Amputation of upper arm at Morristown-Hamblen Hospital Association
908 W 4th N St, Morristown, TN · Fsregional · · NPI 1912997024
not published by hospital
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.
not published by hospital
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.
$2,009.00 with Ambetter vs $12,230.62 with Blue Cross of TN — 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 |
|---|---|---|---|
| Ambetter | Exchange | $2,009.00 | — |
| United Healthcare | Tenncare | $2,135.00 | — |
| Cigna | IFP | $2,372.00 | — |
| BCBS TN | Blue Care | $2,730.00 | — |
| Aetna | Commercial | $2,811.90 | — |
| Cigna | Local Plus | $2,857.00 | — |
| Cigna | HMO | $3,419.00 | — |
| Cigna | OAP | $3,419.00 | — |
| Cigna | POS | $3,419.00 | — |
| Wellpoint | Medicaid Tenncare | $3,600.00 | — |
| United Healthcare | All Other Plans | $6,058.00 | — |
| United Healthcare | Heritage Select | $7,125.00 | — |
| United Healthcare | Options PPO | $8,693.00 | — |
| BCBS TN | Commercial Network P | $8,989.00 | — |
| BCBS TN | Commercial Network S | $8,989.00 | — |
| Optum | VA CCN | $11,648.21 | — |
| Tricare | Humana Military | $11,648.21 | — |
| Humana | DSNP | $11,997.66 | — |
| Humana | Medicare Advantage HMO | $11,997.66 | — |
| Humana | Medicare Advantage PPO | $11,997.66 | — |
| United Healthcare | Medicare Advantage | $11,997.66 | — |
| United Healthcare | Community Plan DSNP | $11,997.66 | — |
| Farm Bureau | Medicare Advantage PPO | $12,114.14 | — |
| Farm Bureau | Medicare Advantage HMO | $12,114.14 | — |
| Blue Cross of TN | Med Adv PPO | $12,230.62 | — |
| Blue Cross of TN | Med Adv Sapphire | $12,230.62 | — |
| United Healthcare | DSNP | $12,230.62 | — |
| Devoted Health | PPO | $12,230.62 | — |
| Devoted Health | HMO | $12,230.62 | — |
| HealthSpring | Medicare PPO | $12,230.62 | — |
| HealthSpring | Medicare HMO POS | $12,230.62 | — |
| Aetna | Medicare Advantage | $12,230.62 | — |
| Wellcare | Medicare Advantage | $12,230.62 | — |
| Cigna | Medicare PPO | $12,230.62 | — |
| Cigna | Medicare HMO | $12,230.62 | — |
| Cigna | Medicare HMO-POS | $12,230.62 | — |
| Wellpoint | DSNP | $12,230.62 | — |
| Wellpoint | Medicare Advantage | $12,230.62 | — |
| Blue Cross of TN | BlueEssential DSNP | $12,230.62 | — |
| Blue Cross of TN | BlueEssential HMO | $12,230.62 | — |
| Blue Cross of TN | Med Adv Diamond | $12,230.62 | — |
| Blue Cross of TN | Med Adv Ruby | $12,230.62 | — |
| USA Managed Care Organization | PPO | not published by hospital | — |
| National Provider Network | PPO | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| NovaNet | Network Lease | not published by hospital | — |
| Galaxy Health Network | PPO | not published by hospital | — |
| CCN Managed Care | PPO | not published by hospital | — |
| Community Services Network | NonProfit Public Benefit | not published by hospital | — |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | not published by hospital | — |
| Direct Care America | PPO | not published by hospital | — |
| EHN | Network Lease | not published by hospital | — |
| Initial Group | PPO | not published by hospital | — |
| MedSave USA | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Amputation of upper arm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $2,118.00 – $2,225.50 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $2,118.00 – $2,225.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $2,118.00 – $2,225.50 |
| Ascension Saint Thomas River Park | McMinnville | not published | $2,118.00 – $2,225.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $2,118.00 – $2,225.50 |
| Ascension Saint Thomas Hickman | Centerville | not published | $2,118.00 – $2,225.50 |
| Parkwest Medical Center | Knoxville | not published | $1,063.05 – $12,230.62 |
| Roane County Medical Center | Harriman | not published | $11,648.21 – $12,230.62 |