Biopsy of prostate at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$382.95
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.
$1,665.00
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.
$96.26 with BLUE CROSS vs $2,480.51 with MOLINA HEALTHCARE — 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $96.26 | ↓ -75% |
| SENTARA HEALTH | SENTARA HEALTH | $429.74 | ↑ +12% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $731.15 | ↑ +91% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $772.56 | ↑ +102% |
| MEDCOST | MEDCOST VHN | $792.37 | ↑ +107% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,182.15 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,182.15 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $1,182.15 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,182.15 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,182.15 | ↑ +209% |
| AMBETTER | AMBETTER | $1,182.15 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,182.15 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,182.15 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,182.15 | ↑ +209% |
| AETNA | AETNA | $1,185.48 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $1,201.06 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,217.61 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,238.76 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,238.76 | ↑ +223% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,241.26 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,241.26 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,241.26 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,241.26 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,253.08 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,332.00 | ↑ +248% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,665.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $1,665.00 | ↑ +335% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,665.00 | ↑ +335% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,433.26 | ↑ +535% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,435.62 | ↑ +536% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,456.89 | ↑ +542% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,480.51 | ↑ +548% |
Visitor-reported prices
Comments
Biopsy of prostate at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,282.16 | $1,185.00 – $1,534.53 |
| CHI Memorial Hospital Hixson | Hixson | $2,088.28 | $125.80 – $440.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,984.27 | $132.09 – $440.30 |
| Johnson City Medical Center | JOHNSON CITY | $390.30 | $96.26 – $2,264.15 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $845.97 | $1,185.00 – $1,636.56 |
| Greeneville Community Hospital | GREENEVILLE | $390.30 | $96.26 – $2,362.39 |
| Bristol Regional Medical Center | BRISTOL | $390.30 | $96.26 – $2,256.24 |
| Franklin Woods Community Hospital | JOHNSON CITY | $390.30 | $96.26 – $2,456.89 |