Ortho hnd/fngr w/jnt cstm w/fit&adj at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$66.30
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.
$442.00
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.
$70.72 with UNITED HEALTHCARE vs $822.61 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 | UHC HERITAGE SELECT | $70.72 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $76.91 | ↑ +16% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $80.44 | ↑ +21% |
| SENTARA HEALTH | SENTARA HEALTH | $152.53 | ↑ +130% |
| MEDCOST | MEDCOST VHN | $154.70 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $155.14 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA HMO | $155.14 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $176.80 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA PPO | $198.46 | ↑ +199% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $221.00 | ↑ +233% |
| AETNA | AETNA | $282.00 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $331.50 | ↑ +400% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $361.18 | ↑ +445% |
| BLUE CROSS | ANTHEM EXCHANGE | $361.18 | ↑ +445% |
| BLUE CROSS | ANTHEM HMO | $361.18 | ↑ +445% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $377.34 | ↑ +469% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $377.34 | ↑ +469% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $377.34 | ↑ +469% |
| AETNA | AETNA HEALTHCARE MEDICARE | $377.34 | ↑ +469% |
| HUMANA | HUMANA MEDICARE | $377.34 | ↑ +469% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $377.34 | ↑ +469% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $377.34 | ↑ +469% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $377.34 | ↑ +469% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $377.34 | ↑ +469% |
| SENTARA HEALTH | SENTARA MEDICARE | $377.34 | ↑ +469% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $388.66 | ↑ +486% |
| AMERIGROUP | AMERIGROUP | $392.44 | ↑ +492% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $392.44 | ↑ +492% |
| BLUE CROSS | BLUE CROSS MEDICARE | $392.44 | ↑ +492% |
| NHC ADVANTAGE | NHC ADVANTAGE | $396.21 | ↑ +498% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $396.21 | ↑ +498% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $396.21 | ↑ +498% |
| WELLCARE | WELLCARE MEDICARE | $399.98 | ↑ +503% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $442.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $442.00 | ↑ +567% |
| AMBETTER | AMBETTER | $822.61 | ↑ +1141% |
Visitor-reported prices
Comments
Ortho hnd/fngr w/jnt cstm w/fit&adj at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Holston Valley Medical Center | KINGSPORT | $66.30 | $350.93 – $822.61 |
| Johnson City Medical Center | JOHNSON CITY | $66.30 | $377.34 – $822.61 |
| Greeneville Community Hospital | GREENEVILLE | $66.30 | $350.93 – $822.61 |
| Bristol Regional Medical Center | BRISTOL | $66.30 | $350.93 – $822.61 |
| Franklin Woods Community Hospital | JOHNSON CITY | $66.30 | $354.70 – $822.61 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $66.30 | $350.93 – $822.61 |
| Sycamore Shoals Hospital | ELIZABETHTON | $66.30 | $377.34 – $822.61 |
| Parkwest Medical Center | Knoxville | $111.60 | $179.81 – $379.24 |