Breast reconstruction 19357 at Wellstar Kennestone Hospital
677 Church Street, Marietta, GA · Wellstar Health System · · NPI 1649248626
$21,008.52
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.
$53,868.00
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.
$2,664.00 with Alliant Health Plan vs $52,545.89 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 | $2,664.00 | ↓ -87% |
| Cigna | Hmo | $5,699.00 | ↓ -73% |
| Aetna | Hmo/Pos/Ppo | $6,760.00 | ↓ -68% |
| Aetna | Medicare Managed Care Plan | $13,997.50 | ↓ -33% |
| Bcbs | Medicare Managed Care Plan | $14,277.45 | ↓ -32% |
| Cigna | Medicare Managed Care Plan | $14,697.37 | ↓ -30% |
| Caresource | Medicare Managed Care Plan | $14,977.32 | ↓ -29% |
| Unitedhealthcare | All Commercial Plans | $15,026.00 | ↓ -28% |
| Ambetter | Select Exchange | $24,635.60 | ↑ +17% |
| Oscar Healthplan | Exchange | $25,895.37 | ↑ +23% |
| Caresource | Exchange | $27,435.10 | ↑ +31% |
| Bcbs | Shbp Other Commercial Plan | $41,474.44 | ↑ +97% |
| Bcbs | Hmo/Pos | $52,545.89 | ↑ +150% |
Visitor-reported prices
Comments
Breast reconstruction 19357 at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Wellstar Windy Hill Hospital | Marietta | $21,008.52 | $2,664.00 – $32,574.73 |
| Wellstar Cobb Hospital | Austell | $21,008.52 | $2,664.00 – $25,895.37 |
| Wellstar Douglas Hospital | Douglasville | $21,008.52 | $2,664.00 – $25,662.51 |
| Wellstar MCG Health | Augusta | $21,008.52 | $2,664.00 – $23,669.94 |
| Wellstar North Fulton Hospital | Roswell | $21,008.52 | $2,664.00 – $25,895.37 |
| Wellstar Paulding Hospital | Hiram | $21,008.52 | $2,664.00 – $25,895.37 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280 | $21,008.52 | not published |
| Wellstar Spalding Regional Hospital | Griffin | $21,008.52 | $2,664.00 – $27,092.36 |