healthcosts.net
Treatment of choroid lesion at Wellstar West Georgia Medical Center
1514 Vernon Road, Lagrange, GA · Wellstar Health System · · NPI 1821221144
$722.28
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.
$1,852.00
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.
$541.21 with Aetna vs $4,066.00 with Unitedhealthcare — 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 | $541.21 | ↓ -25% |
| Bcbs | Medicare Managed Care Plan | $552.03 | ↓ -24% |
| Cigna | Medicare Managed Care Plan | $568.27 | ↓ -21% |
| Clover | Medicare Managed Care Plan | $579.09 | ↓ -20% |
| Oscar Healthplan | Exchange | $920.06 | ↑ +27% |
| Ambetter | Select Medicare Managed Care Plan | $952.53 | ↑ +32% |
| Peachstate | Ambetter Exchange | $1,001.24 | ↑ +39% |
| Caresource | Exchange | $1,060.77 | ↑ +47% |
| Bcbs | Shbp Other Commercial Plan | $1,662.35 | ↑ +130% |
| Bcbs | Hmo/Pos | $2,106.11 | ↑ +192% |
| Cigna | Hmo | $2,572.00 | ↑ +256% |
| Aetna | Hmo/Pos/Ppo | $3,391.00 | ↑ +369% |
| Unitedhealthcare | All Commercial Plans | $4,066.00 | ↑ +463% |
Visitor-reported prices
Comments
Treatment of choroid lesion at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Wellstar Cobb Hospital | Austell | $722.28 | $558.64 – $4,066.00 |
| Wellstar Douglas Hospital | Douglasville | $722.28 | $553.62 – $4,066.00 |
| Wellstar Kennestone Hospital | Marietta | $722.28 | $558.64 – $4,066.00 |
| Wellstar MCG Health | Augusta | $722.28 | $481.97 – $2,572.00 |
| Wellstar North Fulton Hospital | Roswell | $722.28 | $558.64 – $4,066.00 |
| Wellstar Paulding Hospital | Hiram | $722.28 | $558.64 – $4,066.00 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280 | $722.28 | not published |
| Wellstar Spalding Regional Hospital | Griffin | $722.28 | $551.66 – $4,066.00 |