healthcosts.net
Emb/throm/fempop/aor/ilia/leg inc 34201 at Wellstar West Georgia Medical Center
1514 Vernon Road, Lagrange, GA · Wellstar Health System · · NPI 1821221144
$5,488.47
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.
$14,073.00
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.
$5,063.00 with Aetna vs $21,308.13 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 | $5,063.00 | ↓ -8% |
| Aetna | Medicare Managed Care Plan | $5,475.57 | ↓ -0% |
| Bcbs | Medicare Managed Care Plan | $5,585.09 | ↑ +2% |
| Cigna | Medicare Managed Care Plan | $5,749.35 | ↑ +5% |
| Clover | Medicare Managed Care Plan | $5,858.86 | ↑ +7% |
| Oscar Healthplan | Exchange | $9,308.48 | ↑ +70% |
| Ambetter | Select Medicare Managed Care Plan | $9,637.01 | ↑ +76% |
| Peachstate | Ambetter Exchange | $10,129.81 | ↑ +85% |
| Caresource | Exchange | $10,732.13 | ↑ +96% |
| Unitedhealthcare | All Commercial Plans | $15,026.00 | ↑ +174% |
| Bcbs | Shbp Other Commercial Plan | $16,818.50 | ↑ +206% |
| Bcbs | Hmo/Pos | $21,308.13 | ↑ +288% |
Visitor-reported prices
Comments
Emb/throm/fempop/aor/ilia/leg inc 34201 at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Wellstar Cobb Hospital | Austell | $5,488.47 | $5,063.00 – $15,026.00 |
| Wellstar Douglas Hospital | Douglasville | $5,488.47 | $5,063.00 – $15,026.00 |
| Wellstar Kennestone Hospital | Marietta | $5,488.47 | $5,063.00 – $15,026.00 |
| Wellstar MCG Health | Augusta | $5,488.47 | $3,018.30 – $11,282.00 |
| Wellstar North Fulton Hospital | Roswell | $5,488.47 | $5,063.00 – $15,026.00 |
| Wellstar Paulding Hospital | Hiram | $5,488.47 | $5,063.00 – $15,026.00 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280 | $5,488.47 | not published |
| Wellstar Spalding Regional Hospital | Griffin | $5,488.47 | $5,063.00 – $15,026.00 |