Does Piedmont Walton Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Piedmont Walton Hospital. In a medical emergency, call 911.

Where is Piedmont Walton Hospital?

2151 W Spring Street, Monroe, GA 30655, in Walton County, Georgia.

What is the phone number of Piedmont Walton Hospital?

(770) 267-8461, as listed by Medicare (CMS).

What is the Medicare star rating of Piedmont Walton Hospital?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Piedmont Walton Hospital — Monroe, GA

Quick answers

Does Piedmont Walton Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Piedmont Walton Hospital. In a medical emergency, call 911.
Where is Piedmont Walton Hospital?: 2151 W Spring Street, Monroe, GA 30655, in Walton County, Georgia.
What is the phone number of Piedmont Walton Hospital?: (770) 267-8461, as listed by Medicare (CMS).
What is the Medicare star rating of Piedmont Walton Hospital?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Bone and joint care
Heart care
Imaging and radiology
Surgical services
Urology care
Women's services
Wound care

Treatments^[4]

Physical and occupational therapy

Programs and centers^[4][5]

Birth center
Metabolic and bariatric center
Sleep lab
Labor and delivery

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III

Visiting and practical information

Visiting	Adult patients may have two visitors at a time; visitors sign in; some departments limit hours^[4]
Patient portal	Piedmont MyChart

Recognition^[6]

Joint Commission accreditation (hospital laboratory)

Doctors and clinicians (343)

343 doctors and other clinicians list Piedmont Walton Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (343)

Abhijit Ghatak, MDCardiovascular Disease (Cardiology)
Abid Bashir, MDNephrology
Abrar A. Ansari, DOOrthopedic Surgery
Ackeime E. Campbell, MDInternal Medicine
Addie A. Hill, MDHematology/Oncology
Adeel Rahman, MDNeurology
Advija Ibrisimovic, MDInternal Medicine
Affiong Nsunwara, MDInternal Medicine
Afoma J. King, MDPulmonary Disease
Ainny ShamimFamily Practice
Akhila Madala, MDInternal Medicine
Alan K. Carnes Jr., MDUrology
Aloice O. Aluoch, MDRheumatology
Alvin SandersonNurse Practitioner
Amal Masri, MDGynecological Oncology
Amanda A. Linton, CNACertified Registered Nurse Anesthetist (CRNA)
Amanda Downs, MDInternal Medicine
Amanda J. Elder, PAPhysician Assistant
Ambreen AnsariFamily Practice
Amulya K. Sinha, MDInternal Medicine
Andres CalderonEndocrinology
Andrew C. McKown, MDPulmonary Disease
Andrew J. Greenshields, MDDiagnostic Radiology
Andrew JohnsenPathology

And 319 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Piedmont Newton Hospital15 mi · Covington, GA · Acute Care Hospital
NGMC Barrow, LLC16 mi · Winder, GA · Acute Care Hospital
Northside Hospital Gwinnett17 mi · Lawrenceville, GA · Acute Care Hospital
Morgan Medical Center18 mi · Madison, GA · Critical Access Hospital
Piedmont Rockdale Hospital19 mi · Conyers, GA · Acute Care Hospital

Other hospitals nearby

Ridgeview Institute Monroe1.6 mi · Monroe, GA · Psychiatric Hospital
Rehabilitation Hospital of Athens17 mi · Athens, GA · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Park Place Nursing Facility1.7 mi · Monroe, GA · 2 of 5 stars
Social Circle Nsg & Rehab Ctr8.0 mi · Social Circle, GA · 3 of 5 stars
High Shoals Health and Rehabilitation13 mi · Bishop, GA · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Providence Care0.0 mi · Monroe, GA
Abbey Hospice8.6 mi · Social Circle, GA · 5 of 5 stars
Eternal Faith Hospice and Palliative Care13 mi · Bogart, GA

All hospice providers in the state →

Home health agencies

Adoration Home Health15 mi · Covington, GA
Amedisys Home Health of Covington15 mi · Covington, GA · 4 of 5 stars
Guardian Home Care of Central Georgia18 mi · Watkinsville, GA · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Walton County Dialysis0.0 mi · Monroe, GA · 2 of 5 stars
FMC Dialysis Services Walton0.0 mi · Monroe, GA · 3 of 5 stars
Walton Dialysis Center0.0 mi · Monroe, GA · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Athens Orthopedic Clinic Asc - Loganville, LLC12 mi · Loganville, GA
Surgicare Gwinnett12 mi · Loganville, GA
Alliance Surgery Center at Covington15 mi · Covington, GA

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

MedLink Monroe1.6 mi · Monroe, GA · Community health center
MedLink Winder - Ancillary Services15 mi · Winder, GA · Community health center
MedLink Winder Women's Health Center15 mi · Winder, GA · Community health center

Clinics and urgent care

Georgia Surgicare12 mi · Loganville, GA · Urgent care center
Health Choice Urgent Care, LLC12 mi · Loganville, GA · Urgent care center
Reddy Urgent Care LLC12 mi · Loganville, GA · Urgent care center

Pharmacies

Georgia CVS Pharmacy LLC0.0 mi · Monroe, GA · Pharmacy
Wal-Mart Stores East LP0.0 mi · Monroe, GA · Community/retail pharmacy
Walgreen Co0.0 mi · Monroe, GA · Pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Piedmont Walton Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	69%National average: 72%
Would definitely recommend the hospital	67%National average: 71%
Nurses “always” communicated well	76%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	56%National average: 62%
Were given information about recovery at home	84%National average: 86%
Room and bathroom “always” clean	69%National average: 74%
Area around the room “always” quiet at night	62%National average: 60%
Completed surveys	604Response rate: 16%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.98No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.217Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	10.6%
Deaths within 30 days: pneumonia patients	16.6%
Deaths within 30 days: COPD patients	8.9%
Deaths within 30 days: stroke patients	14.6%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.95No different from the national rate
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21.3%
Readmitted within 30 days: pneumonia	15.9%
Readmitted within 30 days: COPD	18.8%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	142 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	60%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Georgia Best hospitals in Georgia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 58 common services exactly as Piedmont Walton Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

