Biopsy conjunctiva at Wellstar MCG Health
1120 15Th Street, Augusta, GA · Wellstar Health System · · NPI 1760875330
$512.46
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$1,314.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$1,955.99 with Bcbs vs $7,579.73 with Bcbs — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Bcbs | Hie/Pathways Exchange | $1,955.99 | ↑ +282% |
| Aetna | Medicare Managed Care Plan | $2,083.43 | ↑ +307% |
| Bcbs | Medicare Managed Care Plan | $2,125.10 | ↑ +315% |
| Select Health | Medicare Managed Care Plan | $2,166.77 | ↑ +323% |
| Absolute Total Care | Medicare Managed Care Plan | $2,187.60 | ↑ +327% |
| Clover | Medicare Managed Care Plan | $2,229.27 | ↑ +335% |
| Molina Marketplace | Exchange | $2,395.95 | ↑ +368% |
| Unitedhealthcare | Individual Exchange Payer Appendix Exchange | $2,431.00 | ↑ +374% |
| Centurion | Ga Dept. Of Corrections Medicare Managed Care Plan | $2,708.46 | ↑ +429% |
| The Care Network | All Commercial Plans | $3,125.15 | ↑ +510% |
| Aetna | Hmo/Pos/Ppo | $3,391.00 | ↑ +562% |
| Oscar Healthplan | Exchange | $3,541.84 | ↑ +591% |
| Naphcare | All Commercial Plans | $3,646.01 | ↑ +611% |
| Peachstate | Ambetter Exchange | $3,854.35 | ↑ +652% |
| Caresource | Exchange | $4,083.53 | ↑ +697% |
| Cigna | Hmo | $4,220.00 | ↑ +723% |
| Unitedhealthcare | All Payer Appendix All Commercial Plans | $4,386.00 | ↑ +756% |
| Bcbs | Anthem - Copps Hmo/Pos | $5,879.69 | ↑ +1047% |
| Bcbs | Anthem - Copps Ppo | $7,579.73 | ↑ +1379% |
Visitor-reported prices
Comments
Biopsy conjunctiva at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Wellstar Cobb Hospital | Austell | $512.46 | $2,414.84 – $4,467.46 |
| Wellstar Douglas Hospital | Douglasville | $512.46 | $2,393.13 – $4,427.29 |
| Wellstar Kennestone Hospital | Marietta | $512.46 | $2,414.84 – $4,467.46 |
| Wellstar North Fulton Hospital | Roswell | $512.46 | $2,414.84 – $4,467.46 |
| Wellstar Paulding Hospital | Hiram | $512.46 | $2,414.84 – $4,467.46 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280 | $512.46 | not published |
| Wellstar Spalding Regional Hospital | Griffin | $512.46 | $2,384.68 – $4,673.96 |
| Wellstar Sylvan Grove Hospital | Jackson | $512.46 | $3,391.00 – $6,595.97 |