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

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

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

Across scored shoppable procedures, Emory Rehabilitation Hospital's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2026-04-01

Emory Rehabilitation Hospital

1441 Clifton Rd Ne, Atlanta, GA 30322 · 125 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.20×vs. Fair Market Price

Typical commercial prices here are +20% above the fair benchmark (1.20×) even after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 3% of the Time

File Completeness66

Price Logic96

Peer Alignment64

Clean Billing73

Real Cash Discount9

Regional Value Leader

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +46% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Emory Rehabilitation Hospital prices routine shoppable procedures at 1.6× Medicare (median 1.06× Fair BaseRate) while upper-quartile commercial rates jump +46% to 1.55× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#52 of 100 in GA · 51st State Percentile#2,003 of 3,385 in U.S. · 59th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 3% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
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 (1.20× 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 1.06× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.55×) jump +46% above the median procedure ratio (Q50 1.06×)
Unnegotiated chargemaster list prices average 10.6× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER0.75× Divergence

1.2× Medicare

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

Quantile Tail Spread+46% Upper Tail

Q25 0.94× · Q50 1.06× · Q75 1.55×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

3.8× MedicareElevated

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

0.6× MedicareGood

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

3% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Emory Rehabilitation 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`	—	$55,634	$30,775	1.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$35,378	$19,087	1.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$33,994	$19,432	1.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$32,616	$17,936	1.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$14,068	$8,223	1.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$9,509	$9,509	$1,021	9.3×
Total hip replacement CPT Code: `27130`	$12,866	$7,499	$13,413	0.6×
Total knee replacement CPT Code: `27447`	$12,866	$7,499	$13,523	0.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$16,385	$7,118	$6,109	1.2×
Vaginal delivery (full package) CPT Code: `59400`	—	$5,843	$2,680	2.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$11,309	$5,611	$3,372	1.7×
Inguinal hernia repair CPT Code: `49505`	$8,405	$5,611	$3,629	1.5×
Bunion correction surgery CPT Code: `28296`	$6,653	$5,495	$3,446	1.6×
C-section delivery (full package) CPT Code: `59510`	$13,051	$4,679	$2,975	1.6×
Cataract surgery with lens implant CPT Code: `66984`	$10,558	$4,581	$2,540	1.8×
Breast lump removal CPT Code: `19120`	$6,653	$4,581	$3,875	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$3,597	$3,425	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$3,650	$3,425	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	$3,732	$3,425	$1,256	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$4,005	$3,051	$855	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,285	$2,285	$272	8.4×
Blood transfusion CPT Code: `36430`	$1,574	$1,574	$498	unverified
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×
Neurobehavioral status check CPT Code: `96116`	$826	$826	$231	3.6×
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×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,431	$628	$511	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$585	$585	$123	4.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,837	$583	$338	1.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,837	$583	$343	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$2,296	$583	$369	1.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$4,390	$520	$583	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$399	$399	$87	4.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,563	$423	$448	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$382	$382	$151	2.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,889	$383	$242	1.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,842	$383	$258	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,202	$383	$303	1.3×
Group therapy session CPT Code: `90853`	$351	$351	$100	3.5×
Psychological testing evaluation CPT Code: `96136`	$336	$336	$128	2.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,289	$280	$160	1.8×
CT scan, pelvis CPT Code: `72192`	$1,289	$280	$163	1.7×
CT scan, sinuses CPT Code: `70486`	$1,160	$280	$166	1.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,289	$280	$167	1.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,289	$280	$168	1.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,289	$280	$169	1.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$284	$284	$201	1.4×
Screening mammogram (both breasts) CPT Code: `77067`	$230	$165	$123	1.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,679	$157	$132	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$612	$166	$148	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,352	$147	$134	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	$113	$113	$33	3.4×
Speech therapy (language evaluation) CPT Code: `92507`	$169	$113	$86	1.3×
Ultrasound, pelvis CPT Code: `76856`	$1,898	$137	$130	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$89	$89	$86	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,709	$112	$126	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×
Colorectal cancer screening HCPCS Code: `G0010`	$147	$147	$49	3.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$146	$146	$49	3.0×
Flu vaccine injection HCPCS Code: `G0008`	$142	$142	$48	3.0×
Drug screening test HCPCS Code: `G0480`	$234	$114	$116	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$72	$72	$25	2.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$228	$55	$38	1.4×
Orthotic fitting and training CPT Code: `97760`	$130	$70	$51	1.4×
Prosthetic fitting and training CPT Code: `97761`	$127	$61	$45	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$203	$54	$40	1.4×
Speech therapy (group session) CPT Code: `92508`	$89	$36	$27	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$182	$50	$38	1.3×
Physical therapy (gait training) CPT Code: `97116`	$161	$43	$33	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	$204	$48	$38	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$180	$43	$35	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$342	$42	$35	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$202	$40	$34	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$270	$58	$64	0.9×
X-ray, hip CPT Code: `73502`	$235	$69	$93	0.7×
X-ray, lower back CPT Code: `72110`	$561	$74	$112	0.7×
Blood test, vitamin D CPT Code: `82306`	$262	$30	$31	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$443	$54	$93	0.6×
X-ray, hand CPT Code: `73130`	$402	$54	$93	0.6×
X-ray, ankle CPT Code: `73610`	$378	$53	$93	0.6×
X-ray, shoulder CPT Code: `73030`	$397	$49	$92	0.5×
X-ray, foot CPT Code: `73630`	$378	$49	$92	0.5×
X-ray, chest (two views) CPT Code: `71046`	$289	$44	$93	0.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$310	$11	$11	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, ferritin (iron stores) CPT Code: `82728`	$200	$14	$14	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, vitamin B12 CPT Code: `82607`	$196	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$140	$13	$14	0.9×
Blood test, liver function panel CPT Code: `80076`	$167	$8	$9	0.9×
X-ray, chest (single view) CPT Code: `71045`	$175	$33	$92	0.4×
X-ray, pelvis CPT Code: `72170`	$388	$37	$110	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$74	$3	$3	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, 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×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$356	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$244	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$218	$17	$18	0.9×
Hepatitis C antibody test CPT Code: `86803`	$335	$14	$15	0.9×
Culture, blood CPT Code: `87040`	$190	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$185	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$149	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$73	$4	$5	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$308	$11	$14	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	$12	$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 Rehabilitation Hospital (Zero PHI Required)

CMS CCN: 113031

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $55,634

1. Amount on Your Bill or Quote ($) Pre-filled with Emory Rehabilitation 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 Rehabilitation 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 +$102,747 Above Fair BaseRate

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

Your bill ($133,522) is $102,747 above the denoised Fair BaseRate ($30,775) and 5.7× 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 Rehabilitation 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 ↑

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

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

Regional Value & Quality Leader

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

Price Index: 0.72× regional baseline

Quality: 54/100 CMS composite

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

Local Uninsured Share5.2%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 64/100 · Caution CMS CCN 113031

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 113031) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows666 (CMS v3.0.0)

File Integrity DigestVerified · CCN 113031

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