How many shoppable procedure prices are published for Grady Memorial Hospital?

Grady Memorial Hospital in Atlanta, GA currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Grady Memorial Hospital's commercial prices compare to the fair BaseRate?

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

What is Grady Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Grady Memorial Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 707 Beds · urban Updated: 1/1/2026

Grady Memorial Hospital

80 Jesse Hill, Jr Drive Se, Atlanta, GA 30303 · 121 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Good Deal · Below Fair Market

0.93×vs. Fair Market Price

Typical commercial prices here are 7% below the fair benchmark (0.93×) after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness51

Price Logic90

Peer Alignment72

Clean Billing89

Real Cash Discount8

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 0.93× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Grady Memorial Hospital prices routine shoppable procedures near 0.7× Medicare (p50 0.88×) while skewing captive emergency, lab, and upper-quartile codes to 1.1× Medicare (p75 1.02×, +16% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#26 of 100 in GA · 25th State Percentile#843 of 3,385 in U.S. · 24th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 7% below peer Fair BaseRate (0.93×)
Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 68% patient recommendation (56/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (14.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.93× 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.
Captive ER (1.0×) & laboratory (4.7×) services average 1.57× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 1.02×) jump +16% above the median procedure ratio (Q50 0.88×)
Unnegotiated chargemaster list prices average 18.7× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.57× Divergence

1.1× Medicare

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

Quantile Tail Spread+16% Upper Tail

Q25 0.54× · Q50 0.88× · Q75 1.02×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.0× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.7× MedicareWatchout

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

2.2× MedicareFair

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

1% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 56/100Elevated

Procedure Prices at Grady Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
C-section delivery (full package) CPT Code: `59510`	—	$2,752	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,471	$2,680	0.9×
Trauma team activation HCPCS Code: `G0390`	—	$1,317	$1,453	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,102	$855	1.3×
Cataract surgery with lens implant CPT Code: `66984`	—	$967	$2,540	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$907	$981	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$896	$3,372	0.3×
Bunion correction surgery CPT Code: `28296`	—	$766	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	—	$785	$3,629	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$732	$732	$201	unverified
Breast lump removal CPT Code: `19120`	$12,668	$690	$3,875	0.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$597	$1,256	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	—	$518	$987	0.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$7,176	$495	$1,021	0.5×
Blood transfusion CPT Code: `36430`	$3,136	$435	$498	0.9×
Rabies immune globulin HCPCS Code: `90375`	—	$294	$322	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$7,610	$302	$511	0.6×
Mental health services (assessment) HCPCS Code: `H0031`	$249	$249	$140	1.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$183	$183	$86	2.1×
MRI, knee or other leg joint CPT Code: `73721`	$5,035	$200	$369	0.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$10,272	$224	$448	0.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,487	$147	$151	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$800	$164	$185	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$658	$157	$181	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$6,096	$162	$258	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$5,561	$182	$343	0.5×
MRI, lower back (no contrast) CPT Code: `72148`	$4,804	$174	$338	0.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$573	$126	$123	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,521	$148	$272	0.5×
New patient office visit (30-44 min) CPT Code: `99203`	$562	$109	$110	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,146	$116	$148	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$4,594	$136	$242	0.6×
Care planning with family CPT Code: `90887`	$253	$83	$107	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$749	$89	$123	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,712	$88	$132	0.7×
CT scan, pelvis CPT Code: `72192`	$4,157	$106	$163	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$541	$107	$166	0.6×
CT scan, sinuses CPT Code: `70486`	$4,725	$106	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$4,341	$106	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$4,538	$106	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$7,208	$106	$169	0.6×
Family therapy session CPT Code: `90847`	$1,054	$108	$173	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$5,169	$122	$583	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$562	$89	$87	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$4,026	$95	$160	0.6×
Neurobehavioral status check CPT Code: `96116`	$705	$92	$231	0.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$7,437	$112	$303	0.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,181	$82	$134	0.6×
Typhoid vaccine HCPCS Code: `90675`	—	$345	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$414	$183	$203	0.9×
Drug screening test HCPCS Code: `G0480`	—	$120	$116	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$629	$79	$86	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$83	$83	$111	0.7×
Ultrasound, pelvis CPT Code: `76856`	$1,760	$77	$130	0.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,382	$63	$126	0.5×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$29	$27	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$21	$20	1.1×
Flu vaccine injection HCPCS Code: `G0008`	—	$46	$48	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$31	$33	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	—	$46	$49	0.9×
Orthotic fitting and training CPT Code: `97760`	$276	$47	$51	0.9×
Prosthetic fitting and training CPT Code: `97761`	$221	$41	$45	0.9×
X-ray, hip CPT Code: `73502`	$518	$39	$93	0.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$255	$12	$10	1.2×
Blood test, lipase CPT Code: `83690`	$204	$8	$7	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$523	$12	$11	1.1×
Blood test, vitamin D CPT Code: `82306`	$304	$33	$31	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	$342	$30	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$381	$36	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$382	$34	$38	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$33	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$395	$30	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$500	$29	$34	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$38	$31	$39	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$54	$40	$56	0.7×
X-ray, hand CPT Code: `73130`	$1,107	$36	$93	0.4×
X-ray, ankle CPT Code: `73610`	$953	$35	$93	0.4×
X-ray, lower back CPT Code: `72110`	$1,428	$42	$112	0.4×
Psychological testing by technician CPT Code: `96138`	$124	$54	$395	0.1×
Blood test, glucose (blood sugar) CPT Code: `82947`	$166	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$111	$5	$4	1.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$149	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$141	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$166	$7	$6	1.2×
Blood test, amylase CPT Code: `82150`	$285	$8	$7	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$238	$9	$8	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$383	$10	$9	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$293	$15	$14	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$314	$15	$14	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$458	$17	$16	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$343	$20	$19	1.1×
Blood test, liver function panel CPT Code: `80076`	$373	$9	$9	1.0×
X-ray, shoulder CPT Code: `73030`	$1,134	$34	$92	0.4×
X-ray, foot CPT Code: `73630`	$1,049	$33	$92	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$873	$31	$93	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$213	$4	$3	1.3×
Blood test, calcium CPT Code: `82310`	$149	$6	$5	1.2×
Blood test, magnesium CPT Code: `83735`	$160	$7	$7	1.0×
Blood test, sodium CPT Code: `84295`	$178	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$258	$18	$18	1.0×
Blood test, hemoglobin CPT Code: `85018`	$89	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$156	$5	$5	1.0×
Hepatitis C antibody test CPT Code: `86803`	$343	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$612	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$435	$9	$9	1.0×
Speech therapy (group session) CPT Code: `92508`	$188	$25	$27	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$23	$25	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$105	$33	$37	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$30	$35	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$248	$32	$38	0.8×
Psychological testing evaluation CPT Code: `96136`	$166	$41	$128	0.3×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$14	$25	0.6×
Blood antibody screen CPT Code: `86850`	$421	$15	$46	0.3×
Group therapy session CPT Code: `90853`	—	$30	$100	0.3×
X-ray, chest (two views) CPT Code: `71046`	$787	$25	$93	0.3×
Pneumococcal vaccine HCPCS Code: `90732`	$30	$30	$140	0.2×
X-ray, chest (single view) CPT Code: `71045`	$695	$18	$92	0.2×
X-ray, pelvis CPT Code: `72170`	$649	$21	$110	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$675	$16	$64	unverified