$ 36 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HC New Eval Visit Level 3	$523	$156.90	$0.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $470.70
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $371.85 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $355.64 AMERIGROUP MEDICAID [20100] — Amerigroup: $46.91 BEECHSTREET [10800] — Beechstreet: $470.70 BLUE CROSS [10001] — Blue Cross HMO: $0.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS [10001] — Blue Cross PPO: $0.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CARESOURCE MEDICAID [20104] — Caresource Medicaid: $49.27 CIGNA [10200] — Cigna: $313.80 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $224.37 FIRST HEALTH [10303] — First Health: $366.10
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HC New Eval Visit Level 4	$665	$199.50	$0.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $598.50
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $472.82 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $452.20 AMERIGROUP MEDICAID [20100] — Amerigroup: $59.65 BEECHSTREET [10800] — Beechstreet: $598.50 BLUE CROSS [10001] — Blue Cross HMO: $0.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS [10001] — Blue Cross PPO: $0.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CARESOURCE MEDICAID [20104] — Caresource Medicaid: $62.64 CIGNA [10200] — Cigna: $399 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $285.29 FIRST HEALTH [10303] — First Health: $465.50
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC Transplant Eval Renal Day 1 New Pt	$3,225	$967.50	$303.80
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $2,292.98 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $2,193 AMERIGROUP MEDICAID [20100] — Amerigroup: $289.28 BEECHSTREET [10800] — Beechstreet: $2,902.50 BLUE CROSS [10001] — Blue Cross HMO: $3.23 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS [10001] — Blue Cross PPO: $3.23 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CARESOURCE MEDICAID [20104] — Caresource Medicaid: $303.80 CIGNA [10200] — Cigna: $1,935 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $1,383.53 FIRST HEALTH [10303] — First Health: $2,257.50
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC Transplant Eval Liver Day 1 New Pt	$1,640	$492	$1.64 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,476
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $1,166.04 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $1,115.20 AMERIGROUP MEDICAID [20100] — Amerigroup: $147.11 BEECHSTREET [10800] — Beechstreet: $1,476 BLUE CROSS [10001] — Blue Cross HMO: $1.64 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS [10001] — Blue Cross PPO: $1.64 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CARESOURCE MEDICAID [20104] — Caresource Medicaid: $154.49 CIGNA [10200] — Cigna: $984 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $703.56 FIRST HEALTH [10303] — First Health: $1,148
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC New Eval Visit Level 5	$718	$215.40	$0.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $646.20
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $510.50 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $488.24 AMERIGROUP MEDICAID [20100] — Amerigroup: $64.40 BEECHSTREET [10800] — Beechstreet: $646.20 BLUE CROSS [10001] — Blue Cross HMO: $0.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS [10001] — Blue Cross PPO: $0.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CARESOURCE MEDICAID [20104] — Caresource Medicaid: $67.64 CIGNA [10200] — Cigna: $430.80 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $308.02 FIRST HEALTH [10303] — First Health: $502.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC Est Eval Visit Level 3	$503	$150.90	$0.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $452.70
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $357.63 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $342.04 AMERIGROUP MEDICAID [20100] — Amerigroup: $45.12 BEECHSTREET [10800] — Beechstreet: $452.70 BLUE CROSS [10001] — Blue Cross HMO: $0.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS [10001] — Blue Cross PPO: $0.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CARESOURCE MEDICAID [20104] — Caresource Medicaid: $47.38 CIGNA [10200] — Cigna: $301.80 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $215.79 FIRST HEALTH [10303] — First Health: $352.10
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC Est Eval Visit Level 4	$576	$172.80	$0.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $518.40
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $409.54 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $391.68 AMERIGROUP MEDICAID [20100] — Amerigroup: $51.67 BEECHSTREET [10800] — Beechstreet: $518.40 BLUE CROSS [10001] — Blue Cross HMO: $0.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS [10001] — Blue Cross PPO: $0.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CARESOURCE MEDICAID [20104] — Caresource Medicaid: $54.26 CIGNA [10200] — Cigna: $345.60 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $247.10 FIRST HEALTH [10303] — First Health: $403.20
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ED Visit Level 3	$2,099.90	$629.97	$251.73 – $2,099.90
Emergency room visit (moderate): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $1,493.03 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $1,862 AMERIGROUP MEDICAID [20100] — Amerigroup: $251.73 BEECHSTREET [10800] — Beechstreet: $1,889.91 BLUE CROSS [10001] — Blue Cross HMO: $930.05 BLUE CROSS [10001] — Blue Cross PPO: $977.29 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $725 FIRST HEALTH [10303] — First Health: $1,469.93 KAISER [10500] — Kaiser: $1,784.92 MULTIPLAN [10600] — Multiplan: $1,679.92
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ED Visit Level 3 W Proc	$1,909	$572.70	$251.73 – $1,909
Emergency room visit (moderate): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $1,357.30 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $1,862 AMERIGROUP MEDICAID [20100] — Amerigroup: $251.73 BEECHSTREET [10800] — Beechstreet: $1,718.10 BLUE CROSS [10001] — Blue Cross HMO: $845.50 BLUE CROSS [10001] — Blue Cross PPO: $888.45 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $725 FIRST HEALTH [10303] — First Health: $1,336.30 KAISER [10500] — Kaiser: $1,622.65 MULTIPLAN [10600] — Multiplan: $1,527.20
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ED Visit Level 4	$2,762.10	$828.63	$352.42 – $2,485.89
Emergency room visit (moderately high): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $1,963.85 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $1,862 AMERIGROUP MEDICAID [20100] — Amerigroup: $352.42 BEECHSTREET [10800] — Beechstreet: $2,485.89 BLUE CROSS [10001] — Blue Cross HMO: $1,223.33 BLUE CROSS [10001] — Blue Cross PPO: $1,285.48 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $725 FIRST HEALTH [10303] — First Health: $1,933.47 KAISER [10500] — Kaiser: $2,347.79 MULTIPLAN [10600] — Multiplan: $2,209.68
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ED Visit Level 4 W Proc	$2,511	$753.30	$352.42 – $2,382
Emergency room visit (moderately high): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $1,785.32 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $1,862 AMERIGROUP MEDICAID [20100] — Amerigroup: $352.42 BEECHSTREET [10800] — Beechstreet: $2,259.90 BLUE CROSS [10001] — Blue Cross HMO: $1,112.12 BLUE CROSS [10001] — Blue Cross PPO: $1,168.62 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $725 FIRST HEALTH [10303] — First Health: $1,757.70 KAISER [10500] — Kaiser: $2,134.35 MULTIPLAN [10600] — Multiplan: $2,008.80
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ED Visit Level 5 W Proc	$3,517	$1,055.10	$447.52 – $3,165.30
Emergency room visit (high): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $2,500.59 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $1,862 AMERIGROUP MEDICAID [20100] — Amerigroup: $447.52 BEECHSTREET [10800] — Beechstreet: $3,165.30 BLUE CROSS [10001] — Blue Cross HMO: $1,557.68 BLUE CROSS [10001] — Blue Cross PPO: $1,636.81 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $725 FIRST HEALTH [10303] — First Health: $2,461.90 KAISER [10500] — Kaiser: $2,989.45 MULTIPLAN [10600] — Multiplan: $2,813.60
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ED Visit Level 5	$3,868.70	$1,160.61	$447.52 – $3,481.83
Emergency room visit (high): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $2,750.65 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $1,862 AMERIGROUP MEDICAID [20100] — Amerigroup: $447.52 BEECHSTREET [10800] — Beechstreet: $3,481.83 BLUE CROSS [10001] — Blue Cross HMO: $1,713.45 BLUE CROSS [10001] — Blue Cross PPO: $1,800.49 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $725 FIRST HEALTH [10303] — First Health: $2,708.09 KAISER [10500] — Kaiser: $3,288.40 MULTIPLAN [10600] — Multiplan: $3,094.96

