Audit/dast 15-30 min at 62-1166050 BMH Carroll County
631 R.B. Wilson Drive, Huntingdon, TN · Baptistonline · · NPI 1710941356
$20.24
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.
$88.00
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.
$19.46 with Magnolia TN vs $79.20 with QCA — 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 |
|---|---|---|---|
| Magnolia TN | Exchange | $19.46 | ↓ -4% |
| Aetna | Medicare | $27.87 | ↑ +38% |
| Optum Healthcare | Commercial | $28.22 | ↑ +39% |
| PPO Holdings | Commercial | $33.44 | ↑ +65% |
| TN BCBS | Network E | $33.44 | ↑ +65% |
| Magnolia Regional Health Center | Commercial | $35.20 | ↑ +74% |
| TN BCBS | Network S | $36.96 | ↑ +83% |
| TN BCBS | Network L | $36.96 | ↑ +83% |
| Cigna | PPO | $38.10 | ↑ +88% |
| Cigna | Local Plus | $38.10 | ↑ +88% |
| Cigna | IFP | $38.10 | ↑ +88% |
| Littler | Commercial | $44.00 | ↑ +117% |
| United Healthcare | Commercial | $50.78 | ↑ +151% |
| TN BCBS | Network P | $52.80 | ↑ +161% |
| Aetna | Commercial | $55.00 | ↑ +172% |
| Oscar | Commercial | $57.20 | ↑ +183% |
| Humana | CPOS/HMO/NPOS/PPO | $58.08 | ↑ +187% |
| First Choice Health Plan of MS | Commercial | $61.60 | ↑ +204% |
| Multiplan | Complementary Network | $66.00 | ↑ +226% |
| Multiplan | MPI Primary Network | $66.00 | ↑ +226% |
| NovaSys | All | $66.00 | ↑ +226% |
| MPCN | PPO/HMO | $66.00 | ↑ +226% |
| PPO Plus | Commercial | $74.80 | ↑ +270% |
| QCA | All | $79.20 | ↑ +291% |
Visitor-reported prices
Comments
Audit/dast 15-30 min at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $25.02 – $25.02 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $25.02 – $25.02 |
| Ascension Saint Thomas Highlands | Sparta | not published | $25.02 – $25.02 |
| Ascension Saint Thomas River Park | McMinnville | not published | $25.02 – $25.02 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $25.02 – $25.02 |
| Ascension Saint Thomas Hickman | Centerville | not published | $25.02 – $25.02 |