Amputation toe interphalangeal joint at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$835.35
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.
$5,569.00
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.
$109.00 with UNITED HEALTHCARE vs $6,471.55 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 | TENNCARE UNITED HEALTHCARE | $109.00 | ↓ -87% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $200.45 | ↓ -76% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↓ -44% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↓ -41% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +1% |
| SENTARA HEALTH | SENTARA HEALTH | $1,437.36 | ↑ +72% |
| AETNA | AETNA | $2,377.96 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $2,650.29 | ↑ +217% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,968.60 | ↑ +255% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,968.60 | ↑ +255% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,968.60 | ↑ +255% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,968.60 | ↑ +255% |
| HUMANA | HUMANA MEDICARE | $2,968.60 | ↑ +255% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,968.60 | ↑ +255% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,968.60 | ↑ +255% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,968.60 | ↑ +255% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,057.66 | ↑ +266% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,087.35 | ↑ +270% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,087.35 | ↑ +270% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3,098.58 | ↑ +271% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,098.58 | ↑ +271% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,101.59 | ↑ +271% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,117.03 | ↑ +273% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,117.03 | ↑ +273% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,117.03 | ↑ +273% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,117.03 | ↑ +273% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,117.03 | ↑ +273% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3,128.66 | ↑ +275% |
| WELLCARE | WELLCARE MEDICARE | $3,146.72 | ↑ +277% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,158.75 | ↑ +278% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,012.10 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $5,569.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $5,569.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $5,569.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $5,569.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $5,569.00 | ↑ +567% |
| AMBETTER | AMBETTER | $6,471.55 | ↑ +675% |
Visitor-reported prices
Comments
Amputation toe interphalangeal joint at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,705.26 | $1,152.20 – $4,032.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,436.91 | $1,209.81 – $4,032.70 |
| Johnson City Medical Center | JOHNSON CITY | $835.35 | $200.45 – $6,656.07 |
| Hancock County Hospital | SNEEDVILLE | $819.95 | $200.45 – $3,158.75 |
| Greeneville Community Hospital | GREENEVILLE | $835.35 | $200.45 – $6,656.07 |
| Bristol Regional Medical Center | BRISTOL | $835.35 | $200.45 – $6,766.69 |
| Franklin Woods Community Hospital | JOHNSON CITY | $835.35 | $200.45 – $6,476.36 |
| Holston Valley Medical Center | KINGSPORT | $835.35 | $200.45 – $6,766.69 |