▸ Hospital · GA · CCN 110153

Perry Hospital

1120 MORNINGSIDE DRIVE, PERRY, GA, 31069-

39 beds

Compliance grade

66/100

Procedures tracked

119

of 209 target codes

Payers

with negotiated rates

Rates published

last crawl 2026-05-23

▸ Compare with other hospitals All GA hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://www.emoryhealthcare.org/-/media/Project/EH/Emory/ui/pricing-transparency/csv/2026/711045290_emory-hospital-perry_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
emergency
ED visit level 1	CPT	99281	16	—	$149.96	$50	$620	$1,160
ED visit level 2	CPT	99282	16	—	$271.81	$120.8	$620	$1,160
ED visit level 3	CPT	99283	16	—	$478.39	$212.62	$1,020	$1,639
ED visit level 4	CPT	99284	16	—	$751.34	$304.85	$1,020	$1,840
ED visit level 5	CPT	99285	16	—	$1,078.49	$479.33	$1,159	$3,220
Critical care, first hour	CPT	99291	17	—	$1,430.79	$609.7	$1,059.5	$3,680
imaging
CT head without contrast	CPT	70450	16	—	$225.09	$100.04	$180	$750
CT head with contrast	CPT	70460	16	—	$368.81	$114.32	$229.48	$750
CT head with and without contrast	CPT	70470	16	—	$368.81	$114.32	$229.48	$750
CT neck with contrast	CPT	70491	16	—	$368.81	$114.32	$229.48	$750
MRI brain without contrast	CPT	70551	17	—	$475.35	$152.43	$525.13	$1,299
MRI brain with contrast	CPT	70552	16	—	$760.38	$215.68	$473.13	$1,301.8
MRI brain with and without contrast	CPT	70553	16	—	$760.38	$215.68	$473.13	$1,301.8
Chest X-ray single view	CPT	71045	15	—	$167.11	$17.1	$74.27	$264.96
Chest X-ray 2 views	CPT	71046	15	—	$167.11	$31.26	$74.27	$264.96
Chest X-ray 3 views	CPT	71047	15	—	$167.11	$39.76	$74.27	$264.96
CT chest without contrast	CPT	71250	16	—	$225.09	$100.04	$180	$750
CT chest with contrast	CPT	71260	16	—	$368.81	$114.32	$229.48	$750
CT chest with and without contrast	CPT	71270	16	—	$368.81	$114.32	$229.48	$750
MRI chest without contrast	CPT	71550	16	—	$475.35	$152.43	$295.78	$1,000
MRI chest with contrast	CPT	71551	16	—	$1,477.27	$386.7	$775	$2,334.04
MRI chest with and without contrast	CPT	71552	16	—	$760.38	$337.95	$608.88	$2,334.04
Lumbosacral spine X-ray	CPT	72100	16	—	$225.09	$39.88	$96.96	$371.68
CT cervical spine without contrast	CPT	72125	16	—	$225.09	$100.04	$180	$750
CT thoracic spine without contrast	CPT	72128	16	—	$225.09	$100.04	$180	$750
CT lumbar spine without contrast	CPT	72131	16	—	$225.09	$100.04	$180	$750
MRI cervical spine without contrast	CPT	72141	16	—	$475.35	$152.43	$295.78	$1,000
MRI thoracic spine without contrast	CPT	72146	16	—	$475.35	$152.43	$295.78	$1,000
MRI lumbar spine without contrast	CPT	72148	16	—	$475.35	$152.43	$295.78	$1,000
MRI lumbar spine with and without contrast	CPT	72149	16	—	$760.38	$215.68	$473.13	$1,301.8
MRI cervical spine with and without contrast	CPT	72156	16	—	$760.38	$215.68	$473.13	$1,301.8
MRI lumbar spine with contrast	CPT	72158	16	—	$760.38	$215.68	$473.13	$1,301.8
CT pelvis without contrast	CPT	72192	16	—	$225.09	$100.04	$180	$750
CT pelvis with contrast	CPT	72193	16	—	$368.81	$114.32	$229.48	$750
Shoulder X-ray	CPT	73030	16	—	$167.11	$34.57	$69.12	$264.96
Humerus X-ray	CPT	73060	16	—	$167.11	$33.51	$69.12	$264.96
Hand X-ray 3 views	CPT	73130	16	—	$167.11	$39.36	$69.12	$264.96
MRI upper extremity joint without contrast	CPT	73221	16	—	$475.35	$152.43	$295.78	$1,000
