Perq plmt bile duct stent at Wellstar MCG Health
1120 15Th Street, Augusta, GA · Wellstar Health System · · NPI 1760875330
$4,248.27
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.
$10,893.00
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.
$3,526.26 with Bcbs vs $20,361.00 with Unitedhealthcare — 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 | $3,526.26 | ↓ -17% |
| The Care Network | All Commercial Plans | $4,035.00 | ↓ -5% |
| Aetna | Medicare Managed Care Plan | $5,297.81 | ↑ +25% |
| Bcbs | Medicare Managed Care Plan | $5,403.76 | ↑ +27% |
| Select Health | Medicare Managed Care Plan | $5,509.72 | ↑ +30% |
| Absolute Total Care | Medicare Managed Care Plan | $5,562.70 | ↑ +31% |
| Clover | Medicare Managed Care Plan | $5,668.65 | ↑ +33% |
| Aetna | Hmo/Pos/Ppo | $5,809.00 | ↑ +37% |
| Molina Marketplace | Exchange | $6,092.48 | ↑ +43% |
| Centurion | Ga Dept. Of Corrections Medicare Managed Care Plan | $6,887.15 | ↑ +62% |
| Oscar Healthplan | Exchange | $9,006.27 | ↑ +112% |
| Cigna | Hmo | $9,032.00 | ↑ +113% |
| Naphcare | All Commercial Plans | $9,271.16 | ↑ +118% |
| Peachstate | Ambetter Exchange | $9,800.94 | ↑ +131% |
| Caresource | Exchange | $10,383.70 | ↑ +144% |
| Unitedhealthcare | Individual Exchange Payer Appendix Exchange | $11,282.00 | ↑ +166% |
| Bcbs | Anthem - Copps Hmo/Pos | $14,951.01 | ↑ +252% |
| Bcbs | Anthem - Copps Ppo | $19,273.91 | ↑ +354% |
| Unitedhealthcare | All Payer Appendix All Commercial Plans | $20,361.00 | ↑ +379% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Wellstar Cobb Hospital | Austell | $4,248.27 | $5,809.00 – $15,026.00 |
| Wellstar Douglas Hospital | Douglasville | $4,248.27 | $5,809.00 – $15,026.00 |
| Wellstar Kennestone Hospital | Marietta | $4,248.27 | $5,809.00 – $15,026.00 |
| Wellstar North Fulton Hospital | Roswell | $4,248.27 | $5,809.00 – $15,026.00 |
| Wellstar Paulding Hospital | Hiram | $4,248.27 | $5,809.00 – $15,026.00 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280 | $4,248.27 | not published |
| Wellstar Spalding Regional Hospital | Griffin | $4,248.27 | $5,809.00 – $15,026.00 |
| Wellstar Sylvan Grove Hospital | Jackson | $4,248.27 | $5,809.00 – $16,286.66 |