Hospital prices, out in the open.

Spinal tap (lumbar puncture), diagnostic in Athens, GA62270

HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC

Lowest reported
$54
Typical
$2,590
Highest reported
$5,494

Across 9 hospitals within 35 miles of Athens that publish a negotiated price for this code. Each hospital's figure is the middle of the rates it publishes across its own insurance plans, so the spread within one hospital is often wider than the gap between two. A hospital whose published address is a PO box is placed at its city centre, so a distance shown for it is approximate.

Two different kinds of price are mixed together below. A procedure code is billed twice — once by the hospital for its own costs, once by the doctor for their work — and hospitals publish different sides of that split under the same code. For this code, 2 hospitals publish a facility charge, 1 hospital publishes both, mixed together, and 6 hospitals do not say which. A physician fee is typically a small fraction of the hospital charge, so a much lower number here usually means it is measuring less, not that the hospital is cheaper. Unlabelled does not mean it is the hospital charge — some hospitals publish a physician fee without saying so, and nothing in the data distinguishes them.
Hospital Typical Hospital’s own chargefacility Doctor’s chargeprofessional Self-paycash price Lowest Highest Plans on file
St Mary's Hospital
ATHENS · 0.0 mi · ★1/5
Facility & physician mixed
see split → $2,098 $54 $1,071 $21 $9,990 3,079
Northside Hospital Gwinnett
LAWRENCEVILLE · 28.8 mi · ★3/5
$1,070 not mentioned not mentioned $1,460 $61 $50,000 595
Morgan Medical Center
MADISON · 24.6 mi · not rated
$1,734 not mentioned not mentioned not published $1,734 $1,734 5
Piedmont Newton Hospital
COVINGTON · 33.7 mi · ★3/5
$2,360 not mentioned not mentioned $1,267 $433 $3,591 17
Piedmont Eastside Medical Center
SNELLVILLE · 34.4 mi · ★2/5
$2,590 not mentioned not mentioned $1,267 $824 $3,802 18
Piedmont Athens Regional Medical Center
ATHENS · 0.0 mi · ★4/5
$2,776 not mentioned not mentioned $1,267 $449 $3,785 19
Piedmont Walton Hospital
MONROE · 18.9 mi · ★4/5
$2,795 not mentioned not mentioned $1,267 $398 $3,802 15
NGMC Barrow
WINDER · 16.3 mi · ★4/5
Facility fee only
$5,494 $5,494 not mentioned $1,917 $708 $10,045 9
Northeast Georgia Medical Center
GAINESVILLE · 34.5 mi · ★3/5
Facility fee only
$5,494 $5,494 not mentioned $1,917 $695 $10,045 9

Self-pay is what the hospital charges someone paying themselves rather than through insurance — the number to use if you have no coverage, or if this hospital is out of network. Paying self-pay usually doesn’t count toward your deductible, so it can cost less for this one service and more across a full year, if you’d have met your deductible anyway. Every other figure here is what an insurer pays, not what you would.

At 6 of the 8 hospitals here that publish a self-pay price, it is lower than what that same hospital typically accepts from an insurer — so it is worth asking for, in writing, at those. At the other 2 it is higher. Either way it is worth asking whether you qualify for financial assistance, which is a different thing and often a much larger discount.

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These are prices the hospitals published themselves, as required by the federal Hospital Price Transparency Rule (45 CFR 180.50). They are the hospital's share only — the surgeon, anesthesiologist and radiologist usually bill separately and do not appear in any hospital file, so treat every figure here as part of a total rather than the total. What you actually pay also depends on your plan's deductible and coinsurance.