Ghs layer closure 5.1 - 7.5 cm - 12053 at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$247.80
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.
$1,652.00
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 $1,652.00 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 | ↓ -45% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $193.92 | ↓ -22% |
| SENTARA HEALTH | SENTARA MEDICARE | $368.82 | ↑ +49% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $368.82 | ↑ +49% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $368.82 | ↑ +49% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $368.82 | ↑ +49% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $368.82 | ↑ +49% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $368.82 | ↑ +49% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $368.82 | ↑ +49% |
| HUMANA | HUMANA MEDICARE | $368.82 | ↑ +49% |
| AETNA | AETNA HEALTHCARE MEDICARE | $368.82 | ↑ +49% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $368.82 | ↑ +49% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $379.89 | ↑ +53% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $383.57 | ↑ +55% |
| BLUE CROSS | BLUE CROSS MEDICARE | $383.57 | ↑ +55% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $387.26 | ↑ +56% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $387.26 | ↑ +56% |
| NHC ADVANTAGE | NHC ADVANTAGE | $387.26 | ↑ +56% |
| WELLCARE | WELLCARE MEDICARE | $390.95 | ↑ +58% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↑ +61% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↑ +84% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $474.54 | ↑ +92% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $488.78 | ↑ +97% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $488.78 | ↑ +97% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $493.52 | ↑ +99% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $493.52 | ↑ +99% |
| SENTARA HEALTH | SENTARA HEALTH | $570.11 | ↑ +130% |
| MEDCOST | MEDCOST VHN | $578.20 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +138% |
| AMBETTER | AMBETTER | $804.03 | ↑ +224% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $885.17 | ↑ +257% |
| AETNA | AETNA | $1,053.98 | ↑ +325% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,208.04 | ↑ +388% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,239.00 | ↑ +400% |
| BLUE CROSS | ANTHEM HMO | $1,326.66 | ↑ +435% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,489.67 | ↑ +501% |
| WELLCARE | WELLCARE MEDICAID | $1,652.00 | ↑ +567% |
Visitor-reported prices
Comments
Ghs layer closure 5.1 - 7.5 cm - 12053 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Holston Valley Medical Center | KINGSPORT | $247.80 | $193.92 – $925.54 |
| 62-1166050 BMH Carroll County | Huntingdon | $99.13 | $317.39 – $729.64 |
| Johnson City Medical Center | JOHNSON CITY | $247.80 | $193.92 – $826.95 |
| Hancock County Hospital | SNEEDVILLE | $243.11 | $193.92 – $566.23 |
| Greeneville Community Hospital | GREENEVILLE | $247.80 | $193.92 – $826.95 |
| Bristol Regional Medical Center | BRISTOL | $247.80 | $193.92 – $925.54 |
| Franklin Woods Community Hospital | JOHNSON CITY | $247.80 | $193.92 – $804.63 |
| 62-0123940 BMH Collierville | Collierville | $90.51 | $347.56 – $731.70 |