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel (Bmp)	$437.95	$131.38	$7.61 – $394.16
Basic metabolic panel (blood test): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $311.38 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $30.02 AMERIGROUP MEDICAID [20100] — Amerigroup: $11.92 BEECHSTREET [10800] — Beechstreet: $394.16 BLUE CROSS [10001] — Blue Cross HMO: $193.97 BLUE CROSS [10001] — Blue Cross PPO: $203.82 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $8.88 FIRST HEALTH [10303] — First Health: $306.57 KAISER [10500] — Kaiser: $372.26 MULTIPLAN [10600] — Multiplan: $350.36
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Compr Metabolic Panel (Cmp)	$489.25	$146.77	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $440.33
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $347.86 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $37.50 AMERIGROUP MEDICAID [20100] — Amerigroup: $14.87 BEECHSTREET [10800] — Beechstreet: $440.33 BLUE CROSS [10001] — Blue Cross HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS [10001] — Blue Cross PPO: $227.70 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $11.09 FIRST HEALTH [10303] — First Health: $342.48 KAISER [10500] — Kaiser: $415.86 MULTIPLAN [10600] — Multiplan: $391.40
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: HC Obstetric Panel	$414	$124.20	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $372.60
Obstetric blood test panel: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $294.35 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $169.71 AMERIGROUP MEDICAID [20100] — Amerigroup: $31.42 BEECHSTREET [10800] — Beechstreet: $372.60 BLUE CROSS [10001] — Blue Cross HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS [10001] — Blue Cross PPO: $192.68 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $32.99 FIRST HEALTH [10303] — First Health: $289.80 KAISER [10500] — Kaiser: $351.90 MULTIPLAN [10600] — Multiplan: $331.20
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel	$327.75	$98.32	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $294.98
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $233.03 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $47.53 AMERIGROUP MEDICAID [20100] — Amerigroup: $18.85 BEECHSTREET [10800] — Beechstreet: $294.98 BLUE CROSS [10001] — Blue Cross HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS [10001] — Blue Cross PPO: $152.53 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $14.06 FIRST HEALTH [10303] — First Health: $229.43 KAISER [10500] — Kaiser: $278.59 MULTIPLAN [10600] — Multiplan: $262.20
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Berkeley Lipid Profile	$253	$75.90	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $227.70
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $179.88 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $47.53 AMERIGROUP MEDICAID [20100] — Amerigroup: $18.85 BEECHSTREET [10800] — Beechstreet: $227.70 BLUE CROSS [10001] — Blue Cross HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS [10001] — Blue Cross PPO: $117.75 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $14.06 FIRST HEALTH [10303] — First Health: $177.10 KAISER [10500] — Kaiser: $215.05 MULTIPLAN [10600] — Multiplan: $202.40
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC Renal Function Panel	$289.75	$86.92	$7.81 – $260.78
Kidney function panel: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $206.01 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $30.82 AMERIGROUP MEDICAID [20100] — Amerigroup: $12.22 BEECHSTREET [10800] — Beechstreet: $260.78 BLUE CROSS [10001] — Blue Cross HMO: $128.33 BLUE CROSS [10001] — Blue Cross PPO: $134.85 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $9.11 FIRST HEALTH [10303] — First Health: $202.83 KAISER [10500] — Kaiser: $246.29 MULTIPLAN [10600] — Multiplan: $231.80
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel	$354.35	$106.30	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $318.92
Liver function panel: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $251.94 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $29.01 AMERIGROUP MEDICAID [20100] — Amerigroup: $11.50 BEECHSTREET [10800] — Beechstreet: $318.92 BLUE CROSS [10001] — Blue Cross HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS [10001] — Blue Cross PPO: $164.91 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $8.58 FIRST HEALTH [10303] — First Health: $248.05 KAISER [10500] — Kaiser: $301.20 MULTIPLAN [10600] — Multiplan: $283.48
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis Auto W Micro	$210.90	$63.27	$2.85 – $189.81
Urine test (automated, with microscope): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $149.95 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $11.27 AMERIGROUP MEDICAID [20100] — Amerigroup: $4.46 BEECHSTREET [10800] — Beechstreet: $189.81 BLUE CROSS [10001] — Blue Cross HMO: $93.41 BLUE CROSS [10001] — Blue Cross PPO: $98.15 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $3.33 FIRST HEALTH [10303] — First Health: $147.63 KAISER [10500] — Kaiser: $179.27 MULTIPLAN [10600] — Multiplan: $168.72
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Urinalysis Non-Auto WO Micro	$122.55	$36.76	$3.13 – $110.30
Urine test (manual, without microscope): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $87.13 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $10.01 AMERIGROUP MEDICAID [20100] — Amerigroup: $3.59 BEECHSTREET [10800] — Beechstreet: $110.30 BLUE CROSS [10001] — Blue Cross HMO: $54.28 BLUE CROSS [10001] — Blue Cross PPO: $57.03 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $3.65 FIRST HEALTH [10303] — First Health: $85.79 KAISER [10500] — Kaiser: $104.17 MULTIPLAN [10600] — Multiplan: $98.04
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis Auto WO Micro	$120.65	$36.19	$2.03 – $108.59
Urine test (automated, without microscope): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $85.78 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $7.96 AMERIGROUP MEDICAID [20100] — Amerigroup: $3.17 BEECHSTREET [10800] — Beechstreet: $108.59 BLUE CROSS [10001] — Blue Cross HMO: $53.44 BLUE CROSS [10001] — Blue Cross PPO: $56.15 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $2.36 FIRST HEALTH [10303] — First Health: $84.46 KAISER [10500] — Kaiser: $102.55 MULTIPLAN [10600] — Multiplan: $96.52
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Psa Total	$336.30	$100.89	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $302.67
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $239.11 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $65.30 AMERIGROUP MEDICAID [20100] — Amerigroup: $25.88 BEECHSTREET [10800] — Beechstreet: $302.67 BLUE CROSS [10001] — Blue Cross HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS [10001] — Blue Cross PPO: $156.51 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $19.31 FIRST HEALTH [10303] — First Health: $235.41 KAISER [10500] — Kaiser: $285.86 MULTIPLAN [10600] — Multiplan: $269.04
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Thyroid Stimulating Hormone	$243.43	$73.03	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $219.09
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $173.08 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $59.66 AMERIGROUP MEDICAID [20100] — Amerigroup: $23.63 BEECHSTREET [10800] — Beechstreet: $219.09 BLUE CROSS [10001] — Blue Cross HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS [10001] — Blue Cross PPO: $113.29 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $17.64 FIRST HEALTH [10303] — First Health: $170.40 KAISER [10500] — Kaiser: $206.92 MULTIPLAN [10600] — Multiplan: $194.74
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Tsh	$218.40	$65.52	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $196.56
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $155.28 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $59.66 AMERIGROUP MEDICAID [20100] — Amerigroup: $23.63 BEECHSTREET [10800] — Beechstreet: $196.56 BLUE CROSS [10001] — Blue Cross HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS [10001] — Blue Cross PPO: $101.64 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $17.64 FIRST HEALTH [10303] — First Health: $152.88 KAISER [10500] — Kaiser: $185.64 MULTIPLAN [10600] — Multiplan: $174.72
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc W Auto Diff	$206.03	$61.81	$6.99 – $185.43
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $146.49 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $27.58 AMERIGROUP MEDICAID [20100] — Amerigroup: $10.93 BEECHSTREET [10800] — Beechstreet: $185.43 BLUE CROSS [10001] — Blue Cross HMO: $91.25 BLUE CROSS [10001] — Blue Cross PPO: $95.89 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $8.16 FIRST HEALTH [10303] — First Health: $144.22 KAISER [10500] — Kaiser: $175.13 MULTIPLAN [10600] — Multiplan: $164.82
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Cbc Auto WO Diff	$188.10	$56.43	$5.82 – $169.29
Complete blood count (CBC), automated: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $133.74 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $22.95 AMERIGROUP MEDICAID [20100] — Amerigroup: $9.11 BEECHSTREET [10800] — Beechstreet: $169.29 BLUE CROSS [10001] — Blue Cross HMO: $83.31 BLUE CROSS [10001] — Blue Cross PPO: $87.54 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $6.79 FIRST HEALTH [10303] — First Health: $131.67 KAISER [10500] — Kaiser: $159.89 MULTIPLAN [10600] — Multiplan: $150.48
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Protime	$130.20	$39.06	$3.86 – $117.18
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $92.57 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $13.95 AMERIGROUP MEDICAID [20100] — Amerigroup: $5.53 BEECHSTREET [10800] — Beechstreet: $117.18 BLUE CROSS [10001] — Blue Cross HMO: $57.67 BLUE CROSS [10001] — Blue Cross PPO: $60.60 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $4.50 FIRST HEALTH [10303] — First Health: $91.14 KAISER [10500] — Kaiser: $110.67 MULTIPLAN [10600] — Multiplan: $104.16
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Ptt Mixng Studies	$182.40	$54.72	$5.41 – $164.16
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $129.69 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $21.34 AMERIGROUP MEDICAID [20100] — Amerigroup: $8.44 BEECHSTREET [10800] — Beechstreet: $164.16 BLUE CROSS [10001] — Blue Cross HMO: $80.78 BLUE CROSS [10001] — Blue Cross PPO: $84.89 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $6.31 FIRST HEALTH [10303] — First Health: $127.68 KAISER [10500] — Kaiser: $155.04 MULTIPLAN [10600] — Multiplan: $145.92
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Ptt	$163.40	$49.02	$5.41 – $147.06
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $116.18 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $21.34 AMERIGROUP MEDICAID [20100] — Amerigroup: $8.44 BEECHSTREET [10800] — Beechstreet: $147.06 BLUE CROSS [10001] — Blue Cross HMO: $72.37 BLUE CROSS [10001] — Blue Cross PPO: $76.05 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $6.31 FIRST HEALTH [10303] — First Health: $114.38 KAISER [10500] — Kaiser: $138.89 MULTIPLAN [10600] — Multiplan: $130.72

