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Childrens HospitalVoluntary Non-Profit - Other

Scottish Rite Childrens Medical Center

Childrens Healthcare of Atlanta ยท Atlanta, GA

1001 Johnson Ferry Rd, Atlanta, GA 30342(404) 785-5252

Not rated by CMS

CMS star rating

319

Beds

12,686

Inpatient discharges a year

$911.1M

Net patient revenue a year

34

In-network payers

About this hospital

Scottish Rite Childrens Medical Center is a 319-bed voluntary non-profit - other hospital in Atlanta, GA, affiliated with Childrens Healthcare of Atlanta. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 262 disclosed rate categories.

  • 340B participant
CCN
113301
NPI
1922178789
Website
choa.org
Health system
Childrens Healthcare of Atlanta
County
Fulton County
Metro area
Atlanta-Sandy Springs-Roswell, GA MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1996
Last CMS survey
2025

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Administrative, Miscellaneous and Investigational

Range: A9150 - A9999

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Ambulance and Other Transport Services and Supplies

Range: A0021 - A0999

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Chemotherapy Drugs

Range: J9000 - J9999

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Coronavirus Diagnostic Panel

Range: U0001 - U0005

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

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 HealthCentene

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Scottish Rite Childrens Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
58-0572465(multi-state) Childrens Healthcare of Atlanta at Scottish Rite59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1922178789 Scottish Rite Childrens Medical Ctr1184779332 Scottish Rite Children's Medical Center1730251695 Children's Healthcare Of Atlanta At Scottish Riteand 23 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

1001 Johnson Ferry Rd, Atlanta, GA 30342

(404) 785-5252

Get directions

Frequently asked questions

About Scottish Rite Childrens Medical Center's rates and hospital price transparency.

How many patients does Scottish Rite Childrens Medical Center admit?

Scottish Rite Childrens Medical Center reported 12,686 inpatient discharges and 67,047 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Scottish Rite Childrens Medical Center have?

Scottish Rite Childrens Medical Center reported 2,697 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Scottish Rite Childrens Medical Center make?

Scottish Rite Childrens Medical Center reported $911.1M in net patient revenue on $2B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 48.1%, and net income of $360.9M.

Who is the CEO of Scottish Rite Childrens Medical Center?

Scottish Rite Childrens Medical Center's Medicare enrollment lists Donna Hyland as Chief Executive Officer since 1998.

What is Scottish Rite Childrens Medical Center's tax ID (EIN)?

Insurers' price transparency files list Scottish Rite Childrens Medical Center under employer identification number 58-0572465 ((multi-state) Childrens Healthcare of Atlanta at Scottish Rite). 59 health plans and networks list 58-0572465 for it.

Does Scottish Rite Childrens Medical Center participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists Scottish Rite Childrens Medical Center (340B ID PED113301-00) as a participating children's hospital since 2009.

How many doctors are affiliated with Scottish Rite Childrens Medical Center?

1 clinicians who bill Medicare list Scottish Rite Childrens Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are pediatric nephrology physician (1).

Is Scottish Rite Childrens Medical Center accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Scottish Rite Childrens Medical Center, effective 2025.

Who owns Scottish Rite Childrens Medical Center?

In its Medicare enrollment, Scottish Rite Childrens Medical Center reports Children's Healthcare of Atlanta, Inc as 5% or greater direct ownership interest (100%).

What services does Scottish Rite Childrens Medical Center offer?

CMS lists 21 services at Scottish Rite Childrens Medical Center, including Anesthesia, Clinical Laboratory, Dental Care, Diagnostic Radiology, Dietary Care, Emergency Department.

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.

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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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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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  • 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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