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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Grady Memorial Hospital

Grady Health System · Atlanta, GA

80 Jesse Hill Jr Drive Se, Atlanta, GA 30303(404) 616-4252

2 of 5

CMS star rating

1,206

Beds

33,652

Inpatient discharges a year

$1.8B

Net patient revenue a year

31

In-network payers

About this hospital

Grady Memorial Hospital is a 1206-bed voluntary non-profit - private hospital in Atlanta, GA, affiliated with Grady Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 588 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
110079
NPI
1992799050
Health system
Grady Health System
Teaching
Major teaching hospital
County
Fulton County
Metro area
Atlanta-Sandy Springs-Roswell, GA MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2026

Prices for common services

The 24 services Grady Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$8,555 - $26,700

from 4 insurers · median $9,870

UnitedHealthcare$10,666
Insurer A*$8,555
Insurer B*$9,074
Insurer C*$26,700

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$12,060 - $19,247

from 4 insurers · median $14,021

UnitedHealthcare$15,047
Insurer A*$12,060
Insurer B*$12,995
Insurer C*$19,247

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$8,555 - $26,700

from 4 insurers · median $9,870

UnitedHealthcare$10,666
Insurer A*$8,555
Insurer B*$9,074
Insurer C*$26,700

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$2,271 - $9,846

from 4 insurers · median $5,665

Aetna$2,271
Insurer A*$3,614
Insurer B*$7,717
Insurer C*$9,846
Medicare $3,186Nearby hospitals $4,46027% above nearby hospitals

11 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

How the insurers pay at Grady Memorial Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*21
417%
108
Insurer B*21
322%
106
Insurer C*24
273%
1010
Insurer D*24
151%
812

How we chose these services: 3 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Grady Memorial Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    2 of 5 stars

    • 357 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.17%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 50 services, including trauma care
    • 1,341 affiliated clinicians
    See doctors and services
  • Finances

    $1.8B net patient revenue

    • Operating margin on patient care -29.7%
    • $369M unreimbursed and uncompensated care
    • $17M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • John Haupert, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Grady Memorial Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
26-2037695Grady Health System62Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 57 more1992799050 Grady Memorial Hospital Corporation1891966578 Grady Memorial Hospital Corporation1437255395 Grady Memorial Hospital Corporationand 26 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

80 Jesse Hill Jr Drive Se, Atlanta, GA 30303

(404) 616-4252

Get directions

Frequently asked questions

About Grady Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Grady Memorial Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Grady Memorial Hospital range from $353 to $4,459 across 4 insurers. Cigna's rate is $4,459. The median at nearby comparable hospitals is $871. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Grady Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Grady Memorial Hospital range from $422 to $6,019 across 4 insurers. Blue Cross Blue Shield's rate is $786. The median at nearby comparable hospitals is $802. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Grady Memorial Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Grady Memorial Hospital range from $1,542 to $2,592 across 4 insurers. Cigna's rate is $2,144. The median at nearby comparable hospitals is $3,497. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Grady Memorial Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Grady Memorial Hospital range from $8,555 to $26,700 across 4 insurers. UnitedHealthcare's rate is $10,666. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Grady Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Grady Memorial Hospital range from $135 to $439 across 4 insurers. Aetna's rate is $135. The median at nearby comparable hospitals is $207. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Grady Memorial Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Grady Memorial Hospital range from $26,114 to $41,824 across 3 insurers. Aetna's rate is $41,824. The median at nearby comparable hospitals is $33,920. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Grady Memorial Hospital's CMS star rating?

Grady Memorial Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Grady Memorial Hospital a teaching hospital?

Yes. CMS counts 0.54 Medicare-funded residents per bed at Grady Memorial Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Grady Memorial Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Grady Memorial Hospital's base inpatient payments by an estimated 0.17% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Grady Memorial Hospital?

In 2024, the most common were heart failure and shock with mcc (158 discharges), septicemia or severe sepsis without mv >96 hours with mcc (158 discharges), red blood cell disorders without mcc (98 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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