Aco annual medicare visit (awv), initial g0438aco at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$78.89
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.
$343.00
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.
$83.22 with UNITED HEALTHCARE vs $343.00 with WELLCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $83.22 | ↑ +5% |
| SENTARA HEALTH | SENTARA HEALTH | $88.53 | ↑ +12% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $155.19 | ↑ +97% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $159.15 | ↑ +102% |
| MEDCOST | MEDCOST VHN | $163.23 | ↑ +107% |
| BLUE CROSS | ANTHEM HMO | $164.28 | ↑ +108% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $164.28 | ↑ +108% |
| BLUE CROSS | ANTHEM EXCHANGE | $164.28 | ↑ +108% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $243.53 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $243.53 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $243.53 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $243.53 | ↑ +209% |
| AMBETTER | AMBETTER | $243.53 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $243.53 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $243.53 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $243.53 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $243.53 | ↑ +209% |
| AETNA | AETNA | $244.22 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $247.43 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $250.84 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $255.19 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA HMO | $255.19 | ↑ +223% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $255.71 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $255.71 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $255.71 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $255.71 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $258.14 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $274.40 | ↑ +248% |
| AMERIGROUP | AMERIGROUP | $275.17 | ↑ +249% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $343.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $343.00 | ↑ +335% |