Application of long leg cast 29345 at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$93.75
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.
$625.00
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.
$47.08 with BLUE CROSS vs $625.00 with SEVEN CORNERS, INC. — 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $47.08 | ↓ -50% |
| BLUE CROSS | TENNCARE BLUE CARE | $47.08 | ↓ -50% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $109.00 | ↑ +16% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $115.17 | ↑ +23% |
| SENTARA HEALTH | SENTARA HEALTH | $161.31 | ↑ +72% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $253.76 | ↑ +171% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $253.76 | ↑ +171% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $253.76 | ↑ +171% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $253.76 | ↑ +171% |
| AETNA | AETNA HEALTHCARE MEDICARE | $253.76 | ↑ +171% |
| SENTARA HEALTH | SENTARA MEDICARE | $253.76 | ↑ +171% |
| HUMANA | HUMANA MEDICARE | $253.76 | ↑ +171% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $253.76 | ↑ +171% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $261.37 | ↑ +179% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $263.91 | ↑ +182% |
| BLUE CROSS | BLUE CROSS MEDICARE | $263.91 | ↑ +182% |
| NHC ADVANTAGE | NHC ADVANTAGE | $266.45 | ↑ +184% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $266.45 | ↑ +184% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $266.45 | ↑ +184% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $266.45 | ↑ +184% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $266.45 | ↑ +184% |
| AETNA | AETNA | $266.88 | ↑ +185% |
| WELLCARE | WELLCARE MEDICARE | $268.98 | ↑ +187% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $280.48 | ↑ +199% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $280.48 | ↑ +199% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $280.75 | ↑ +199% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $283.21 | ↑ +202% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $285.93 | ↑ +205% |
| MEDCOST | MEDCOST VHN | $297.44 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↑ +402% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +424% |
| AMBETTER | AMBETTER | $553.19 | ↑ +490% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $562.50 | ↑ +500% |
| BLUE CROSS | ANTHEM EXCHANGE | $624.77 | ↑ +566% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $625.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $625.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $625.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $625.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $625.00 | ↑ +567% |
Visitor-reported prices
Comments
Application of long leg cast 29345 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $75.44 | $210.98 – $485.02 |
| Johnson City Medical Center | JOHNSON CITY | $93.75 | $115.17 – $568.96 |
| Hancock County Hospital | SNEEDVILLE | $92.00 | $47.08 – $285.93 |
| Greeneville Community Hospital | GREENEVILLE | $93.75 | $47.08 – $568.96 |
| Bristol Regional Medical Center | BRISTOL | $93.75 | $47.08 – $625.00 |
| Franklin Woods Community Hospital | JOHNSON CITY | $93.75 | $115.17 – $553.60 |
| Holston Valley Medical Center | KINGSPORT | $93.75 | $47.08 – $625.00 |
| 62-0123940 BMH Collierville | Collierville | $68.88 | $68.78 – $486.38 |