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Head/Brain WO Cntrst	$3,609.24	$1,082.77	$261.88 – $3,248.32
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $1,933 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $742 AMERIGROUP MEDICAID [20100] — Amerigroup: $323.75 BEECHSTREET [10800] — Beechstreet: $3,248.32 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $339.99 CIGNA [10200] — Cigna: $567 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $405 FIRST HEALTH [10303] — First Health: $2,526.47 KAISER [10500] — Kaiser: $3,067.85 MULTIPLAN [10600] — Multiplan: $2,887.39
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Brain W/WO Cntrst	$7,341.40	$2,202.42	$658.52 – $6,607.26
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $2,816 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $1,248 AMERIGROUP MEDICAID [20100] — Amerigroup: $658.52 BEECHSTREET [10800] — Beechstreet: $6,607.26 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $691.56 CIGNA [10200] — Cigna: $955 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $683 FIRST HEALTH [10303] — First Health: $5,138.98 KAISER [10500] — Kaiser: $6,240.19 MULTIPLAN [10600] — Multiplan: $5,873.12
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC Xr Chest 2v	$516	$154.80	$46.29 – $464.40
Chest X-ray, 2 views: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $366.88 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $56.85 AMERIGROUP MEDICAID [20100] — Amerigroup: $46.29 BEECHSTREET [10800] — Beechstreet: $464.40 BLUE CROSS [10001] — Blue Cross HMO: $228.54 BLUE CROSS [10001] — Blue Cross PPO: $240.15 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $48.61 FIRST HEALTH [10303] — First Health: $361.20 KAISER [10500] — Kaiser: $438.60 MULTIPLAN [10600] — Multiplan: $412.80
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC Xr Spine Lumbosacral >=4v	$1,481.70	$444.51	$96.07 – $1,333.53
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $1,053.49 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $96.07 AMERIGROUP MEDICAID [20100] — Amerigroup: $132.91 BEECHSTREET [10800] — Beechstreet: $1,333.53 BLUE CROSS [10001] — Blue Cross HMO: $656.24 BLUE CROSS [10001] — Blue Cross PPO: $689.58 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $139.58 FIRST HEALTH [10303] — First Health: $1,037.19 KAISER [10500] — Kaiser: $1,259.45 MULTIPLAN [10600] — Multiplan: $1,185.36
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI Lumb Spine WO Cntrst	$5,702.40	$1,710.72	$511.51 – $5,132.16
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $2,816 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $1,248 AMERIGROUP MEDICAID [20100] — Amerigroup: $511.51 BEECHSTREET [10800] — Beechstreet: $5,132.16 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $537.17 CIGNA [10200] — Cigna: $955 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $683 FIRST HEALTH [10303] — First Health: $3,991.68 KAISER [10500] — Kaiser: $4,847.04 MULTIPLAN [10600] — Multiplan: $4,561.92
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT Pelvis W Cntrst	$4,439.40	$1,331.82	$398.21 – $3,995.46
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $1,933 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $742 AMERIGROUP MEDICAID [20100] — Amerigroup: $398.21 BEECHSTREET [10800] — Beechstreet: $3,995.46 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $418.19 CIGNA [10200] — Cigna: $567 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $405 FIRST HEALTH [10303] — First Health: $3,107.58 KAISER [10500] — Kaiser: $3,773.49 MULTIPLAN [10600] — Multiplan: $3,551.52
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI Lwr Ext Jnt WO Cntrst	$5,052.30	$1,515.69	$453.19 – $4,547.07
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $2,816 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $1,248 AMERIGROUP MEDICAID [20100] — Amerigroup: $453.19 BEECHSTREET [10800] — Beechstreet: $4,547.07 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $475.93 CIGNA [10200] — Cigna: $955 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $683 FIRST HEALTH [10303] — First Health: $3,536.61 KAISER [10500] — Kaiser: $4,294.46 MULTIPLAN [10600] — Multiplan: $4,041.84
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT Abd&Pelvis W Cntrst	$7,554.75	$2,266.42	$405 – $6,799.28
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $1,933 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $742 AMERIGROUP MEDICAID [20100] — Amerigroup: $677.66 BEECHSTREET [10800] — Beechstreet: $6,799.28 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $711.66 CIGNA [10200] — Cigna: $567 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $405 FIRST HEALTH [10303] — First Health: $5,288.33 KAISER [10500] — Kaiser: $6,421.54 MULTIPLAN [10600] — Multiplan: $6,043.80
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US Abd Complete	$1,937.10	$581.13	$173.76 – $1,743.39
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $1,377.28 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $241.59 AMERIGROUP MEDICAID [20100] — Amerigroup: $173.76 BEECHSTREET [10800] — Beechstreet: $1,743.39 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $182.47 FIRST HEALTH [10303] — First Health: $1,355.97 KAISER [10500] — Kaiser: $1,646.54 MULTIPLAN [10600] — Multiplan: $1,549.68 NOVANET [10819] — Novanet: $1,452.83 PEACH STATE MEDICAID [20101] — Peach State Medicaid: $182.47
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US OB > 1st Trimst Txabd Sngl	$1,808.40	$542.52	$162.21 – $1,627.56
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $1,285.77 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $270.49 AMERIGROUP MEDICAID [20100] — Amerigroup: $162.21 BEECHSTREET [10800] — Beechstreet: $1,627.56 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $170.35 FIRST HEALTH [10303] — First Health: $1,265.88 KAISER [10500] — Kaiser: $1,537.14 MULTIPLAN [10600] — Multiplan: $1,446.72 NOVANET [10819] — Novanet: $1,356.30 PEACH STATE MEDICAID [20101] — Peach State Medicaid: $170.35
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US Transvaginal	$1,625.80	$487.74	$145.83 – $1,463.22
Transvaginal ultrasound: 10 of 13 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $1,155.94 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $257.06 AMERIGROUP MEDICAID [20100] — Amerigroup: $145.83 BEECHSTREET [10800] — Beechstreet: $1,463.22 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $153.15 FIRST HEALTH [10303] — First Health: $1,138.06 KAISER [10500] — Kaiser: $1,381.93 MULTIPLAN [10600] — Multiplan: $1,300.64 NOVANET [10819] — Novanet: $1,219.35 PEACH STATE MEDICAID [20101] — Peach State Medicaid: $153.15
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC Dx Mammo Incl Cad Uni	$775.40	$232.62	$69.55 – $697.86
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $551.31 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $252 AMERIGROUP MEDICAID [20100] — Amerigroup: $69.55 BEECHSTREET [10800] — Beechstreet: $697.86 BLUE CROSS [10001] — Blue Cross HMO: $343.42 BLUE CROSS [10001] — Blue Cross PPO: $360.87 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $73.04 FIRST HEALTH [10303] — First Health: $542.78 KAISER [10500] — Kaiser: $659.09 MULTIPLAN [10600] — Multiplan: $620.32
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC Dx Mammo Incl Cad Bi	$1,061.55	$318.46	$95.22 – $955.40
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $754.76 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $252 AMERIGROUP MEDICAID [20100] — Amerigroup: $95.22 BEECHSTREET [10800] — Beechstreet: $955.40 BLUE CROSS [10001] — Blue Cross HMO: $470.16 BLUE CROSS [10001] — Blue Cross PPO: $494.05 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $100 FIRST HEALTH [10303] — First Health: $743.09 KAISER [10500] — Kaiser: $902.32 MULTIPLAN [10600] — Multiplan: $849.24
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Scr Mammo Bi Incl Cad	$936.60	$280.98	$84.01 – $842.94
Screening mammogram, both breasts: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $665.92 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $252 AMERIGROUP MEDICAID [20100] — Amerigroup: $84.01 BEECHSTREET [10800] — Beechstreet: $842.94 BLUE CROSS [10001] — Blue Cross HMO: $414.82 BLUE CROSS [10001] — Blue Cross PPO: $435.89 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $88.23 FIRST HEALTH [10303] — First Health: $655.62 KAISER [10500] — Kaiser: $796.11 MULTIPLAN [10600] — Multiplan: $749.28
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Scr Mammo Uni Incl Cad	$936.60	$280.98	$84.01 – $842.94
Screening mammogram, both breasts: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $665.92 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $252 AMERIGROUP MEDICAID [20100] — Amerigroup: $84.01 BEECHSTREET [10800] — Beechstreet: $842.94 BLUE CROSS [10001] — Blue Cross HMO: $414.82 BLUE CROSS [10001] — Blue Cross PPO: $435.89 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $88.23 FIRST HEALTH [10303] — First Health: $655.62 KAISER [10500] — Kaiser: $796.11 MULTIPLAN [10600] — Multiplan: $749.28

