How many shoppable procedure prices are published for Emory Hillandale Hospital?

Emory Hillandale Hospital in Lithonia, GA currently has 125 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Emory Hillandale Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Emory Hillandale Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Emory Hillandale Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Emory Hillandale Hospital an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 90 Beds · urban Updated: 2026-04-01

Emory Hillandale Hospital

2801 Dekalb Medical Parkway, Lithonia, GA 30058 · 125 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Good Deal · Below Fair Market

0.87×vs. Fair Market Price

Typical commercial prices here are 13% below the fair benchmark (0.87×) after accounting for local nurse/doctor wages and patient complexity.

67/100 · Caution

67/100Self-Pay Cash Beats Insurance 5% of the Time

File Completeness66

Price Logic96

Peer Alignment59

Clean Billing89

Real Cash Discount10

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.87× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Emory Hillandale Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.2× Medicare, p50 0.95× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 1.01× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#13 of 100 in GA · 12th State Percentile#496 of 3,385 in U.S. · 14th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 13% below peer Fair BaseRate (0.87×)
Self-pay cash beats commercial insurance on 5% of shoppable procedures (25/100 Cash Honesty)
1-Star CMS clinical rating with 64% patient recommendation (64/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.87× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.95× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.87× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 10.1× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER0.92× Divergence

1.1× Medicare

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

Quantile Tail Spread+6% Upper Tail

Q25 0.87× · Q50 0.95× · Q75 1.01×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.8× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

5% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 64/100Elevated

Procedure Prices at Emory Hillandale Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 125 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$32,424	$30,775	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$22,409	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$22,304	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$21,014	$17,936	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$13,050	$8,223	unverified
Total knee replacement CPT Code: `27447`	$12,866	$10,967	$13,523	0.8×
Total hip replacement CPT Code: `27130`	$12,866	$10,846	$13,413	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$16,385	$6,428	$6,109	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$5,498	$2,680	2.1×
C-section delivery (full package) CPT Code: `59510`	$13,051	$5,153	$2,975	1.7×
Bunion correction surgery CPT Code: `28296`	$6,653	$5,153	$3,446	1.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$11,309	$4,817	$3,372	1.4×
Inguinal hernia repair CPT Code: `49505`	$8,405	$4,817	$3,629	1.3×
Breast lump removal CPT Code: `19120`	$6,653	$4,163	$3,875	1.1×
Cataract surgery with lens implant CPT Code: `66984`	$10,558	$3,895	$2,540	1.5×
Colonoscopy with biopsy CPT Code: `45380`	$3,732	$3,012	$1,256	2.4×
Upper endoscopy with biopsy CPT Code: `43239`	$3,597	$2,912	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$3,650	$2,912	$981	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$4,005	$2,296	$855	2.7×
Blood transfusion CPT Code: `36430`	$1,574	$1,580	$498	3.2×
Psychological testing by technician CPT Code: `96138`	$1,048	$1,048	$395	2.7×
Residential mental health treatment HCPCS Code: `H2036`	$880	$880	$406	2.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$9,509	$887	$1,021	0.9×
Rabies immune globulin HCPCS Code: `90375`	$841	$841	$322	2.6×
New patient office visit (30-44 min) CPT Code: `99203`	$796	$796	$110	7.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$628	$628	$166	3.8×
Family therapy session CPT Code: `90847`	$628	$628	$173	3.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$628	$628	$181	3.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$628	$628	$185	3.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$585	$585	$123	4.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$4,390	$565	$583	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$399	$399	$87	4.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$382	$382	$151	2.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,563	$377	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,431	$392	$511	0.8×
Group therapy session CPT Code: `90853`	$351	$351	$100	3.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$284	$226	$201	1.1×
Neurobehavioral status check CPT Code: `96116`	$826	$223	$231	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,285	$247	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,202	$252	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,837	$252	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,837	$252	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$2,296	$262	$369	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,842	$204	$258	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$612	$165	$148	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,889	$186	$242	0.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	$113	$113	$33	3.4×
Screening mammogram (both breasts) CPT Code: `77067`	$230	$138	$123	1.1×
Psychological testing evaluation CPT Code: `96136`	$336	$137	$128	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,679	$124	$132	0.9×
CT scan, sinuses CPT Code: `70486`	$1,160	$141	$166	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,709	$110	$126	0.9×
CT scan, pelvis CPT Code: `72192`	$1,289	$135	$163	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,289	$136	$167	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,289	$137	$169	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,289	$136	$168	0.8×
X-ray, pelvis CPT Code: `72170`	$388	$105	$110	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,352	$116	$134	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,289	$120	$160	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$89	$89	$86	1.0×
X-ray, chest (single view) CPT Code: `71045`	$175	$87	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$397	$87	$92	0.9×
X-ray, foot CPT Code: `73630`	$378	$87	$92	0.9×
X-ray, lower back CPT Code: `72110`	$561	$105	$112	0.9×
X-ray, chest (two views) CPT Code: `71046`	$289	$87	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$443	$87	$93	0.9×
X-ray, hand CPT Code: `73130`	$402	$87	$93	0.9×
X-ray, hip CPT Code: `73502`	$235	$87	$93	0.9×
X-ray, ankle CPT Code: `73610`	$378	$87	$93	0.9×
Ultrasound, pelvis CPT Code: `76856`	$1,898	$111	$130	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$169	$81	$86	0.9×
Typhoid vaccine HCPCS Code: `90675`	$1,237	$1,237	$347	3.6×
Pneumococcal vaccine HCPCS Code: `90732`	$902	$902	$140	6.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$407	$407	$111	3.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$198	$198	$56	3.5×
Hepatitis B vaccine HCPCS Code: `90744`	$123	$123	$37	3.3×
Drug screening test HCPCS Code: `G0480`	$234	$116	$116	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$72	$72	$25	2.9×
Flu vaccine injection HCPCS Code: `G0008`	$142	$48	$48	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$146	$48	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$147	$48	$49	1.0×
Orthotic fitting and training CPT Code: `97760`	$130	$49	$51	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$270	$61	$64	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$185	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$310	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$140	$14	$14	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$200	$14	$14	1.0×
Blood test, magnesium CPT Code: `83735`	$129	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$106	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$244	$19	$19	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$356	$20	$20	1.0×
Blood test, vitamin D CPT Code: `82306`	$262	$30	$31	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$228	$36	$38	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$182	$35	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	$127	$40	$45	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$74	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$149	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$132	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$48	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$97	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$158	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$166	$7	$7	1.0×
Blood test, sodium CPT Code: `84295`	$113	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$89	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$114	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$108	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$163	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$218	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$196	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$335	$14	$15	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$308	$13	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$203	$37	$40	0.9×
Culture, blood CPT Code: `87040`	$190	$10	$11	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$204	$34	$38	0.9×
Blood test, liver function panel CPT Code: `80076`	$167	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	$89	$24	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$161	$29	$33	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$202	$29	$34	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$180	$29	$35	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$342	$29	$35	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$73	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$51	$2	$3	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$24	$24	$39	0.6×
Blood antibody screen CPT Code: `86850`	$226	$14	$46	0.3×

Showing top 25 high-impact procedures of 125 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Emory Hillandale Hospital (Zero PHI Required)

CMS CCN: 110226

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $32,424

1. Amount on Your Bill or Quote ($) Pre-filled with Emory Hillandale Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Emory Hillandale Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$47,043 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($77,818) is $47,043 above the denoised Fair BaseRate ($30,775) and 3.3× the $23,504 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Emory Hillandale Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite64/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait216 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (464 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

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

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Emory Hillandale Hospital.

Price Index: 0.61× regional baseline

Quality: 59/100 CMS composite

Median Household Income$77,683U.S. Census ACS

Local Uninsured Share13.0%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 67/100 · Caution CMS CCN 110226

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 110226) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows1,473 (CMS v3.0.0)

File Integrity DigestVerified · CCN 110226

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