Cls tx of heel fracture w/manip 28405 at Wellstar MCG Health
1120 15Th Street, Augusta, GA · Wellstar Health System · · NPI 1760875330
$9,945.00
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.
$25,500.00
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.
$216.16 with Aetna vs $4,714.00 with Aetna — 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 | $216.16 | ↓ -98% |
| Bcbs | Medicare Managed Care Plan | $220.48 | ↓ -98% |
| Select Health | Medicare Managed Care Plan | $224.81 | ↓ -98% |
| Absolute Total Care | Medicare Managed Care Plan | $226.97 | ↓ -98% |
| Clover | Medicare Managed Care Plan | $231.29 | ↓ -98% |
| Molina Marketplace | Exchange | $248.58 | ↓ -98% |
| Centurion | Ga Dept. Of Corrections Medicare Managed Care Plan | $281.01 | ↓ -97% |
| The Care Network | All Commercial Plans | $324.24 | ↓ -97% |
| Oscar Healthplan | Exchange | $367.47 | ↓ -96% |
| Naphcare | All Commercial Plans | $378.28 | ↓ -96% |
| Peachstate | Ambetter Exchange | $399.89 | ↓ -96% |
| Caresource | Exchange | $423.67 | ↓ -96% |
| Bcbs | Anthem - Copps Hmo/Pos | $610.03 | ↓ -94% |
| Unitedhealthcare | Individual Exchange Payer Appendix Exchange | $693.00 | ↓ -93% |
| Bcbs | Anthem - Copps Ppo | $786.41 | ↓ -92% |
| Unitedhealthcare | All Payer Appendix All Commercial Plans | $1,251.00 | ↓ -87% |
| Alliant Health Plan | Ppo | $1,694.00 | ↓ -83% |
| Bcbs | Hie/Pathways Exchange | $1,955.99 | ↓ -80% |
| Industry Buying Group | All Commercial Plans | $2,242.29 | ↓ -77% |
| Cigna | Hmo | $3,437.00 | ↓ -65% |
| Aetna | Hmo/Pos/Ppo | $4,714.00 | ↓ -53% |
Visitor-reported prices
Comments
Cls tx of heel fracture w/manip 28405 at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Emory Hospital Warner Robins | Warner Robins | not published | $220.97 – $5,345.54 |
| Adventhealth Gordon | Calhoun | not published | $245.53 – $2,234.00 |
| Adventhealth Redmond | Rome | not published | $256.36 – $1,625.00 |
| Adventhealth Murray | Po Box 1406 | not published | $229.66 – $2,234.00 |
| Emory Johns Creek Hospital | Johns Creek | not published | $250.54 – $5,345.54 |
| Emory Rehabilitation Hospital | Atlanta | not published | $222.41 – $5,345.54 |
| Emory Saint Joseph's Hospital | Atlanta | not published | $250.54 – $5,345.54 |
| Emory University Hospital Midtown | Atlanta | not published | $250.54 – $5,345.54 |