,435 (vs. $8,435 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$7,987 Above Fair BaseRate

Negotiate Toward $448 Fair BaseRate ($356 Medicare)

Your bill ($8,435) is $7,987 above the denoised Fair BaseRate ($448) and 23.7× the $356 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold
Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier
Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported
26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (64.8% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑
Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Children's Healthcare of Atlanta at Scottish Rite.

Price Index: 2.99× regional baseline
Quality: 54/100 CMS composite
Median Household Income$91,490U.S. Census ACS
Local Uninsured Share9.7%Regional ACS estimate
200% FPL (1 Person)$31,920Common free-care ceiling
400% FPL (Family of 4)$128,600Common AGB cap ceiling
45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 63/100 · Caution CMS CCN 113301

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 113301) ↗ CMS HCRIS Cost Reports ↗
Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage5/14/2026
Validated Rate Rows4,132 (CMS v3.0.0)
File Integrity DigestVerified · CCN 113301

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy