Biopsy skin incisional single lesion at Wellstar MCG Health
1120 15Th Street, Augusta, GA · Wellstar Health System · · NPI 1760875330
$995.28
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.
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What you pay up front if you don't use insurance.
$2,552.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$647.66 with Aetna vs $4,386.00 with Unitedhealthcare — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $647.66 | ↓ -35% |
| Bcbs | Medicare Managed Care Plan | $660.62 | ↓ -34% |
| Select Health | Medicare Managed Care Plan | $673.57 | ↓ -32% |
| Absolute Total Care | Medicare Managed Care Plan | $680.05 | ↓ -32% |
| Clover | Medicare Managed Care Plan | $693.00 | ↓ -30% |
| Molina Marketplace | Exchange | $744.81 | ↓ -25% |
| Centurion | Ga Dept. Of Corrections Medicare Managed Care Plan | $841.96 | ↓ -15% |
| The Care Network | All Commercial Plans | $971.49 | ↓ -2% |
| Oscar Healthplan | Exchange | $1,101.03 | ↑ +11% |
| Naphcare | All Commercial Plans | $1,133.41 | ↑ +14% |
| Peachstate | Ambetter Exchange | $1,198.18 | ↑ +20% |
| Caresource | Exchange | $1,269.42 | ↑ +28% |
| Bcbs | Hie/Pathways Exchange | $1,698.85 | ↑ +71% |
| Bcbs | Anthem - Copps Hmo/Pos | $1,827.78 | ↑ +84% |
| Bcbs | Anthem - Copps Ppo | $2,356.26 | ↑ +137% |
| Unitedhealthcare | Individual Exchange Payer Appendix Exchange | $2,431.00 | ↑ +144% |
| Cigna | Hmo | $2,572.00 | ↑ +158% |
| Aetna | Hmo/Pos/Ppo | $3,391.00 | ↑ +241% |
| Unitedhealthcare | All Payer Appendix All Commercial Plans | $4,386.00 | ↑ +341% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Wellstar Cobb Hospital | Austell | $995.28 | $750.69 – $4,066.00 |
| Wellstar Douglas Hospital | Douglasville | $995.28 | $743.94 – $4,066.00 |
| Wellstar Kennestone Hospital | Marietta | $995.28 | $750.69 – $4,066.00 |
| Wellstar North Fulton Hospital | Roswell | $995.28 | $750.69 – $4,066.00 |
| Wellstar Paulding Hospital | Hiram | $995.28 | $750.69 – $4,066.00 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280 | $995.28 | not published |
| Wellstar Spalding Regional Hospital | Griffin | $995.28 | $741.31 – $4,066.00 |
| Wellstar Sylvan Grove Hospital | Jackson | $995.28 | $1,772.77 – $4,066.00 |