Ortho hnd without jnt w/fit&adj at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$56.10
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.
$374.00
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.
$59.84 with UNITED HEALTHCARE vs $694.25 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 | $59.84 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $65.08 | ↑ +16% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $68.07 | ↑ +21% |
| SENTARA HEALTH | SENTARA HEALTH | $129.07 | ↑ +130% |
| MEDCOST | MEDCOST VHN | $130.90 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $131.27 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA HMO | $131.27 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $149.60 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA PPO | $167.93 | ↑ +199% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $187.00 | ↑ +233% |
| AETNA | AETNA | $238.61 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $280.50 | ↑ +400% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $304.58 | ↑ +443% |
| BLUE CROSS | ANTHEM EXCHANGE | $304.58 | ↑ +443% |
| BLUE CROSS | ANTHEM HMO | $304.58 | ↑ +443% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $318.46 | ↑ +468% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $318.46 | ↑ +468% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $318.46 | ↑ +468% |
| AETNA | AETNA HEALTHCARE MEDICARE | $318.46 | ↑ +468% |
| HUMANA | HUMANA MEDICARE | $318.46 | ↑ +468% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $318.46 | ↑ +468% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $318.46 | ↑ +468% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $318.46 | ↑ +468% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $318.46 | ↑ +468% |
| SENTARA HEALTH | SENTARA MEDICARE | $318.46 | ↑ +468% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $328.02 | ↑ +485% |
| AMERIGROUP | AMERIGROUP | $331.20 | ↑ +490% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $331.20 | ↑ +490% |
| BLUE CROSS | BLUE CROSS MEDICARE | $331.20 | ↑ +490% |
| NHC ADVANTAGE | NHC ADVANTAGE | $334.39 | ↑ +496% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $334.39 | ↑ +496% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $334.39 | ↑ +496% |
| WELLCARE | WELLCARE MEDICARE | $337.57 | ↑ +502% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $374.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $374.00 | ↑ +567% |
| AMBETTER | AMBETTER | $694.25 | ↑ +1138% |
Visitor-reported prices
Comments
Ortho hnd without jnt w/fit&adj at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Holston Valley Medical Center | KINGSPORT | $56.10 | $296.17 – $694.25 |
| Johnson City Medical Center | JOHNSON CITY | $56.10 | $318.46 – $694.25 |
| Greeneville Community Hospital | GREENEVILLE | $56.10 | $296.17 – $694.25 |
| Bristol Regional Medical Center | BRISTOL | $56.10 | $296.17 – $694.25 |
| Franklin Woods Community Hospital | JOHNSON CITY | $56.10 | $299.36 – $694.25 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $56.10 | $296.17 – $694.25 |
| Sycamore Shoals Hospital | ELIZABETHTON | $56.10 | $318.46 – $694.25 |
| Parkwest Medical Center | Knoxville | $94.20 | $151.63 – $319.81 |