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: HC Lt Hrt Cath Si	$17,512	$5,253.60	$1,570.83 – $15,760.80
Left heart catheterization (diagnostic): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $12,451.03 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $2,795 AMERIGROUP MEDICAID [20100] — Amerigroup: $1,570.83 BEECHSTREET [10800] — Beechstreet: $15,760.80 BLUE CROSS [10001] — Blue Cross HMO: $7,756.06 BLUE CROSS [10001] — Blue Cross PPO: $8,150.08 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $1,649.63 FIRST HEALTH [10303] — First Health: $12,258.40 KAISER [10500] — Kaiser: $14,885.20 MULTIPLAN [10600] — Multiplan: $14,009.60
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: HC Eps WO Arryth	$34,619.20	$10,385.76	$3,105.34 – $31,157.28
Heart rhythm study (electrophysiology evaluation): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $24,614.25 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $7,883 AMERIGROUP MEDICAID [20100] — Amerigroup: $3,105.34 BEECHSTREET [10800] — Beechstreet: $31,157.28 BLUE CROSS [10001] — Blue Cross HMO: $15,332.84 BLUE CROSS [10001] — Blue Cross PPO: $16,111.78 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $3,261.13 FIRST HEALTH [10303] — First Health: $24,233.44 KAISER [10500] — Kaiser: $29,426.32 MULTIPLAN [10600] — Multiplan: $27,695.36
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: HC Comp Ep Eval Txsept Cath a Fib	$41,551.40	$12,465.42	$3,727.16 – $37,396.26
Heart rhythm study with ablation for atrial fibrillation: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $29,543.05 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $5,469 AMERIGROUP MEDICAID [20100] — Amerigroup: $3,727.16 BEECHSTREET [10800] — Beechstreet: $37,396.26 BLUE CROSS [10001] — Blue Cross HMO: $18,403.12 BLUE CROSS [10001] — Blue Cross PPO: $19,338.02 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $3,914.14 FIRST HEALTH [10303] — First Health: $29,085.98 KAISER [10500] — Kaiser: $35,318.69 MULTIPLAN [10600] — Multiplan: $33,241.12
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Psg >4 Param Incomplt	$5,544.50	$1,663.35	$497.34 – $4,990.05
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $3,942.14 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $1,732 AMERIGROUP MEDICAID [20100] — Amerigroup: $497.34 BEECHSTREET [10800] — Beechstreet: $4,990.05 BLUE CROSS [10001] — Blue Cross HMO: $2,455.66 BLUE CROSS [10001] — Blue Cross PPO: $2,580.41 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $522.29 FIRST HEALTH [10303] — First Health: $3,881.15 KAISER [10500] — Kaiser: $4,712.83 MULTIPLAN [10600] — Multiplan: $4,435.60
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Psg >4 Param	$8,436.95	$2,531.08	$756.79 – $7,593.26
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $5,998.67 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $1,732 AMERIGROUP MEDICAID [20100] — Amerigroup: $756.79 BEECHSTREET [10800] — Beechstreet: $7,593.26 BLUE CROSS [10001] — Blue Cross HMO: $3,736.73 BLUE CROSS [10001] — Blue Cross PPO: $3,926.56 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $794.76 FIRST HEALTH [10303] — First Health: $5,905.87 KAISER [10500] — Kaiser: $7,171.41 MULTIPLAN [10600] — Multiplan: $6,749.56

