Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method at Methodist Medical Center of Oak Ridge
990 Oak Ridge Turnpike, Oak Ridge, TN · Fsregional · · NPI 1700870672
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.
$1,890.00 with BCBS TN 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $1,890.00 | — |
| Cigna | IFP | $1,921.00 | — |
| Ambetter | Exchange | $2,009.00 | — |
| Aetna | Commercial | $2,074.32 | — |
| United Healthcare | Tenncare | $2,112.00 | — |
| Cigna | Local Plus | $2,354.00 | — |
| Cigna | HMO | $2,769.00 | — |
| Cigna | OAP | $2,769.00 | — |
| Cigna | POS | $2,769.00 | — |
| Wellpoint | Medicaid Tenncare | $2,875.00 | — |
| United Healthcare | All Other Plans | $3,976.00 | — |
| United Healthcare | Heritage Select | $4,675.00 | — |
| United Healthcare | Options PPO | $5,705.00 | — |
| BCBS TN | Commercial Network P | $7,553.00 | — |
| BCBS TN | Commercial Network S | $7,553.00 | — |
| 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
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $1,468.50 – $1,752.88 |
| 62-1166050 BMH Carroll County | Huntingdon | not published | $3,431.00 – $23,497.90 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $1,338.23 – $1,543.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $1,338.23 – $1,543.50 |
| Ascension Saint Thomas River Park | McMinnville | not published | $1,338.23 – $1,543.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $1,468.50 – $1,869.19 |
| Ascension Saint Thomas Hickman | Centerville | not published | $1,468.50 – $1,543.50 |
| 62-0123940 BMH Collierville | Collierville | not published | $1,275.14 – $23,564.30 |