Brace fx hum ovr shldr sm at Methodist Medical Center of Oak Ridge
990 Oak Ridge Turnpike, Oak Ridge, TN · Fsregional · · NPI 1700870672
$914.10
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.
$2,770.00
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.
$347.63 with Optum vs $2,493.00 with Galaxy Health Network — 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 |
|---|---|---|---|
| Optum | VA CCN | $347.63 | ↓ -62% |
| Tricare | Humana Military | $347.63 | ↓ -62% |
| Humana | DSNP | $358.06 | ↓ -61% |
| Humana | Medicare Advantage PPO | $358.06 | ↓ -61% |
| Humana | Medicare Advantage HMO | $358.06 | ↓ -61% |
| United Healthcare | Medicare Advantage | $358.06 | ↓ -61% |
| United Healthcare | Community Plan DSNP | $358.06 | ↓ -61% |
| Farm Bureau | Medicare Advantage PPO | $361.54 | ↓ -60% |
| Farm Bureau | Medicare Advantage HMO | $361.54 | ↓ -60% |
| HealthSpring | Medicare HMO POS | $365.01 | ↓ -60% |
| Blue Cross of TN | Med Adv Diamond | $365.01 | ↓ -60% |
| Aetna | Medicare Advantage | $365.01 | ↓ -60% |
| Blue Cross of TN | BlueEssential HMO | $365.01 | ↓ -60% |
| Cigna | Medicare PPO | $365.01 | ↓ -60% |
| Cigna | Medicare HMO | $365.01 | ↓ -60% |
| Blue Cross of TN | BlueEssential DSNP | $365.01 | ↓ -60% |
| Wellpoint | DSNP | $365.01 | ↓ -60% |
| Devoted Health | HMO | $365.01 | ↓ -60% |
| Wellcare | Medicare Advantage | $365.01 | ↓ -60% |
| United Healthcare | DSNP | $365.01 | ↓ -60% |
| Blue Cross of TN | Med Adv Sapphire | $365.01 | ↓ -60% |
| Blue Cross of TN | Med Adv Ruby | $365.01 | ↓ -60% |
| Blue Cross of TN | Med Adv PPO | $365.01 | ↓ -60% |
| Devoted Health | PPO | $365.01 | ↓ -60% |
| HealthSpring | Medicare PPO | $365.01 | ↓ -60% |
| Cigna | Medicare HMO-POS | $365.01 | ↓ -60% |
| Wellpoint | Medicare Advantage | $365.01 | ↓ -60% |
| BCBS TN | Blue Care | $581.70 | ↓ -36% |
| Aetna | Commercial | $609.40 | ↓ -33% |
| United Healthcare | All Other Plans | $775.60 | ↓ -15% |
| United Healthcare | Heritage Select | $775.60 | ↓ -15% |
| United Healthcare | Options PPO | $831.00 | ↓ -9% |
| Cigna | IFP | $1,177.25 | ↑ +29% |
| EHN | Network Lease | $1,246.50 | ↑ +36% |
| Cigna | HMO | $1,385.00 | ↑ +52% |
| Cigna | Local Plus | $1,385.00 | ↑ +52% |
| Cigna | POS | $1,385.00 | ↑ +52% |
| Cigna | OAP | $1,385.00 | ↑ +52% |
| Ambetter | Exchange | $1,385.00 | ↑ +52% |
| BCBS TN | Commercial Network S | $1,662.00 | ↑ +82% |
| BCBS TN | Commercial Network P | $1,662.00 | ↑ +82% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $1,662.00 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $1,800.50 | ↑ +97% |
| USA Managed Care Organization | PPO | $1,939.00 | ↑ +112% |
| NovaNet | Network Lease | $2,077.50 | ↑ +127% |
| Direct Care America | PPO | $2,216.00 | ↑ +142% |
| MedSave USA | Commercial | $2,216.00 | ↑ +142% |
| National Provider Network | PPO | $2,216.00 | ↑ +142% |
| Beech Street | PPO | $2,354.50 | ↑ +158% |
| CCN Managed Care | PPO | $2,354.50 | ↑ +158% |
| Initial Group | PPO | $2,437.60 | ↑ +167% |
| Galaxy Health Network | PPO | $2,493.00 | ↑ +173% |
Visitor-reported prices
Comments
Brace fx hum ovr shldr sm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $831.00 | $173.06 – $2,493.00 |
| LeConte Medical Center | Sevierville | $440.65 | $319.09 – $1,367.54 |
| Fort Loudoun Medical Center | Lenoir City | $914.10 | $347.63 – $2,493.00 |
| Fort Sanders Regional Medical Center | Knoxville | $914.10 | $347.63 – $2,493.00 |
| Morristown-Hamblen Hospital Association | Morristown | $1,008.69 | $347.63 – $1,802.26 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $347.63 – $511.02 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $337.20 – $511.02 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $312.87 – $511.02 |