healthcosts.net
ER Visit (level 1, minor) at Wellstar Spalding Regional Hospital
601 South 8Th Street, Griffin, GA · Wellstar Health System · · NPI 1972535318
$224.25
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.
$575.00
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.
$84.58 with Aetna vs $322.33 with Bcbs — 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 | $84.58 | ↓ -62% |
| Bcbs | Medicare Managed Care Plan | $86.27 | ↓ -62% |
| Cigna | Medicare Managed Care Plan | $88.81 | ↓ -60% |
| Clover | Medicare Managed Care Plan | $90.50 | ↓ -60% |
| Oscar Healthplan | Exchange | $143.78 | ↓ -36% |
| Ambetter | Select Exchange | $148.86 | ↓ -34% |
| Peachstate | Ambetter Exchange | $156.47 | ↓ -30% |
| Caresource | Exchange | $165.77 | ↓ -26% |
| Bcbs | Shbp Other Commercial Plan | $254.41 | ↑ +13% |
| Bcbs | Hmo/Pos | $322.33 | ↑ +44% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Wellstar Cobb Hospital | Austell | $224.25 | $85.65 – $158.45 |
| Wellstar Douglas Hospital | Douglasville | $224.25 | $84.88 – $157.03 |
| Wellstar Kennestone Hospital | Marietta | $224.25 | $85.65 – $158.45 |
| Wellstar MCG Health | Augusta | $224.25 | $73.89 – $144.83 |
| Wellstar North Fulton Hospital | Roswell | $224.25 | $85.65 – $158.45 |
| Wellstar Paulding Hospital | Hiram | $224.25 | $85.65 – $158.45 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280 | $224.25 | not published |
| Wellstar Sylvan Grove Hospital | Jackson | $224.25 | $250.60 – $250.60 |