Close lac/mouth vest/2.5 cm or < 40830 at CHI Memorial Hospital - Georgia

4710 Battlefield Pkwy, Ringgold, GA · CommonSpirit Health · · NPI 1356860621

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$251.60

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$850.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.65 with Alliant Health vs $3,196.00 with Health One Alliance — 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 →

Payer
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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
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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 Commercial|All Plans $0.65 ↓ -100%
Peach State Medicaid|All Plans $127.50 ↓ -49%
Amerigroup Medicaid|All Plans $161.50 ↓ -36%
BCBS - TN Commercial|Network S $167.00 ↓ -34%
Wellcare Medicaid|All Plans $170.00 ↓ -32%
CareSource Medicaid|All Plans $170.00 ↓ -32%
Aetna Medicare|All Plans $207.61 ↓ -17%
BCBS - GA Medicare|BlueCare $213.84 ↓ -15%
BCBS - TN Commercial|Network P $217.00 ↓ -14%
Cigna Medicare|Healthspring $217.99 ↓ -13%
Humana Medicare|HMO $220.07 ↓ -13%
Amerigroup Medicare|All Plans $222.14 ↓ -12%
Humana Medicare|All Other Plans $228.37 ↓ -9%
Cigna Commercial|LocalPlus $242.00 ↓ -4%
Employers Health Network Commercial|All Plans $244.01 ↓ -3%
Cigna Commercial|Open Access $298.00 ↑ +18%
Centene Commercial|Ambetter Exchange $355.01 ↑ +41%
BCBS - GA Commercial|Pathway $356.39 ↑ +42%
United Commercial|Options $479.00 ↑ +90%
United Commercial|Non-Options $479.00 ↑ +90%
BCBS - GA Commercial|All Other Plans $508.41 ↑ +102%
BCBS - GA Commercial|HMO $508.41 ↑ +102%
Multiplan Commercial|All Plans $595.00 ↑ +136%
Aetna Commercial|HMO $688.50 ↑ +174%
Aetna Commercial|All Other Plans $688.50 ↑ +174%
Aetna Commercial|PPO $688.50 ↑ +174%
Humana Commercial|All Plans $2,204.00 ↑ +776%
Health One Alliance Commercial|All Plans $3,196.00 ↑ +1170%

Visitor-reported prices

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Close lac/mouth vest/2.5 cm or < 40830 at other Georgia hospitals

Hospital City Cash price Negotiated range
Wellstar Cobb Hospital Austell $306.54 $240.57 – $2,665.00
Wellstar Douglas Hospital Douglasville $306.54 $238.41 – $2,665.00
Wellstar Kennestone Hospital Marietta $306.54 $240.57 – $2,665.00
Wellstar MCG Health Augusta $306.54 $207.56 – $693.00
Wellstar North Fulton Hospital Roswell $306.54 $240.57 – $2,665.00
Wellstar Paulding Hospital Hiram $306.54 $240.57 – $2,665.00
Wellstar Roosevelt Long Term Acute Care at Warm Springs P O Box 280 $306.54 not published
Wellstar Spalding Regional Hospital Griffin $306.54 $237.57 – $2,665.00

All Georgia hospitals for this procedure →