MRI upper extremity joint with and without contrast	CPT	73223	16	—	$760.38	$337.95	$608.88	$2,334.04
Knee X-ray 1-2 views	CPT	73560	16	—	$167.11	$35.64	$69.12	$264.96
Ankle X-ray 3 views	CPT	73610	16	—	$167.11	$40.96	$69.12	$264.96
MRI lower extremity joint without contrast	CPT	73721	16	—	$475.35	$152.43	$420	$1,610
MRI lower extremity joint with and without contrast	CPT	73723	16	—	$760.38	$337.95	$781.5	$4,084.8
CT abdomen without contrast	CPT	74150	16	—	$225.09	$100.04	$180	$750
CT abdomen with contrast	CPT	74160	16	—	$368.81	$114.32	$229.48	$750
CT abdomen with and without contrast	CPT	74170	16	—	$368.81	$114.32	$229.48	$750
CT abdomen and pelvis without contrast	CPT	74176	16	—	$475.35	$128.8	$295.78	$834
CT abdomen and pelvis with contrast	CPT	74177	16	—	$760.38	$215.68	$473.13	$1,301.8
CT abdomen and pelvis with and without contrast	CPT	74178	16	—	$760.38	$215.68	$473.13	$1,301.8
MRI abdomen without contrast	CPT	74181	16	—	$475.35	$152.43	$295.78	$1,000
MRI abdomen with and without contrast	CPT	74183	16	—	$760.38	$215.68	$473.13	$1,301.8
Abdominal ultrasound complete	CPT	76700	16	—	$225.09	$51.06	$155.24	$400.53
Abdominal ultrasound limited	CPT	76705	16	—	$225.09	$61.58	$128.13	$400.53
Retroperitoneal ultrasound complete	CPT	76770	16	—	$225.09	$61.58	$140.05	$400.53
Obstetric ultrasound first trimester	CPT	76801	17	—	$225.09	$50.73	$126.92	$400.53
Obstetric ultrasound after first trimester	CPT	76805	17	—	$225.09	$50.73	$148.56	$400.53
Transvaginal ultrasound	CPT	76830	17	—	$225.09	$50.73	$103.04	$400.53
Pelvic ultrasound complete	CPT	76856	17	—	$225.09	$50.73	$143.4	$400.53
Diagnostic mammography unilateral	CPT	77065	13	—	—	$39.94	$127.33	$241.04
Diagnostic mammography bilateral	CPT	77066	13	—	—	$51.21	$163.3	$309.12
Screening mammography bilateral	CPT	77067	13	—	—	$41.61	$156.87	$376.28
EKG complete	CPT	93000	15	—	—	$15.83	$173.7	$328.81
EKG tracing only	CPT	93005	16	—	$114.97	$45.42	$139.46	$274.16
Transthoracic echocardiogram complete	CPT	93306	16	—	$997.45	$208.52	$605.13	$1,258.56
Transthoracic echocardiogram	CPT	93307	16	—	$475.35	$96.64	$273.25	$583.28
Stress echocardiogram	CPT	93350	16	—	$997.45	$198.46	$620.64	$1,693.72
lab
Basic metabolic panel (BMP)	CPT	80048	16	—	$19.04	$7.3	$12.39	$34.04
General health panel	CPT	80050	14	—	—	$22.71	$56.18	$137.08
Electrolyte panel	CPT	80051	16	—	$15.77	$6.05	$10.26	$27.6
Comprehensive metabolic panel	CPT	80053	17	—	$23.76	$9.11	$15.44	$42.32
Lipid panel	CPT	80061	15	—	—	$11.55	$21.18	$53.36
Renal function panel	CPT	80069	16	—	$19.53	$7.49	$12.71	$34.96
Hepatic function panel	CPT	80076	16	—	$18.38	$7.05	$11.96	$30.36
Urinalysis non-automated	CPT	81002	16	—	$7.83	$2.43	$3.77	$12.88
Urinalysis automated	CPT	81003	17	—	$5.06	$1.94	$3.29	$9.2
Glucose quantitative	CPT	82947	15	—	—	$3.39	$5.9	$15.64
Hemoglobin A1c	CPT	83036	16	—	$21.85	$8.38	$14.2	$38.64
Thyroid stimulating hormone (TSH)	CPT	84443	17	—	$37.8	$14.5	$24.54	$67.16
Complete blood count with automated differential	CPT	85025	17	—	$17.48	$6.7	$11.34	$28.52
Complete blood count without differential	CPT	85027	17	—	$14.56	$5.58	$9.45	$23.92
Urine culture bacterial	CPT	87086	17	—	$18.16	$6.96	$11.79	$29.44
Urine culture identification	CPT	87088	16	—	$18.2	$6.98	$11.8	$27.57
Tissue exam by pathologist level IV	CPT	88305	17	—	$102.78	$29.19	$47.06	$163.76
maternity
