Ins pm gen w/exist mlt leads at Wellstar Paulding Hospital
2518 Jimmy Lee Smith Parkway, Hiram, GA · Wellstar Health System · · NPI 1457329435
$8,237.97
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.
$21,123.00
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.
$5,809.00 with Aetna vs $73,443.60 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 |
|---|---|---|---|
| Aetna | Hmo/Pos/Ppo | $5,809.00 | ↓ -29% |
| Unitedhealthcare | All Commercial Plans | $16,710.00 | ↑ +103% |
| Aetna | Medicare Managed Care Plan | $19,564.36 | ↑ +137% |
| Bcbs | Medicare Managed Care Plan | $19,955.65 | ↑ +142% |
| Cigna | Medicare Managed Care Plan | $20,542.58 | ↑ +149% |
| Caresource | Medicare Managed Care Plan | $20,933.86 | ↑ +154% |
| Ambetter | Select Exchange | $34,433.27 | ↑ +318% |
| Oscar Healthplan | Exchange | $36,194.06 | ↑ +339% |
| Caresource | Exchange | $38,346.14 | ↑ +365% |
| Bcbs | Shbp Other Commercial Plan | $57,968.99 | ↑ +604% |
| Bcbs | Hmo/Pos | $73,443.60 | ↑ +792% |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Wellstar Cobb Hospital | Austell | $8,237.97 | $5,809.00 – $36,194.06 |
| Wellstar Douglas Hospital | Douglasville | $8,237.97 | $5,809.00 – $35,868.59 |
| Wellstar Kennestone Hospital | Marietta | $8,237.97 | $5,809.00 – $36,194.06 |
| Wellstar MCG Health | Augusta | $8,237.97 | $4,035.00 – $47,862.00 |
| Wellstar North Fulton Hospital | Roswell | $8,237.97 | $5,809.00 – $36,194.06 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280 | $8,237.97 | not published |
| Wellstar Spalding Regional Hospital | Griffin | $8,237.97 | $5,809.00 – $37,867.10 |
| Wellstar Sylvan Grove Hospital | Jackson | $8,237.97 | $5,809.00 – $55,000.01 |