healthcosts.net
Total Knee Replacement at Wellstar West Georgia Medical Center
1514 Vernon Road, Lagrange, GA · Wellstar Health System · · NPI 1821221144
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.
$8,245.00 with Aetna vs $49,163.27 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 | Hmo/Pos/Ppo | $8,245.00 | — |
| Aetna | Medicare Managed Care Plan | $12,633.54 | — |
| Bcbs | Medicare Managed Care Plan | $12,886.21 | — |
| Cigna | Medicare Managed Care Plan | $13,265.22 | — |
| Clover | Medicare Managed Care Plan | $13,517.89 | — |
| Unitedhealthcare | All Commercial Plans | $16,710.00 | — |
| Oscar Healthplan | Exchange | $21,477.02 | — |
| Ambetter | Select Medicare Managed Care Plan | $22,235.03 | — |
| Peachstate | Ambetter Exchange | $23,372.05 | — |
| Caresource | Exchange | $24,761.74 | — |
| Bcbs | Shbp Other Commercial Plan | $38,804.54 | — |
| Bcbs | Hmo/Pos | $49,163.27 | — |
Visitor-reported prices
Comments
Total Knee Replacement at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Wellstar Cobb Hospital | Austell | not published | $8,245.00 – $24,124.78 |
| Wellstar Douglas Hospital | Douglasville | not published | $8,245.00 – $23,907.84 |
| Wellstar Kennestone Hospital | Marietta | not published | $8,245.00 – $24,124.78 |
| Wellstar MCG Health | Augusta | not published | $3,498.86 – $22,051.51 |
| Wellstar North Fulton Hospital | Roswell | not published | $8,245.00 – $24,124.78 |
| Wellstar Paulding Hospital | Hiram | not published | $8,245.00 – $24,124.78 |
| Wellstar Spalding Regional Hospital | Griffin | not published | $8,245.00 – $25,239.92 |
| Wellstar Sylvan Grove Hospital | Jackson | not published | $8,245.00 – $37,149.33 |