Exc of facial bones/osteomy/abcess 21026 at Emory Hospital Warner Robins
1601 Watson Boulevard, Warner Robins, GA · Emoryhealthcare · · NPI 1962435792
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.
$3,295.00 with Aetna vs $11,242.47 with Ambetter Health — 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 | Exchange | $3,295.00 | — |
| Bcbs | Pathway Exchange | $4,419.21 | — |
| Unitedhealthcare | All Commercial Plans | $4,581.00 | — |
| Cigna | All Commercial Plans | $4,797.00 | — |
| Clear Spring Health | Medicare Managed Care Plan | $5,303.05 | — |
| Humana | Medicare Managed Care Plan | $5,345.54 | — |
| Bcbs | Medicare Managed Care Plan | $5,356.08 | — |
| Aetna | Medicare Managed Care Plan | $5,409.11 | — |
| Cigna | Healthspring Medicare Managed Care Plan | $5,462.14 | — |
| Clover Health | Medicare Managed Care Plan | $5,568.20 | — |
| Wellcare | Medicare Managed Care Plan | $5,621.23 | — |
| Bcbs | Hmo | $7,268.12 | — |
| Ambetter Health | Peach State Exchange | $11,242.47 | — |
Visitor-reported prices
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Exc of facial bones/osteomy/abcess 21026 at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Emory Johns Creek Hospital | Johns Creek | $5,753.00 | $3,295.00 – $12,747.24 |
| Emory Rehabilitation Hospital | Atlanta | $5,753.00 | $3,295.00 – $5,523.13 |
| Emory Saint Joseph's Hospital | Atlanta | $5,753.00 | $3,295.00 – $12,747.24 |
| Emory University Hospital Midtown | Atlanta | $5,753.00 | $3,295.00 – $12,747.24 |
| Emory University Hospital | Ne | $5,753.00 | $3,295.00 – $12,588.00 |
| Emory Decatur Hospital | Decatur | $5,753.00 | $3,295.00 – $12,588.00 |
| Emory Long-Term Acute Care Hospital | Decatur | $5,753.00 | $4,557.00 – $4,557.00 |
| Emory Hillandale Hospital | Lithonia | $5,753.00 | $3,295.00 – $12,588.00 |