Aco cmplx chron care without pt visit, 60 min 99487aco at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$39.45
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.
$263.00
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.
$67.88 with SENTARA HEALTH vs $351.06 with AMBETTER — 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $67.88 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $80.74 | ↑ +105% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $82.46 | ↑ +109% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $82.46 | ↑ +109% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $82.54 | ↑ +109% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $83.27 | ↑ +111% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $84.06 | ↑ +113% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $84.95 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $84.95 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $109.67 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $109.67 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $109.67 | ↑ +178% |
| AETNA | AETNA | $112.30 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $122.03 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $125.16 | ↑ +217% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $161.04 | ↑ +308% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $161.04 | ↑ +308% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $161.04 | ↑ +308% |
| AETNA | AETNA HEALTHCARE MEDICARE | $161.04 | ↑ +308% |
| HUMANA | HUMANA MEDICARE | $161.04 | ↑ +308% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $161.04 | ↑ +308% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $161.04 | ↑ +308% |
| SENTARA HEALTH | SENTARA MEDICARE | $161.04 | ↑ +308% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $165.87 | ↑ +320% |
| BLUE CROSS | BLUE CROSS MEDICARE | $167.48 | ↑ +325% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $167.48 | ↑ +325% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $169.09 | ↑ +329% |
| NHC ADVANTAGE | NHC ADVANTAGE | $169.09 | ↑ +329% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $169.09 | ↑ +329% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $169.09 | ↑ +329% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $169.09 | ↑ +329% |
| WELLCARE | WELLCARE MEDICARE | $170.70 | ↑ +333% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $184.10 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $236.70 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $263.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $263.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $263.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $263.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $263.00 | ↑ +567% |
| AMBETTER | AMBETTER | $351.06 | ↑ +790% |
Visitor-reported prices
Comments
Aco cmplx chron care without pt visit, 60 min 99487aco at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $39.45 | $80.06 – $361.07 |
| Bristol Regional Medical Center | BRISTOL | $39.45 | $75.01 – $367.07 |
| Holston Valley Medical Center | KINGSPORT | $39.45 | $72.82 – $367.07 |
| Ascension Saint Thomas Midtown | Nashville | not published | $138.48 – $215.42 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $136.49 – $212.32 |
| Ascension Saint Thomas Highlands | Sparta | not published | $136.49 – $212.32 |
| Ascension Saint Thomas River Park | McMinnville | not published | $136.49 – $212.32 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $138.48 – $215.42 |