Graft apligraf 3in 44sqcm-q4101-cost per sq cm at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$48.15
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.
$321.00
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.
$32.29 with UNITED HEALTHCARE vs $246.13 with AMBETTER — 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 | $32.29 | ↓ -33% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $32.71 | ↓ -32% |
| SENTARA HEALTH | SENTARA HEALTH | $52.11 | ↑ +8% |
| MEDCOST | MEDCOST VHN | $52.85 | ↑ +10% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $53.20 | ↑ +10% |
| BLUE CROSS | TENNCARE BLUE SELECT | $64.69 | ↑ +34% |
| BLUE CROSS | TENNCARE BLUE CARE | $64.69 | ↑ +34% |
| CIGNA HEALTHCARE | CIGNA HMO | $70.74 | ↑ +47% |
| CIGNA HEALTHCARE | CIGNA PPO | $70.74 | ↑ +47% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $70.74 | ↑ +47% |
| AETNA | AETNA | $96.34 | ↑ +100% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $112.91 | ↑ +134% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $112.91 | ↑ +134% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $112.91 | ↑ +134% |
| AETNA | AETNA HEALTHCARE MEDICARE | $112.91 | ↑ +134% |
| HUMANA | HUMANA MEDICARE | $112.91 | ↑ +134% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $112.91 | ↑ +134% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $112.91 | ↑ +134% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $112.91 | ↑ +134% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $112.91 | ↑ +134% |
| SENTARA HEALTH | SENTARA MEDICARE | $112.91 | ↑ +134% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $113.25 | ↑ +135% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $116.29 | ↑ +142% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $117.42 | ↑ +144% |
| BLUE CROSS | BLUE CROSS MEDICARE | $117.42 | ↑ +144% |
| NHC ADVANTAGE | NHC ADVANTAGE | $118.55 | ↑ +146% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $118.55 | ↑ +146% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $118.55 | ↑ +146% |
| WELLCARE | WELLCARE MEDICARE | $119.68 | ↑ +149% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $151.00 | ↑ +214% |
| WELLCARE | WELLCARE MEDICAID | $151.00 | ↑ +214% |
| AMBETTER | AMBETTER | $246.13 | ↑ +411% |
Visitor-reported prices
Comments
Graft apligraf 3in 44sqcm-q4101-cost per sq cm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Holston Valley Medical Center | KINGSPORT | $48.15 | $21.53 – $257.36 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $33.84 | $16.80 – $80.00 |
| Johnson City Medical Center | JOHNSON CITY | $48.15 | $32.29 – $253.15 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $65.51 | $37.37 – $65.49 |
| Hancock County Hospital | SNEEDVILLE | $73.83 | $17.94 – $53.20 |
| Greeneville Community Hospital | GREENEVILLE | $48.15 | $12.92 – $253.15 |
| Bristol Regional Medical Center | BRISTOL | $48.15 | $21.53 – $257.36 |
| Franklin Woods Community Hospital | JOHNSON CITY | $48.15 | $32.29 – $246.32 |