Complx repair enel 1.1-2.5 cm 13151 at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$441.75
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.
$2,945.00
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.
$136.00 with UNITED HEALTHCARE vs $2,945.00 with WELLCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $136.00 | ↓ -69% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $282.22 | ↓ -36% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↓ -10% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↑ +3% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $522.76 | ↑ +18% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $538.44 | ↑ +22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $538.44 | ↑ +22% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $543.67 | ↑ +23% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $543.67 | ↑ +23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +33% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $670.54 | ↑ +52% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $670.54 | ↑ +52% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $670.54 | ↑ +52% |
| AETNA | AETNA HEALTHCARE MEDICARE | $670.54 | ↑ +52% |
| HUMANA | HUMANA MEDICARE | $670.54 | ↑ +52% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $670.54 | ↑ +52% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $670.54 | ↑ +52% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $670.54 | ↑ +52% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $670.54 | ↑ +52% |
| SENTARA HEALTH | SENTARA MEDICARE | $670.54 | ↑ +52% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $690.66 | ↑ +56% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $697.36 | ↑ +58% |
| BLUE CROSS | BLUE CROSS MEDICARE | $697.36 | ↑ +58% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $704.07 | ↑ +59% |
| NHC ADVANTAGE | NHC ADVANTAGE | $704.07 | ↑ +59% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $704.07 | ↑ +59% |
| WELLCARE | WELLCARE MEDICARE | $710.77 | ↑ +61% |
| SENTARA HEALTH | SENTARA HEALTH | $1,016.32 | ↑ +130% |
| MEDCOST | MEDCOST VHN | $1,030.75 | ↑ +133% |
| AMBETTER | AMBETTER | $1,461.78 | ↑ +231% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,609.30 | ↑ +264% |
| AETNA | AETNA | $1,878.91 | ↑ +325% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,196.31 | ↑ +397% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,208.75 | ↑ +400% |
| BLUE CROSS | ANTHEM HMO | $2,411.97 | ↑ +446% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,708.34 | ↑ +513% |
| WELLCARE | WELLCARE MEDICAID | $2,945.00 | ↑ +567% |
Visitor-reported prices
Comments
Complx repair enel 1.1-2.5 cm 13151 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Holston Valley Medical Center | KINGSPORT | $441.75 | $131.83 – $1,682.69 |
| 62-1166050 BMH Carroll County | Huntingdon | $153.18 | $486.29 – $1,117.90 |
| Johnson City Medical Center | JOHNSON CITY | $441.75 | $282.22 – $1,503.46 |
| Hancock County Hospital | SNEEDVILLE | $433.32 | $131.83 – $623.77 |
| Greeneville Community Hospital | GREENEVILLE | $441.75 | $131.83 – $1,503.46 |
| Bristol Regional Medical Center | BRISTOL | $441.75 | $131.83 – $1,682.69 |
| Franklin Woods Community Hospital | JOHNSON CITY | $441.75 | $282.22 – $1,462.87 |
| 62-0123940 BMH Collierville | Collierville | $139.86 | $192.59 – $1,121.06 |