Emergency Department Visit with High Level of Medical Decision Making Cost in Georgia

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 89 Georgia hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $1,055 📉 Low $142 📈 High $7,154 🏥 89 hospitals 🏛️ 57 with insurance contracts 🇺🇸 Medicare $174

Hospital comparison — Georgia

Sorted by cash price (lowest first). Showing top 60 of 89 hospitals.

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HospitalCashAetnaCignaUHCHumanaCenteneBCBSMultiPlanMedicaid
TANNER MEDICAL CENTER - CARROLLTON
CARROLLTON
$142 $78.00$50.00$78.00———$80.00—
HIGGINS GENERAL HOSPITAL
BREMEN
$142 $20.00$20.00$78.00———$80.00—
TANNER MEDICAL CENTER VILLA RICA
VILLA RICA
$142 $78.00$50.00$78.00———$80.00—
WILLOWBROOKE AT TANNER VILLA RICA
VILLA RICA
$142 $78.00$50.00————$80.00—
CANDLER HOSPITAL
SAVANNAH
$154 $522—$530$532$548$730——
ST JOSEPH'S HOSPITAL - SAVANNAH
SAVANNAH
$154 $522—$530$532$548$730——
NORTHEAST GEORGIA MEDICAL CENTER BRASELTON
BRASELTON
$157 $598$604—$615—$586——
NGMC GAINESVILLE
GAINESVILLE
$157 $598$604—$615—$586——
NGMC HABERSHAM
DEMOREST
$157 $532$538—$548—$522——
NGMC BARROW
WINDER
$157 $609$615—$627—$597——
NGMC LUMPKIN
DAHLONEGA
$157 $630$636—$649—$618——
JASPER MEMORIAL HOSPITAL
MONTICELLO
$180 $296$307$289$307$225$193$307—
CLINCH MEMORIAL HOSPITAL
HOMERVILLE
$260 $80.00$85.00$83.00$95.00$84.52———
PUTNAM GENERAL HOSPITAL
EATONTON
$340 $326$283$333$326———$343
JEFFERSON HOSPITAL
LOUISVILLE
$376 ————————
ST MARYS HOSPITAL AND MEDICAL CENTER
ATHENS
$388 ————————
EMANUEL MEDICAL CENTER
SWAINSBORO
$393 $1.00$1,038$2,474$394$548$36.42——
COLQUITT REGIONAL MEDICAL CENTER
S MAIN ST MOULTRIE
$394 $394$394$347$394$713$394—$394
NORTHSIDE HOSPITAL FORSYTH
CUMMING
$398 $175$181$175$175$132$175$2,946$473
NORTHSIDE HOSPITAL DULUTH
DULUTH
$398 $175$92.17$175$175$67.07$148$398$67.07
NORTHSIDE HOSPITAL
ATLANTA
$398 $175$181$175$175$132$175$2,946$714
NORTHSIDE HOSPITAL - CHEROKEE
CANTON
$398 $175$181$175$175$132$175$2,946$439
NORTHSIDE HOSPITAL GWINNETT
LAWRENCEVILLE
$398 $175$80.65$175$175$95.35$148$398$95.35
ST MARY'S GOOD SAMARITAN HOSPITAL
GREENSBORO
$499 ————————
MILLER COUNTY HOSPITAL
COLQUITT
$515 $460$800—$460$460———
UNION GENERAL HOSPITAL
BLAIRSVILLE
$534 $570$559$427$559$623$559——
CHATUGE REGIONAL HOSPITAL
HIAWASSEE
$534 $331$374$235$374$561$374——
ATRIUM HEALTH NAVICENT PEACH
BYRON
$574 $193$241$193$193$218—$746—
DONALSONVILLE HOSPITAL
DONALSONVILLE
$582 $85.00—$85.00$85.00$130———
SOUTHERN REGIONAL MEDICAL CENTER
RIVERDALE
$594 $594$594$594$565$612$594$594—
ATRIUM HEALTH NAVICENT BALDWIN
MILLEDGEVILLE
$760 $168$241$168$168$226—$987—
CHI MEMORIAL HOSPITAL GEORGIA
FORT OGLETHORPE
$790 $548$576$2,030$581$400$565$959—
ARCHBOLD MITCHELL COUNTY HOSPITAL
CAMILLA
$855 ————————
ARCHBOLD GRADY GENERAL HOSPITAL
CAIRO
$855 ————————
ARCHBOLD BROOKS
QUITMAN
$855 ————————
ARCHBOLD HOSPITAL
THOMASVILLE
$855 ————————
BACON COUNTY HOSPITAL
ALMA
$886 ————————
PIEDMONT MCDUFFIE
