Incision of breast lesion at 62-1166050 BMH Carroll County
631 R.B. Wilson Drive, Huntingdon, TN · Baptistonline · · NPI 1710941356
$1,015.91
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.
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What you pay up front if you don't use insurance.
$4,417.00
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.
$662.97 with TN BCBS vs $3,975.30 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 |
|---|---|---|---|
| TN BCBS | TennCare | $662.97 | ↓ -35% |
| TN BCBS | CoverKids | $718.40 | ↓ -29% |
| Oscar | Commercial | $903.86 | ↓ -11% |
| TN BCBS | BlueCare | $1,081.24 | ↑ +6% |
| Behavioral Health Systems | Behavioral Health | $1,104.25 | ↑ +9% |
| Wellpoint | Medicaid | $1,287.14 | ↑ +27% |
| TriWest | Veterans Administration | $1,420.29 | ↑ +40% |
| Veterans Evaluation Services | Veterans Administration TPA | $1,479.47 | ↑ +46% |
| VACCN | Veterans Administration | $1,479.47 | ↑ +46% |
| Humana Tricare | Behavioral Health | $1,479.47 | ↑ +46% |
| Humana | Medicare | $1,494.26 | ↑ +47% |
| American Health Plan | Medicare | $1,553.44 | ↑ +53% |
| Shared Health | Medicare | $1,553.44 | ↑ +53% |
| Cigna | Medicare | $1,553.44 | ↑ +53% |
| TN BCBS | DSNP | $1,553.44 | ↑ +53% |
| TN BCBS | Medicare | $1,553.44 | ↑ +53% |
| Aetna | Medicare | $1,553.44 | ↑ +53% |
| Wellpoint | Medicare | $1,553.44 | ↑ +53% |
| PPO Holdings | Commercial | $1,678.46 | ↑ +65% |
| Magnolia Regional Health Center | Commercial | $1,766.80 | ↑ +74% |
| TN BCBS | Network E | $1,854.00 | ↑ +82% |
| Cigna | IFP | $1,996.93 | ↑ +97% |
| TN BCBS | Network L | $2,059.00 | ↑ +103% |
| Littler | Commercial | $2,208.50 | ↑ +117% |
| Arlington Community Schools | Commercial | $2,293.18 | ↑ +126% |
| TN BCBS | Network S | $2,339.00 | ↑ +130% |
| City of Lakeland | Commercial | $2,441.13 | ↑ +140% |
| EAS MSSC Schools | Commercial | $2,441.13 | ↑ +140% |
| Lakeland School System | Commercial | $2,441.13 | ↑ +140% |
| Bartlett City Schools | Commercial | $2,441.13 | ↑ +140% |
| Collierville Schools | Commercial | $2,441.13 | ↑ +140% |
| Town of Collierville | Commercial | $2,441.13 | ↑ +140% |
| City of Bartlett | Commercial | $2,441.13 | ↑ +140% |
| Magnolia TN | Exchange | $2,497.79 | ↑ +146% |
| First State Bank Trust | Commercial | $2,515.10 | ↑ +148% |
| United Healthcare | Commercial | $2,548.61 | ↑ +151% |
| Cigna | Local Plus | $2,599.72 | ↑ +156% |
| French Camp Academy | Commercial | $2,663.05 | ↑ +162% |
| Gossett Motor Cars | Commercial | $2,663.05 | ↑ +162% |
| Hattiesburg Clinic | Commercial | $2,663.05 | ↑ +162% |
| Heartland Catfish Company | Commercial | $2,663.05 | ↑ +162% |
| Heavy Machines | Commercial | $2,663.05 | ↑ +162% |
| Hollowell Industries | Commercial | $2,663.05 | ↑ +162% |
| Hospitality Management Advisors | Commercial | $2,663.05 | ↑ +162% |
| Jas D Collier | Commercial | $2,663.05 | ↑ +162% |
| Ashley Furniture Stores | Commercial | $2,663.05 | ↑ +162% |