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Thrpy Proc Dirct Ea 15min (Go)	$252.70	$75.81	$22.67 – $252.70
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $179.67 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $252.70 AMERIGROUP MEDICAID [20100] — Amerigroup: $22.67 BEECHSTREET [10800] — Beechstreet: $227.43 BLUE CROSS [10001] — Blue Cross HMO: $111.92 BLUE CROSS [10001] — Blue Cross PPO: $117.61 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $23.80 FIRST HEALTH [10303] — First Health: $176.89 KAISER [10500] — Kaiser: $214.80 MULTIPLAN [10600] — Multiplan: $202.16
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Thrpy Proc Dirct Ea 15min (Gp)	$252.70	$75.81	$22.67 – $252.70
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $179.67 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $252.70 AMERIGROUP MEDICAID [20100] — Amerigroup: $22.67 BEECHSTREET [10800] — Beechstreet: $227.43 BLUE CROSS [10001] — Blue Cross HMO: $111.92 BLUE CROSS [10001] — Blue Cross PPO: $117.61 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $23.80 FIRST HEALTH [10303] — First Health: $176.89 KAISER [10500] — Kaiser: $214.80 MULTIPLAN [10600] — Multiplan: $202.16
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Complex 20 Min	$583.45	$175.03	$52.34 – $525.11
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $414.83 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $426 AMERIGROUP MEDICAID [20100] — Amerigroup: $52.34 BEECHSTREET [10800] — Beechstreet: $525.11 BLUE CROSS [10001] — Blue Cross HMO: $258.41 BLUE CROSS [10001] — Blue Cross PPO: $271.54 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $54.96 FIRST HEALTH [10303] — First Health: $408.42 KAISER [10500] — Kaiser: $495.93 MULTIPLAN [10600] — Multiplan: $466.76
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Mod Complex 30 Min	$589.43	$176.83	$52.87 – $530.49
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $419.08 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $426 AMERIGROUP MEDICAID [20100] — Amerigroup: $52.87 BEECHSTREET [10800] — Beechstreet: $530.49 BLUE CROSS [10001] — Blue Cross HMO: $261.06 BLUE CROSS [10001] — Blue Cross PPO: $274.32 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $55.52 FIRST HEALTH [10303] — First Health: $412.60 KAISER [10500] — Kaiser: $501.02 MULTIPLAN [10600] — Multiplan: $471.54
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Eval High Complex 45 Min	$694.60	$208.38	$62.31 – $625.14
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $493.86 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $426 AMERIGROUP MEDICAID [20100] — Amerigroup: $62.31 BEECHSTREET [10800] — Beechstreet: $625.14 BLUE CROSS [10001] — Blue Cross HMO: $307.64 BLUE CROSS [10001] — Blue Cross PPO: $323.27 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $65.43 FIRST HEALTH [10303] — First Health: $486.22 KAISER [10500] — Kaiser: $590.41 MULTIPLAN [10600] — Multiplan: $555.68

