Knee Arthroscopy (Meniscus Trimming) at Wellstar Paulding Hospital
2518 Jimmy Lee Smith Parkway, Hiram, GA · Wellstar Health System · · NPI 1457329435
not published by hospital
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.
not published by hospital
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.
$2,323.00 with Alliant Health Plan vs $12,475.93 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 |
|---|---|---|---|
| Alliant Health Plan | Ppo | $2,323.00 | — |
| Aetna | Medicare Managed Care Plan | $3,323.41 | — |
| Bcbs | Medicare Managed Care Plan | $3,389.88 | — |
| Cigna | Medicare Managed Care Plan | $3,489.59 | — |
| Caresource | Medicare Managed Care Plan | $3,556.05 | — |
| Cigna | Hmo | $4,923.00 | — |
| Ambetter | Select Exchange | $5,849.21 | — |
| Oscar Healthplan | Exchange | $6,148.32 | — |
| Aetna | Hmo/Pos/Ppo | $6,389.00 | — |
| Caresource | Exchange | $6,513.89 | — |
| Unitedhealthcare | All Commercial Plans | $8,448.00 | — |
| Bcbs | Shbp Other Commercial Plan | $9,847.24 | — |
| Bcbs | Hmo/Pos | $12,475.93 | — |
Visitor-reported prices
Comments
Knee Arthroscopy (Meniscus Trimming) at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Emory Johns Creek Hospital | Johns Creek | $11,309.00 | $3,323.41 – $7,175.28 |
| Emory Rehabilitation Hospital | Atlanta | $11,309.00 | $3,052.76 – $7,870.00 |
| Emory Saint Joseph's Hospital | Atlanta | $11,309.00 | $3,323.41 – $7,175.28 |
| Emory University Hospital Midtown | Atlanta | $11,309.00 | $3,323.41 – $7,175.28 |
| Emory University Hospital | Ne | $11,309.00 | $3,281.90 – $7,175.28 |
| Emory Decatur Hospital | Decatur | $11,309.00 | $3,281.90 – $7,175.28 |
| Emory Long-Term Acute Care Hospital | Decatur | $11,309.00 | $5,611.00 – $5,611.00 |
| Emory Hillandale Hospital | Lithonia | $11,309.00 | $3,281.90 – $7,175.28 |