Avul nail plate addl at 62-1166050 BMH Carroll County
631 R.B. Wilson Drive, Huntingdon, TN · Baptistonline · · NPI 1710941356
$22.31
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.
$97.00
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.
$13.73 with Aetna vs $903.86 with Oscar — 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 | $13.73 | ↓ -38% |
| Magnolia TN | Exchange | $14.15 | ↓ -37% |
| Behavioral Health Systems | Behavioral Health | $24.25 | ↑ +9% |
| PPO Holdings | Commercial | $24.32 | ↑ +9% |
| Magnolia Regional Health Center | Commercial | $25.60 | ↑ +15% |
| Cigna | IFP | $27.71 | ↑ +24% |
| Littler | Commercial | $32.00 | ↑ +43% |
| United Healthcare | Commercial | $36.93 | ↑ +66% |
| Aetna | Commercial | $40.00 | ↑ +79% |
| Humana | CPOS/HMO/NPOS/PPO | $42.24 | ↑ +89% |
| First Choice Health Plan of MS | Commercial | $44.80 | ↑ +101% |
| Multiplan | MPI Primary Network | $48.00 | ↑ +115% |
| NovaSys | All | $48.00 | ↑ +115% |
| MPCN | PPO/HMO | $48.00 | ↑ +115% |
| Multiplan | Complementary Network | $48.00 | ↑ +115% |
| PPO Plus | Commercial | $54.40 | ↑ +144% |
| QCA | All | $57.60 | ↑ +158% |
| TN BCBS | Network E | $98.00 | ↑ +339% |
| Cigna | Local Plus | $106.09 | ↑ +376% |
| TN BCBS | Network L | $108.00 | ↑ +384% |
| Cigna | PPO | $116.70 | ↑ +423% |
| TN BCBS | Network S | $121.00 | ↑ +442% |
| TN BCBS | Network P | $198.00 | ↑ +787% |
| Oscar | Commercial | $903.86 | ↑ +3951% |
Visitor-reported prices
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Avul nail plate addl at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $96.20 | $65.00 – $227.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $137.48 | $68.25 – $227.50 |
| Johnson City Medical Center | JOHNSON CITY | $41.10 | $33.13 – $87.64 |
| Hancock County Hospital | SNEEDVILLE | $40.25 | $33.13 – $96.01 |
| Greeneville Community Hospital | GREENEVILLE | $41.10 | $33.13 – $91.44 |
| Bristol Regional Medical Center | BRISTOL | $41.10 | $33.13 – $87.33 |
| Franklin Woods Community Hospital | JOHNSON CITY | $41.10 | $33.13 – $95.10 |
| Holston Valley Medical Center | KINGSPORT | $41.10 | $33.13 – $87.33 |