Fetal non-stress test	CPT	59025	16	—	$351.81	$111.12	$314.2	$670.68
Vaginal delivery only	CPT	59409	16	—	$5,418.48	$908.45	$2,504.54	$5,483.2
office
Office visit, new patient, 15-29 min	CPT	99202	11	—	—	$40.04	$121.93	$242
Office visit, new patient, 30-44 minutes	CPT	99203	11	—	—	$52.62	$160.23	$318
Office visit, new patient, 45-59 min	CPT	99204	11	—	—	$69.83	$212.63	$422
Office visit, new patient, 60-74 min	CPT	99205	11	—	—	$95.48	$290.72	$530.84
Office visit, established patient, 5 min	CPT	99211	15	—	—	$8.23	$105.44	$3,188
Office visit, established patient, 10-19 min	CPT	99212	11	—	—	$34.58	$121	$242
Office visit, established patient, 20-29 minutes	CPT	99213	11	—	—	$34.58	$156.68	$318
Office visit, established patient, 30-39 minutes	CPT	99214	11	—	—	$69.83	$212.63	$422
Office visit, established patient, 40-54 min	CPT	99215	11	—	—	$95.48	$290.72	$530.84
preventive
Upper GI endoscopy diagnostic	CPT	43235	16	—	$1,672.3	$579.22	$1,159	$3,496
Upper GI endoscopy with biopsy	CPT	43239	10	—	$1,672.3	$743.25	$906.76	$3,768
Sigmoidoscopy diagnostic	CPT	45330	10	—	$1,639.36	$728.6	$888.9	$2,898
Sigmoidoscopy with biopsy	CPT	45331	10	—	$1,639.36	$728.6	$888.9	$2,898
Colonoscopy diagnostic	CPT	45378	10	—	$1,639.36	$728.6	$888.9	$3,768
Colonoscopy with biopsy	CPT	45380	10	—	$2,141.93	$951.97	$1,061.68	$3,768
Colonoscopy with polyp removal	CPT	45385	10	—	$2,141.93	$951.97	$1,161.41	$3,768
surgery
Total shoulder arthroplasty	CPT	23472	10	—	$25,437	$4,095	$11,305	$15,828
Total hip replacement	CPT	27130	10	—	$25,437	$4,095	$11,305	$15,828
Total knee replacement	CPT	27447	10	—	$25,437	$4,095	$11,305	$15,828
Knee revision arthroplasty single component	CPT	27486	4	—	—	$4,095	$7,085.31	$9,855
Knee revision arthroplasty all components	CPT	27487	10	—	$25,437	$4,095	$11,305	$15,828
Shoulder arthroscopy with rotator cuff repair	CPT	29827	10	—	$12,941	$3,175	$5,878.99	$8,052.06
Knee arthroscopy with meniscectomy	CPT	29881	10	—	$5,846.45	$2,538	$2,645.54	$5,506
ACL reconstruction	CPT	29888	10	—	$12,941	$3,175	$5,837.75	$8,052.06
Laparoscopic appendectomy	CPT	44970	10	—	$10,453	$3,175	$4,715.37	$6,503.96
Lap cholecystectomy with cholangiography	CPT	47563	10	—	$10,453	$3,175	$4,785.06	$6,759.51
Umbilical hernia repair age 5+	CPT	49585	10	—	$6,575.62	$2,538	$3,010.18	$5,506
Cataract surgery with lens implant	CPT	66984	4	—	—	$1,783.5	$2,600	$8,985
PCI single major coronary artery	CPT	92920	16	—	$10,239	$1,020.94	$4,732.6	$9,855
PCI with drug-eluting stent	CPT	92928	16	—	$20,745	$2,042.19	$9,219.82	$12,908
PCI bypass graft	CPT	92937	16	—	$20,745	$2,775.21	$9,219.82	$16,750
Left heart catheterization	CPT	93452	16	—	$5,988.19	$1,280.37	$3,725.98	$8,264
Coronary angiography with cath	CPT	93455	16	—	$5,988.19	$646.28	$3,131.24	$8,114
Coronary angiography with bypass cath	CPT	93458	16	—	$5,988.19	$980.55	$4,750.77	$16,100

Payer mix (top 17)

Payer	Codes covered	Median rate
dodge cty op rate	119	$96.96
alliant op rate	119	$317
secure health op rate	119	$317
First Health	119	$325.8
WellCare	117	$120.63
Humana	117	$205.32
UnitedHealthcare	117	$174.75
CareSource	109	$130.19
beech street op rate	101	$330.3
Aetna	101	$213.38
peach state health plan op rate	101	$68.92
phcs op rate	101	$337.64
Ambetter	101	$295.78
Blue Cross Blue Shield	101	$298.35
amerigroup op rate	93	$103.88
Cigna	87	$546
TRICARE	17	$15.83