| Armstrong Relocation | Commercial | $2,663.05 | ↑ +162% |
| Malco Theaters | Commercial | $2,663.05 | ↑ +162% |
| Mechanical Systems | Commercial | $2,663.05 | ↑ +162% |
| Mid-South Transport | Commercial | $2,663.05 | ↑ +162% |
| Patterson Warehouses | Commercial | $2,663.05 | ↑ +162% |
| REI Nation | Commercial | $2,663.05 | ↑ +162% |
| Radians | Commercial | $2,663.05 | ↑ +162% |
| Retzer Resources | Commercial | $2,663.05 | ↑ +162% |
| Security One | Commercial | $2,663.05 | ↑ +162% |
| Silver Tree | Commercial | $2,663.05 | ↑ +162% |
| State Systems | Commercial | $2,663.05 | ↑ +162% |
| Ritchey Automotive | Commercial | $2,663.05 | ↑ +162% |
| Brimhall Foods | Commercial | $2,663.05 | ↑ +162% |
| Building Plastic | Commercial | $2,663.05 | ↑ +162% |
| Burch Food Services | Commercial | $2,663.05 | ↑ +162% |
| Cannon Motor Company | Commercial | $2,663.05 | ↑ +162% |
| Carlisle | Commercial | $2,663.05 | ↑ +162% |
| Crittenden County | Commercial | $2,663.05 | ↑ +162% |
| Davidson Hospitality | Commercial | $2,663.05 | ↑ +162% |
| DeSoto Co Board of Supervisors | Commercial | $2,663.05 | ↑ +162% |
| Dunn Investment Company | Commercial | $2,663.05 | ↑ +162% |
| First Choice Health Plan of MS | HPN | $2,663.05 | ↑ +162% |
| First Community Bank | Commercial | $2,663.05 | ↑ +162% |
| United TN Holdings | Commercial | $2,663.05 | ↑ +162% |
| Vaughn Electric | Commercial | $2,663.05 | ↑ +162% |
| W G Yates | Commercial | $2,663.05 | ↑ +162% |
| W W Wood Products | Commercial | $2,663.05 | ↑ +162% |
| Watkins Uiberall | Commercial | $2,663.05 | ↑ +162% |
| Y K Auto Group | Commercial | $2,663.05 | ↑ +162% |
| Aetna | Commercial | $2,760.62 | ↑ +172% |
| Cigna | PPO | $2,859.69 | ↑ +181% |
| Humana | CPOS/HMO/NPOS/PPO | $2,915.22 | ↑ +187% |
| Harding Academy | Commercial | $2,958.94 | ↑ +191% |
| Employers Health Network | Commercial | $2,958.94 | ↑ +191% |
| First Choice Health Plan of MS | Commercial | $3,091.90 | ↑ +204% |
| Multiplan | MPI Primary Network | $3,312.75 | ↑ +226% |
| Multiplan | Complementary Network | $3,312.75 | ↑ +226% |
| MPCN | PPO/HMO | $3,312.75 | ↑ +226% |
| NovaSys | All | $3,312.75 | ↑ +226% |
| PPO Plus | Commercial | $3,754.45 | ↑ +270% |
| TN BCBS | Network P | $3,775.00 | ↑ +272% |
| QCA | All | $3,975.30 | ↑ +291% |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Incision of breast lesion at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $757.65 | $224.48 – $3,359.76 |
| Bristol Regional Medical Center | BRISTOL | $757.65 | $224.48 – $3,760.30 |
| Holston Valley Medical Center | KINGSPORT | $757.65 | $224.48 – $3,760.30 |
| 62-0123940 BMH Collierville | Collierville | $968.31 | $1,115.49 – $2,967.30 |
| 62-1138045 BMH Union City | Union City | $862.00 | $1,287.14 – $2,958.94 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $757.65 | $224.48 – $3,266.63 |
| Ascension Saint Thomas Midtown | Nashville | not published | $1,185.00 – $1,534.53 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $817.89 – $1,246.50 |