Bx breast 1st lesion mr imag at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$577.76
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.
$2,512.00
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.
$648.35 with SENTARA HEALTH vs $2,512.00 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $648.35 | ↑ +12% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $697.00 | ↑ +21% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↑ +34% |
| BLUE CROSS | TENNCARE BLUE SELECT | $775.00 | ↑ +34% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,002.00 | ↑ +73% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,103.00 | ↑ +91% |
| MEDCOST | MEDCOST VHN | $1,195.46 | ↑ +107% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +164% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,783.52 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,783.52 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,783.52 | ↑ +209% |
| AMBETTER | AMBETTER | $1,783.52 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,783.52 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,783.52 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,783.52 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,783.52 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,783.52 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $1,783.52 | ↑ +209% |
| AETNA | AETNA | $1,788.54 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $1,812.06 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,837.03 | ↑ +218% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,861.00 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,868.93 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,868.93 | ↑ +223% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,871.00 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,872.70 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,872.70 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,872.70 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,872.70 | ↑ +224% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,881.43 | ↑ +226% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,881.43 | ↑ +226% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,883.26 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,890.53 | ↑ +227% |
| AMERIGROUP | AMERIGROUP | $1,896.23 | ↑ +228% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,899.70 | ↑ +229% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,913.00 | ↑ +231% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,913.00 | ↑ +231% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,917.96 | ↑ +232% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,009.60 | ↑ +248% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,246.00 | ↑ +289% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,512.00 | ↑ +335% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,512.00 | ↑ +335% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,512.00 | ↑ +335% |
| BLUE CROSS | ANTHEM HMO | $2,512.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $2,512.00 | ↑ +335% |
Visitor-reported prices
Comments
Bx breast 1st lesion mr imag at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $2,622.56 | $1,181.60 – $4,135.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,747.78 | $1,240.68 – $4,135.60 |
| Johnson City Medical Center | JOHNSON CITY | $588.75 | $1,280.49 – $3,359.76 |
| Greeneville Community Hospital | GREENEVILLE | $588.75 | $1,145.05 – $3,359.76 |
| Bristol Regional Medical Center | BRISTOL | $588.75 | $1,566.79 – $3,760.30 |
| Franklin Woods Community Hospital | JOHNSON CITY | $588.75 | $1,126.11 – $3,269.05 |
| Holston Valley Medical Center | KINGSPORT | $588.75 | $1,566.79 – $3,760.30 |
| 62-0123940 BMH Collierville | Collierville | $2,333.73 | $1,409.47 – $2,967.30 |