THOMSON
$895 ————————
PIEDMONT COLUMBUS REGIONAL MIDTOWN
COLUMBUS
$895 ————————
PIEDMONT COLUMBUS REGIONAL NORTHSIDE
COLUMBUS
$895 ————————
PIEDMONT AUGUSTA HOSPITAL
AUGUSTA
$895 ————————
SOUTHEAST GEORGIA HEALTH SYSTEM - BRUNSWICK CAMPUS
PARKWOOD DRIVE. BRUNSWICK
$939 $511$836$501$501$801———
SOUTHEAST GEORGIA HEALTH SYSTEM - CAMDEN CAMPUS
ST. MARYS
$939 $480$836$471$471$754———
PIEDMONT WALTON
MONROE
$1,055 ————————
PIEDMONT HENRY HOSPITAL
STOCKBRIDGE
$1,055 ————————
PIEDMONT ATLANTA HOSPITAL
ATLANTA
$1,055 ————————
PIEDMONT NEWTON HOSPITAL
COVINGTON
$1,055 ————————
PIEDMONT MOUNTAINSIDE HOSPITAL
JASPER
$1,055 ————————
PIEDMONT FAYETTE HOSPITAL
FAYETTEVILLE
$1,055 ————————
PIEDMONT ATHENS REGIONAL MEDICAL CENTER
ATHENS
$1,055 ————————
PIEDMONT ROCKDALE HOSPITAL
CONYERS
$1,055 ————————
PIEDMONT NEWNAN HOSPITAL
NEWNAN
$1,055 ————————
ST MARY'S SACRED HEART HOSPITAL
LAVONIA
$1,091 ————————
CRISP REGIONAL HOSPITAL
CORDELE
$1,114 $88.00$93.00$74.00$70.00$723$87.00——
PIEDMONT MACON NORTH
MACON
$1,161 ————————
PIEDMONT EASTSIDE MEDICAL CENTER
SNELLVILLE
$1,161 ————————
PIEDMONT BEHAVIORAL HEALTH AT MACON
BOX 9366
$1,161 ————————
PIEDMONT CARTERSVILLE MEDICAL CENTER
CARTERSVILLE
$1,161 ————————
SGMC LANIER CAMPUS
LAKELAND
$1,187 $90.00$88.00$87.00—$72.89$75.00——
DODGE COUNTY HOSPITAL
EASTMAN
$1,269 $519$1.00$1.00$519—$527—$1.00
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $1,055 for this?

That is the median of what the 89 Georgia hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.

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Medicare reimbursement benchmark

For CPT 99285 in Georgia, Medicare reimburses about $174 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Georgia range from $142 to $7,154 — that means hospital cash prices are typically 6.1x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.

Frequently asked questions

How much does emergency department visit with high level of medical decision making cost in Georgia?
Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Georgia range from $142 to $7,154, with a median of $1,055. Prices vary widely by hospital.
Where can I find the cheapest emergency department visit with high level of medical decision making in Georgia?
The cheapest Georgia hospital published cash price for this procedure is $142. Use the table above sorted by cash price to find the lowest-priced facility near you.
Are these the prices I'll pay?
These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
Why do prices vary so much between hospitals?
Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
Where does this data come from?
Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.

Emergency department visit with high level of medical decision making in nearby states

Other procedures in Georgia

Methodology. Cash prices and insurance-negotiated rates published by each Georgia facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.