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC Egd Dx	$5,140.94	$1,542.28	$484.28 – $4,937
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $3,655.21 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $4,937 AMERIGROUP MEDICAID [20100] — Amerigroup: $572.83 BEECHSTREET [10800] — Beechstreet: $4,626.85 BLUE CROSS [10001] — Blue Cross HMO: $2,276.92 BLUE CROSS [10001] — Blue Cross PPO: $2,392.59 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $484.28 FIRST HEALTH [10303] — First Health: $3,598.66 KAISER [10500] — Kaiser: $4,369.80 MULTIPLAN [10600] — Multiplan: $4,112.75
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HC Egd Bx	$4,630.91	$1,389.27	$436.23 – $4,630.91
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $3,292.58 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $4,630.91 AMERIGROUP MEDICAID [20100] — Amerigroup: $572.83 BEECHSTREET [10800] — Beechstreet: $4,167.82 BLUE CROSS [10001] — Blue Cross HMO: $2,051.03 BLUE CROSS [10001] — Blue Cross PPO: $2,155.23 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $436.23 FIRST HEALTH [10303] — First Health: $3,241.64 KAISER [10500] — Kaiser: $3,936.27 MULTIPLAN [10600] — Multiplan: $3,704.73
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: HC Colonoscopy Bx	$4,638.60	$1,391.58	$436.96 – $4,638.60
Colonoscopy with biopsy: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $3,298.04 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $4,638.60 AMERIGROUP MEDICAID [20100] — Amerigroup: $572.83 BEECHSTREET [10800] — Beechstreet: $4,174.74 BLUE CROSS [10001] — Blue Cross HMO: $2,054.44 BLUE CROSS [10001] — Blue Cross PPO: $2,158.80 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $436.96 FIRST HEALTH [10303] — First Health: $3,247.02 KAISER [10500] — Kaiser: $3,942.81 MULTIPLAN [10600] — Multiplan: $3,710.88
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: HC Colonoscopy W Rmvl Snare	$5,097.33	$1,529.20	$480.17 – $4,656
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $3,624.20 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $4,656 AMERIGROUP MEDICAID [20100] — Amerigroup: $572.83 BEECHSTREET [10800] — Beechstreet: $4,587.60 BLUE CROSS [10001] — Blue Cross HMO: $2,257.61 BLUE CROSS [10001] — Blue Cross PPO: $2,372.30 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $480.17 FIRST HEALTH [10303] — First Health: $3,568.13 KAISER [10500] — Kaiser: $4,332.73 MULTIPLAN [10600] — Multiplan: $4,077.86
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: HC Colonoscopy W Eus Exam	$4,234.50	$1,270.35	$398.89 – $4,234.50
Ultrasound of the lower bowel by endoscope: 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $3,010.73 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $4,234.50 AMERIGROUP MEDICAID [20100] — Amerigroup: $572.83 BEECHSTREET [10800] — Beechstreet: $3,811.05 BLUE CROSS [10001] — Blue Cross HMO: $1,875.46 BLUE CROSS [10001] — Blue Cross PPO: $1,970.74 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $398.89 FIRST HEALTH [10303] — First Health: $2,964.15 KAISER [10500] — Kaiser: $3,599.33 MULTIPLAN [10600] — Multiplan: $3,387.60
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: HC Colonoscopy Scrn Low Risk	$5,084.30	$1,525.29	$478.94 – $4,575.87
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $3,614.94 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $2,795 AMERIGROUP MEDICAID [20100] — Amerigroup: $805.54 BEECHSTREET [10800] — Beechstreet: $4,575.87 BLUE CROSS [10001] — Blue Cross HMO: $2,251.84 BLUE CROSS [10001] — Blue Cross PPO: $2,366.23 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $478.94 FIRST HEALTH [10303] — First Health: $3,559.01 KAISER [10500] — Kaiser: $4,321.66 MULTIPLAN [10600] — Multiplan: $4,067.44
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC Inj Lumb/Sac Sngl W Img	$4,477.50	$1,343.25	$401.63 – $4,029.75
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $3,183.50 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $3,044.70 AMERIGROUP MEDICAID [20100] — Amerigroup: $401.63 BEECHSTREET [10800] — Beechstreet: $4,029.75 BLUE CROSS [10001] — Blue Cross HMO: $1,983.08 BLUE CROSS [10001] — Blue Cross PPO: $2,083.83 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $421.78 CIGNA [10200] — Cigna: $2,686.50 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $1,920.85 FIRST HEALTH [10303] — First Health: $3,134.25
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC Inj Anes Foramen Epi Lumb Sngl	$5,263.20	$1,578.96	$472.11 – $4,736.88
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $3,742.14 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $3,578.98 AMERIGROUP MEDICAID [20100] — Amerigroup: $472.11 BEECHSTREET [10800] — Beechstreet: $4,736.88 BLUE CROSS [10001] — Blue Cross HMO: $2,331.07 BLUE CROSS [10001] — Blue Cross PPO: $2,449.49 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $495.79 CIGNA [10200] — Cigna: $3,157.92 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $2,257.91 FIRST HEALTH [10303] — First Health: $3,684.24
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC Inj Anes Foramen Lum Sngl Bi	$5,848	$1,754.40	$524.57 – $5,263.20
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $4,157.93 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $3,976.64 AMERIGROUP MEDICAID [20100] — Amerigroup: $524.57 BEECHSTREET [10800] — Beechstreet: $5,263.20 BLUE CROSS [10001] — Blue Cross HMO: $2,590.08 BLUE CROSS [10001] — Blue Cross PPO: $2,721.66 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $550.88 CIGNA [10200] — Cigna: $3,508.80 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $2,508.79 FIRST HEALTH [10303] — First Health: $4,093.60
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: HC Laser Capsulotomy	$1,414	$424.20	$126.84 – $1,272.60
Laser treatment of clouding after cataract surgery: 10 of 17 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $1,005.35 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $961.52 AMERIGROUP MEDICAID [20100] — Amerigroup: $126.84 BEECHSTREET [10800] — Beechstreet: $1,272.60 BLUE CROSS [10001] — Blue Cross HMO: $626.26 BLUE CROSS [10001] — Blue Cross PPO: $658.08 CARESOURCE MEDICAID [20104] — Caresource Medicaid: $133.20 CIGNA [10200] — Cigna: $848.40 CIGNA GEORGIA CIGNA CONNECT [11107] — Cigna Connect: $606.61 FIRST HEALTH [10303] — First Health: $989.80

