Ghs simple repair 5.1 - 7.5 cm - 12014 at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$136.20
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.
$908.00
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 $908.00 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 | ↓ -0% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $150.40 | ↑ +10% |
| SENTARA HEALTH | SENTARA MEDICARE | $182.03 | ↑ +34% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $182.03 | ↑ +34% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $182.03 | ↑ +34% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $182.03 | ↑ +34% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $182.03 | ↑ +34% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $182.03 | ↑ +34% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $182.03 | ↑ +34% |
| HUMANA | HUMANA MEDICARE | $182.03 | ↑ +34% |
| AETNA | AETNA HEALTHCARE MEDICARE | $182.03 | ↑ +34% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $182.03 | ↑ +34% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $187.49 | ↑ +38% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $189.31 | ↑ +39% |
| BLUE CROSS | BLUE CROSS MEDICARE | $189.31 | ↑ +39% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $191.13 | ↑ +40% |
| NHC ADVANTAGE | NHC ADVANTAGE | $191.13 | ↑ +40% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $191.13 | ↑ +40% |
| WELLCARE | WELLCARE MEDICARE | $192.95 | ↑ +42% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $230.20 | ↑ +69% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $237.11 | ↑ +74% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $237.11 | ↑ +74% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $239.41 | ↑ +76% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $239.41 | ↑ +76% |
| SENTARA HEALTH | SENTARA HEALTH | $313.35 | ↑ +130% |
| MEDCOST | MEDCOST VHN | $317.80 | ↑ +133% |
| AMBETTER | AMBETTER | $396.83 | ↑ +191% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↑ +192% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $436.87 | ↑ +221% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↑ +234% |
| AETNA | AETNA | $579.30 | ↑ +325% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +332% |
| BLUE CROSS | ANTHEM EXCHANGE | $596.23 | ↑ +338% |
| BLUE CROSS | ANTHEM HMO | $654.77 | ↑ +381% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $681.00 | ↑ +400% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $735.23 | ↑ +440% |
| WELLCARE | WELLCARE MEDICAID | $908.00 | ↑ +567% |
Visitor-reported prices
Comments
Ghs simple repair 5.1 - 7.5 cm - 12014 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Holston Valley Medical Center | KINGSPORT | $136.20 | $150.40 – $456.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $55.20 | $157.85 – $362.88 |
| Johnson City Medical Center | JOHNSON CITY | $136.20 | $150.40 – $408.14 |
| Hancock County Hospital | SNEEDVILLE | $133.63 | $150.40 – $274.68 |
| Greeneville Community Hospital | GREENEVILLE | $136.20 | $143.51 – $408.14 |
| Bristol Regional Medical Center | BRISTOL | $136.20 | $150.40 – $456.80 |
| Franklin Woods Community Hospital | JOHNSON CITY | $136.20 | $150.40 – $397.12 |
| 62-0123940 BMH Collierville | Collierville | $50.40 | $172.85 – $363.90 |