Avulsion nail plate partial/complete simple single nail plate at Parkview Ortho Hospital
11130 Parkview Circle Dr, Fort Wayne, IN · Parkview · · NPI 1568664613
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.
$212.27 with Aetna vs $4,534.00 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $212.27 | — |
| UnitedHealthCare | Medicare Managed Care Plan | $214.40 | — |
| Caresource | Exchange | $222.89 | — |
| BCBS | Anthem Exchange | $318.41 | — |
| BCBS | Anthem All Commercial Plans | $4,534.00 | — |
Visitor-reported prices
Comments
Avulsion nail plate partial/complete simple single nail plate at other Indiana hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne | not published | $212.27 – $318.41 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh | $534.60 | $10.78 – $776.94 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo | $613.80 | $8.22 – $954.45 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel | $609.60 | $8.22 – $954.45 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis | $609.60 | $8.22 – $954.45 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson | $613.80 | $8.22 – $954.45 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood | $396.00 | $10.78 – $481.98 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville | $534.60 | $8.22 – $776.94 |