Healthcare Transparency - Knowing the True Cost and Quality of Care
Healthcare Transparency
MightyWELL Advocate
Mighty
WELL Advocate
MightyWELL Advocate
The difference between providers can be significant
Comparing Saves Mighty BIG
Procedure | Provider | MW Compared |
|---|---|---|
MRI 2T | Northside $4,731 | Express MRI $399 |
MRI 3T | WellStar $4,662 | Elite Rad $550 |
CT Heart Scan | CHOA $6,763 | Piedmont $500 |
Hand Surgery | WellStar $64,280 | Negotiated $8,352 |
We assist you shop, compare and schedule the best healthcare
| Procedure | Provider Intial Quote | MightyWELL Compared | Savings |
|---|---|---|---|
| MRI 3T without contrast | WellStar $4,662 | Elite Radiology of GA $550 | $4,112 |
| MRI 2T without contrast | Northside $4,731 | Express MRI $499 | $4,232 |
| CT Heart Scan | CHOA $6,763 | Piedmont Cardiac Center $500 | $6,263 |
| Avastin Injection | Humana paid $1,700 | Retina Assoc of GA $350 self-pay | $1,350 |
| Mammogram | Compare at $1,000 | WellStar $160 self-pay | $840 |
| Gallbladder Surgery | Piedmont Hospital $33,694 | Dr Lee Skandalakis $6,000 | $27,684 |
We Assist you with Excellent Healthcare Solutions and Savings for your Family
MightyWELL Preferred Health Plan pays $120 for 18 visits per insured per calendar year
Accordion Content
- MRI – Self-pay at Point of Service
Express MRI $499 with contrast Elite Radiology of GA 3T MRI $550
First Look MRI $499
Multiple Providers have transparent affordable self-pay options
WellStar $160
Mammography Screening CPT codes 77057, 77055, 77056
Northside Cherokee Emergency $2,470
ER Physician Group $1,217
Resurgence Orthopedic $1,797
GHMS Family Health $229
Walmart (knee walker & seat) $145
Total Expenses $5,858
MW Accident Benefit $4,000
MW Outpatient Benefit $3,500
Total Benefits Paid $6,603
$745 Overage paid to client
Local Children’s Hospital – CT Scan $6,763
Additional Regional Hospital $700
Piedmont Cardiac Center $500
Same Procedure CPT 75573
*common procedural terminology
Couple Age 60 and 58 – Wife has Macular Degeneration Client was led to believe their current Avastin Injection cost $1700 each needed 4 times per year. Humana paid $1,200 “benefit” each injection
- MW Advocate assisted client price shop treatment Retina Associates of Middle Georgia Avastin Injection Cost $350 self-pay
Prior Humana Premium $19,428
- New MW Premium $9,480
$9,948 Premium Savings
Avastin “Humana Discount” $2,000 ($500 per x 4) $1,700 – $1,200 = $500
Avastin Self-Pay $1,400 ($350 per x 4)
$600 Saving – Injection Self-Pay
Total Annual Savings $10,548
Prior to the procedure MW Advocate assisted in finding and price negotiating with an alternative outpatient surgery. Client used the significant reduced price quote and self-pay option to save thousands
Piedmont Hospital Rockdale $33,694 Initial price quoted
Dr Lee Skandalakis $5,800 MW Advocate price shopped
MightyWELL Plan Benefits Paid
Surgery Facility $3,500
Surgeon $1,320
Asst Surgeon $500
Anesthesiologist $330
Radiology $500
Total Benefits Paid $6150
$350 Overage Paid to Client
Northside Hospital $86,738 Actual Bill
MW Negotiated Discount $50,438
$36,300 Balance
MightyWELL Plan Benefits Paid
Catastrophic $10,000
Hospital Room $1,500
Surgery $26,000
Total Benefits Paid $38,000
$1,700 Overage Paid to Client
Medical Facility $11,304
Surgeon $3,384
Anesthesia $2,875
Total Cost $17,563
MW Advocate $11,027 Negotiated Discount
MW Plan Benefits $6,500
Total Credited $17,527
$36 Out of Pocket Cost
Diagnosis Code: J35.3; CPT Codes: 99201/99212