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$491,349.83	$147,404.95	$72,879.03 – $231,251.40
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 25 insurance plan rates AETNA MEDICARE ADVANTAGE [30100] — Aetna Medicare Advantage: $72,879.03 ALLIANT SOLOCARE [11101] — Alliant Solocare: $149,003.37 AMBETTER EXCHANGE [11102] — Ambetter: $142,032.23 BLUE CROSS [10001] — Blue Cross HMO: $229,924.37 BLUE CROSS [10001] — Blue Cross PPO: $231,251.40 BLUE CROSS MEDICARE [30101] — BCBS Medicare Advantage Georgia: $72,879.03 CARESOURCE MARKETPLACE [11106] — Caresource Marketplace: $157,330.94 CARESOURCE MEDICARE ADVANTAGE [30186] — Caresource Medicare Advantage: $78,299.58 CLEAR SPRING HEALTH CARE [30192] — Clear Spring Medicare Advantage: $77,567.81 CLOVER HEALTH MEDICARE ADVANTAGE [30162] — Clover Health Medicare Advantage: $77,567.81
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$122,093.70	$36,628.11	$16,019.64 – $45,596.44
Hip or knee replacement (major joint of the leg), without major complications: 10 of 29 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $28,688.53 AETNA MEDICARE ADVANTAGE [30100] — Aetna Medicare Advantage: $16,019.64 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $38,290.59 ALLIANT SOLOCARE [11101] — Alliant Solocare: $32,738.88 AMBETTER EXCHANGE [11102] — Ambetter: $28,004.84 BLUE CROSS [10001] — Blue Cross HMO: $45,334.78 BLUE CROSS [10001] — Blue Cross PPO: $45,596.44 BLUE CROSS MEDICARE [30101] — BCBS Medicare Advantage Georgia: $16,019.64 CARESOURCE MARKETPLACE [11106] — Caresource Marketplace: $34,568.60 CARESOURCE MEDICARE ADVANTAGE [30186] — Caresource Medicare Advantage: $17,203.91
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$141,829.15	$42,548.74	$19,729.23 – $57,708.84
Neck (cervical) spinal fusion, without complications: 10 of 29 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $36,309.45 AETNA MEDICARE ADVANTAGE [30100] — Aetna Medicare Advantage: $19,729.23 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $48,462.25 ALLIANT SOLOCARE [11101] — Alliant Solocare: $40,324.15 AMBETTER EXCHANGE [11102] — Ambetter: $35,444.16 BLUE CROSS [10001] — Blue Cross HMO: $57,377.68 BLUE CROSS [10001] — Blue Cross PPO: $57,708.84 BLUE CROSS MEDICARE [30101] — BCBS Medicare Advantage Georgia: $19,729.23 CARESOURCE MARKETPLACE [11106] — Caresource Marketplace: $42,577.80 CARESOURCE MEDICARE ADVANTAGE [30186] — Caresource Medicare Advantage: $21,189.88
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$70,300.64	$21,090.19	$11,037.34 – $29,328.37
Uterus and ovary surgery (not for cancer), without complications: 10 of 29 insurance plan rates AETNA [10100] — Aetna HMO/PPO: $18,452.93 AETNA MEDICARE ADVANTAGE [30100] — Aetna Medicare Advantage: $11,037.34 ALLIANT HEALTH PLANS OF GEORGIA [10952] — Alliant: $24,629.14 ALLIANT SOLOCARE [11101] — Alliant Solocare: $22,551.22 AMBETTER EXCHANGE [11102] — Ambetter: $18,013.21 BLUE CROSS [10001] — Blue Cross HMO: $29,160.07 BLUE CROSS [10001] — Blue Cross PPO: $29,328.37 BLUE CROSS MEDICARE [30101] — BCBS Medicare Advantage Georgia: $11,037.34 CARESOURCE MARKETPLACE [11106] — Caresource Marketplace: $23,811.57 CARESOURCE MEDICARE ADVANTAGE [30186] — Caresource Medicare Advantage: $11,850.41

Source: Piedmont Walton Hospital’s standard charges file (piedmont.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	2151 W Spring Street, Monroe, GA 30655
County	Walton County
State	Georgia
Phone	(770) 267‑8461
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	110046
Name in Medicare records	PIEDMONT WALTON HOSPITAL
Profile level	Medicare data + hospital website
Official website	piedmont.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Piedmont Walton Hospital — piedmont.org
Pregnancy and newborn care Walton | Piedmont Healthcare — piedmont.org
Quality and patient experience initiatives | Piedmont — piedmont.org

Piedmont Walton Hospital

Summary

Profile from official sources

At a glance