Amputation toe metatarsophalangeal joint at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$1,343.25
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.
$8,955.00
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.
$291.15 with BLUE CROSS vs $8,955.00 with BLUE CROSS — 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $291.15 | ↓ -78% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,569.17 | ↑ +17% |
| AMERIGROUP | AMERIGROUP | $2,443.03 | ↑ +82% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,647.23 | ↑ +97% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,726.65 | ↑ +103% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,726.65 | ↑ +103% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,753.12 | ↑ +105% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,753.12 | ↑ +105% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,968.60 | ↑ +121% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,968.60 | ↑ +121% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,968.60 | ↑ +121% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,968.60 | ↑ +121% |
| HUMANA | HUMANA MEDICARE | $2,968.60 | ↑ +121% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,968.60 | ↑ +121% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,968.60 | ↑ +121% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,968.60 | ↑ +121% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,968.60 | ↑ +121% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,968.60 | ↑ +121% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,057.66 | ↑ +128% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,087.35 | ↑ +130% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,087.35 | ↑ +130% |
| SENTARA HEALTH | SENTARA HEALTH | $3,090.37 | ↑ +130% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,117.03 | ↑ +132% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,117.03 | ↑ +132% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,117.03 | ↑ +132% |
| MEDCOST | MEDCOST VHN | $3,134.25 | ↑ +133% |
| WELLCARE | WELLCARE MEDICARE | $3,146.72 | ↑ +134% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,331.26 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $3,474.54 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $3,474.54 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,501.41 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,501.41 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $4,155.12 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,262.58 | ↑ +217% |
| AETNA | AETNA | $5,713.29 | ↑ +325% |
| BLUE CROSS | BLUE CROSS E NETWORK | $6,447.60 | ↑ +380% |
| BLUE CROSS | BLUE CROSS S NETWORK | $6,447.60 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $6,447.60 | ↑ +380% |
| AMBETTER | AMBETTER | $6,471.55 | ↑ +382% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6,716.25 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,124.65 | ↑ +430% |
| BLUE CROSS | ANTHEM HMO | $8,955.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $8,955.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $8,955.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $8,955.00 | ↑ +567% |
Visitor-reported prices
Comments
Amputation toe metatarsophalangeal joint at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Holston Valley Medical Center | KINGSPORT | $1,343.25 | $291.15 – $7,449.57 |
| CHI Memorial Hospital Hixson | Hixson | $1,024.46 | $692.20 – $2,422.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,464.01 | $726.81 – $2,422.70 |
| Johnson City Medical Center | JOHNSON CITY | $1,343.25 | $291.15 – $6,656.07 |
| Hancock County Hospital | SNEEDVILLE | $1,318.36 | $291.15 – $3,720.95 |
| Greeneville Community Hospital | GREENEVILLE | $1,343.25 | $291.15 – $6,656.07 |
| Bristol Regional Medical Center | BRISTOL | $1,343.25 | $291.15 – $7,449.57 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,343.25 | $291.15 – $6,476.36 |