Chg pr pul rehab for copd patients at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$37.03
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.
$161.00
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.
$28.43 with UNITED HEALTHCARE vs $161.00 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 | $28.43 | ↓ -23% |
| SENTARA HEALTH | SENTARA HEALTH | $41.55 | ↑ +12% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $48.69 | ↑ +31% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $48.69 | ↑ +31% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $48.74 | ↑ +32% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $49.16 | ↑ +33% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $49.63 | ↑ +34% |
| BLUE CROSS | TENNCARE BLUE SELECT | $69.25 | ↑ +87% |
| BLUE CROSS | TENNCARE BLUE CARE | $69.25 | ↑ +87% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $74.70 | ↑ +102% |
| MEDCOST | MEDCOST VHN | $76.62 | ↑ +107% |
| AMERIGROUP | AMERIGROUP | $78.72 | ↑ +113% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $112.70 | ↑ +204% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $114.31 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $114.31 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $114.31 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $114.31 | ↑ +209% |
| AMBETTER | AMBETTER | $114.31 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $114.31 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $114.31 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $114.31 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $114.31 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $114.31 | ↑ +209% |
| AETNA | AETNA | $114.63 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $116.14 | ↑ +214% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $117.00 | ↑ +216% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $117.74 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $119.78 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA HMO | $119.78 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $120.03 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $120.03 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $120.03 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $120.03 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $121.17 | ↑ +227% |
| BLUE CROSS | ANTHEM EXCHANGE | $122.99 | ↑ +232% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $128.80 | ↑ +248% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $129.00 | ↑ +248% |
| BLUE CROSS | ANTHEM HMO | $130.69 | ↑ +253% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $153.74 | ↑ +315% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $161.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $161.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $161.00 | ↑ +335% |
Visitor-reported prices
Comments
Chg pr pul rehab for copd patients at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $87.87 | $51.20 – $157.60 |
| CHI Memorial Hospital Hixson | Hixson | $68.38 | $46.20 – $419.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $30.59 | $47.19 – $108.48 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $97.72 | $48.51 – $419.00 |
| Johnson City Medical Center | JOHNSON CITY | $38.10 | $43.56 – $120.01 |
| Ascension Saint Thomas DeKalb | Smithville | $105.44 | $50.46 – $157.60 |
| Ascension Saint Thomas River Park | McMinnville | $105.44 | $50.46 – $157.60 |
| Greeneville Community Hospital | GREENEVILLE | $38.10 | $20.47 – $120.01 |