Ex palate/uvula lesion without closure 42104 at 62-1166050 BMH Carroll County
631 R.B. Wilson Drive, Huntingdon, TN · Baptistonline · · NPI 1710941356
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.
$936.28 with TN BCBS vs $5,922.62 with Harding Academy — 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 |
|---|---|---|---|
| TN BCBS | TennCare | $936.28 | — |
| TN BCBS | CoverKids | $1,014.55 | — |
| TN BCBS | BlueCare | $1,526.98 | — |
| Cigna | Local Plus | $2,175.36 | — |
| TN BCBS | Network E | $2,364.00 | — |
| Cigna | PPO | $2,392.90 | — |
| Wellpoint | Medicaid | $2,576.34 | — |
| TN BCBS | Network L | $2,626.00 | — |
| TriWest | Veterans Administration | $2,842.86 | — |
| VACCN | Veterans Administration | $2,961.31 | — |
| Veterans Evaluation Services | Veterans Administration TPA | $2,961.31 | — |
| Humana Tricare | Behavioral Health | $2,961.31 | — |
| TN BCBS | Network S | $2,982.00 | — |
| Humana | Medicare | $2,990.92 | — |
| TN BCBS | Medicare | $3,109.38 | — |
| American Health Plan | Medicare | $3,109.38 | — |
| Aetna | Medicare | $3,109.38 | — |
| Cigna | Medicare | $3,109.38 | — |
| Wellpoint | Medicare | $3,109.38 | — |
| Shared Health | Medicare | $3,109.38 | — |
| TN BCBS | DSNP | $3,109.38 | — |
| Oscar | Commercial | $3,582.00 | — |
| Cigna | IFP | $3,997.05 | — |
| TN BCBS | Network P | $4,814.00 | — |
| Lakeland School System | Commercial | $4,886.16 | — |
| EAS MSSC Schools | Commercial | $4,886.16 | — |
| Collierville Schools | Commercial | $4,886.16 | — |
| City of Bartlett | Commercial | $4,886.16 | — |
| City of Lakeland | Commercial | $4,886.16 | — |
| Bartlett City Schools | Commercial | $4,886.16 | — |
| Town of Collierville | Commercial | $4,886.16 | — |
| Magnolia TN | Exchange | $4,999.58 | — |
| First State Bank Trust | Commercial | $5,034.23 | — |
| Heartland Catfish Company | Commercial | $5,330.36 | — |
| Heavy Machines | Commercial | $5,330.36 | — |
| Hollowell Industries | Commercial | $5,330.36 | — |
| Hospitality Management Advisors | Commercial | $5,330.36 | — |
| Jas D Collier | Commercial | $5,330.36 | — |
| Malco Theaters | Commercial | $5,330.36 | — |
| Mechanical Systems | Commercial | $5,330.36 | — |
| Mid-South Transport | Commercial | $5,330.36 | — |
| Patterson Warehouses | Commercial | $5,330.36 | — |
| REI Nation | Commercial | $5,330.36 | — |
| Radians | Commercial | $5,330.36 | — |
| Retzer Resources | Commercial | $5,330.36 | — |
| Ritchey Automotive | Commercial | $5,330.36 | — |
| Security One | Commercial | $5,330.36 | — |
| Silver Tree | Commercial | $5,330.36 | — |
| State Systems | Commercial | $5,330.36 | — |
| United TN Holdings | Commercial | $5,330.36 | — |
| Vaughn Electric | Commercial | $5,330.36 | — |
| W G Yates | Commercial | $5,330.36 | — |
| W W Wood Products | Commercial | $5,330.36 | — |
| Watkins Uiberall | Commercial | $5,330.36 | — |
| Y K Auto Group | Commercial | $5,330.36 | — |
| Brimhall Foods | Commercial | $5,330.36 | — |
| Ashley Furniture Stores | Commercial | $5,330.36 | — |
| Armstrong Relocation | Commercial | $5,330.36 | — |
| Building Plastic | Commercial | $5,330.36 | — |
| Cannon Motor Company | Commercial | $5,330.36 | — |
| Carlisle | Commercial | $5,330.36 | — |
| Crittenden County | Commercial | $5,330.36 | — |
| Davidson Hospitality | Commercial | $5,330.36 | — |
| DeSoto Co Board of Supervisors | Commercial | $5,330.36 | — |
| Dunn Investment Company | Commercial | $5,330.36 | — |
| First Choice Health Plan of MS | HPN | $5,330.36 | — |
| First Community Bank | Commercial | $5,330.36 | — |
| French Camp Academy | Commercial | $5,330.36 | — |
| Gossett Motor Cars | Commercial | $5,330.36 | — |
| Hattiesburg Clinic | Commercial | $5,330.36 | — |
| Burch Food Services | Commercial | $5,330.36 | — |
| Employers Health Network | Commercial | $5,922.62 | — |
| Harding Academy | Commercial | $5,922.62 | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ex palate/uvula lesion without closure 42104 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $1,185.00 – $1,534.53 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $633.43 – $1,246.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $633.43 – $1,246.50 |
| Ascension Saint Thomas River Park | McMinnville | not published | $633.43 – $1,246.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $1,185.00 – $1,636.56 |
| Ascension Saint Thomas Hickman | Centerville | not published | $1,185.00 – $1,246.50 |
| 62-0123940 BMH Collierville | Collierville | not published | $2,821.20 – $5,939.36 |
| Parkwest Medical Center | Knoxville | not published | $209.70 – $3,158.43 |