Showing top 25 high-impact procedures of 121 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 14.8%

Audit a Bill or Quote at Grady Memorial Hospital (Zero PHI Required)

CMS CCN: 110079

CPT 59510

Select Procedure to Audit:

Fair BaseRate™ $2,975

Medicare Rate $2,473

Self-Pay Cash Request Quote

Insurer Median $2,752

1. Amount on Your Bill or Quote ($) Pre-filled with Grady Memorial 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 501(r) AGB Cap: $977 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $977

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (14.8% of gross = $977).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Grady Memorial 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 +$3,630 Above Fair BaseRate

Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)

Your bill ($6,605) is $3,630 above the denoised Fair BaseRate ($2,975) and 2.7× the $2,473 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)

EIN: 262037695

Filing Period: 200805

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 (14.8% 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 ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite56/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)67%

Median ER Wait324 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

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Grady Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-20·administrative_or_closure
Closure Notice
Recorded
2025-04-28·cap_corrective_action
CAP Request
Recorded
2023-09-25·administrative_or_closure
Closure Notice
Recorded
2023-05-18·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (733 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 Grady Memorial Hospital.

Price Index: 1.14× regional baseline

Quality: 49/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Ambetter (Centene)

-50.2%

CareSource

-43.9%

Blue Cross Blue Shield

+87.2%

Kaiser Permanente

+137.2%

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 64/100 · Caution CMS CCN 110079 EIN 262037695

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 110079) ↗ Verify IRS Form 990 (EIN 262037695) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage1/1/2026

Validated Rate Rows7,440 (CMS v3.0.0)

File Integrity DigestVerified · CCN 110079

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