Ghs moderate sedation, > 5 yr, 30 min, other at 62-1166050 BMH Carroll County
631 R.B. Wilson Drive, Huntingdon, TN · Baptistonline · · NPI 1710941356
$118.91
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.
?
What you pay up front if you don't use insurance.
$517.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$78.93 with Aetna vs $1,038.96 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | Medicare | $78.93 | ↓ -34% |
| Magnolia TN | Exchange | $114.31 | ↓ -4% |
| Behavioral Health Systems | Behavioral Health | $129.25 | ↑ +9% |
| PPO Holdings | Commercial | $196.46 | ↑ +65% |
| TN BCBS | Network E | $196.46 | ↑ +65% |
| Magnolia Regional Health Center | Commercial | $206.80 | ↑ +74% |
| TN BCBS | Network L | $217.14 | ↑ +83% |
| TN BCBS | Network S | $217.14 | ↑ +83% |
| Cigna | IFP | $223.86 | ↑ +88% |
| Littler | Commercial | $258.50 | ↑ +117% |
| United Healthcare | Commercial | $298.31 | ↑ +151% |
| TN BCBS | Network P | $310.20 | ↑ +161% |
| Aetna | Commercial | $323.12 | ↑ +172% |
| Humana | CPOS/HMO/NPOS/PPO | $341.22 | ↑ +187% |
| First Choice Health Plan of MS | Commercial | $361.90 | ↑ +204% |
| MPCN | PPO/HMO | $387.75 | ↑ +226% |
| NovaSys | All | $387.75 | ↑ +226% |
| Multiplan | MPI Primary Network | $387.75 | ↑ +226% |
| Multiplan | Complementary Network | $387.75 | ↑ +226% |
| PPO Plus | Commercial | $439.45 | ↑ +270% |
| QCA | All | $465.30 | ↑ +291% |
| Oscar | Commercial | $903.86 | ↑ +660% |
| Cigna | Local Plus | $944.51 | ↑ +694% |
| Cigna | PPO | $1,038.96 | ↑ +774% |
Visitor-reported prices
Comments
Ghs moderate sedation, > 5 yr, 30 min, other at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $75.15 | $27.68 – $28.79 |
| Hancock County Hospital | SNEEDVILLE | $73.83 | $30.93 – $31.53 |
| Greeneville Community Hospital | GREENEVILLE | $75.15 | $30.03 – $30.03 |
| Bristol Regional Medical Center | BRISTOL | $75.15 | $28.14 – $28.69 |
| Franklin Woods Community Hospital | JOHNSON CITY | $75.15 | $30.03 – $186.37 |
| Holston Valley Medical Center | KINGSPORT | $75.15 | $27.32 – $28.69 |
| 62-0123940 BMH Collierville | Collierville | $108.57 | $78.93 – $78.93 |
| Indian Path Community Hospital | KINGSPORT | $75.15 | $26.43 – $27.49 |