Pt evaluation high complexity patient/family at 62-1166050 BMH Carroll County
631 R.B. Wilson Drive, Huntingdon, TN · Baptistonline · · NPI 1710941356
$205.85
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.
$895.00
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.
$64.31 with Aetna vs $805.50 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 |
|---|---|---|---|
| Aetna | Medicare | $64.31 | ↓ -69% |
| TN BCBS | TennCare | $66.74 | ↓ -68% |
| TN BCBS | CoverKids | $72.32 | ↓ -65% |
| TN BCBS | BlueCare | $108.85 | ↓ -47% |
| Oscar | Commercial | $117.01 | ↓ -43% |
| Cigna | IFP | $148.00 | ↓ -28% |
| Cigna | Local Plus | $185.40 | ↓ -10% |
| Magnolia TN | Exchange | $197.88 | ↓ -4% |
| Cigna | PPO | $203.94 | ↓ -1% |
| PPO Holdings | Commercial | $340.10 | ↑ +65% |
| TN BCBS | Network E | $340.10 | ↑ +65% |
| Magnolia Regional Health Center | Commercial | $358.00 | ↑ +74% |
| TN BCBS | Network S | $375.90 | ↑ +83% |
| TN BCBS | Network L | $375.90 | ↑ +83% |
| Littler | Commercial | $447.50 | ↑ +117% |
| United Healthcare | Commercial | $516.41 | ↑ +151% |
| TN BCBS | Network P | $537.00 | ↑ +161% |
| Aetna | Commercial | $559.38 | ↑ +172% |
| Humana | CPOS/HMO/NPOS/PPO | $590.70 | ↑ +187% |
| First Choice Health Plan of MS | Commercial | $626.50 | ↑ +204% |
| MPCN | PPO/HMO | $671.25 | ↑ +226% |
| Multiplan | Complementary Network | $671.25 | ↑ +226% |
| Multiplan | MPI Primary Network | $671.25 | ↑ +226% |
| NovaSys | All | $671.25 | ↑ +226% |
| PPO Plus | Commercial | $760.75 | ↑ +270% |
| QCA | All | $805.50 | ↑ +291% |
Visitor-reported prices
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Pt evaluation high complexity patient/family at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $69.56 | $66.74 – $176.18 |
| CHI Memorial Hospital Hixson | Hixson | $197.44 | $70.00 – $392.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $282.15 | $70.00 – $392.70 |
| Johnson City Medical Center | JOHNSON CITY | $81.75 | $44.00 – $295.67 |
| Ascension Saint Thomas DeKalb | Smithville | $129.60 | $66.74 – $176.18 |
| Ascension Saint Thomas Highlands | Sparta | $129.60 | $66.74 – $176.18 |
| Ascension Saint Thomas River Park | McMinnville | $123.42 | $83.29 – $176.18 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $69.56 | $66.74 – $176.18 |