Culture typing added method at Adventhealth Redmond
501 Redmond Road Nw, Rome, GA · AdventHealth · · NPI 1508810565
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.
$6.35 with Bcbs vs $21.52 with Humana — 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 |
|---|---|---|---|
| Bcbs | Anthem Pathway Hmo Exchange | $6.35 | — |
| Aetna | Hmo/Ppo | $6.92 | — |
| Unitedhealthcare | Hmo/Ppo | $6.97 | — |
| Aetna | Medicare Managed Care Plan | $7.74 | — |
| Bcbs | Anthem Medicare Managed Care Plan | $7.97 | — |
| Devoted Health | Medicare Managed Care Plan | $8.13 | — |
| Bcbs | Anthem Hmo | $9.13 | — |
| Bcbs | Anthem Ppo | $10.14 | — |
| Alliant Health Plans | Solocare Exchange | $11.61 | — |
| Oscar | Individual Plan Hmo Exchange | $19.35 | — |
| Alliant Health Plans | Ppo | $19.35 | — |
| Humana | Hmo/Ppo | $21.52 | — |
Visitor-reported prices
Comments
Culture typing added method at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Wellstar Cobb Hospital | Austell | $10.92 | $7.74 – $14.32 |
| Wellstar Douglas Hospital | Douglasville | $10.92 | $7.74 – $14.32 |
| Wellstar Kennestone Hospital | Marietta | $10.92 | $7.74 – $14.32 |
| Wellstar MCG Health | Augusta | $10.92 | $6.58 – $16.34 |
| Wellstar North Fulton Hospital | Roswell | $10.92 | $7.74 – $14.32 |
| Wellstar Paulding Hospital | Hiram | $10.92 | $7.74 – $14.32 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280 | $10.92 | not published |
| Wellstar Spalding Regional Hospital | Griffin | $10.92 | $7.74 – $15.17 |