Consultation pathology during surgery frozen section each additional block at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$14.03
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.
$61.00
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.
$5.58 with UNITED HEALTHCARE vs $138.44 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $5.58 | ↓ -60% |
| BLUE CROSS | TENNCARE BLUE SELECT | $9.13 | ↓ -35% |
| BLUE CROSS | TENNCARE BLUE CARE | $9.13 | ↓ -35% |
| SENTARA HEALTH | SENTARA HEALTH | $15.74 | ↑ +12% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $23.10 | ↑ +65% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $23.10 | ↑ +65% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $23.10 | ↑ +65% |
| MEDCOST | MEDCOST VHN | $29.03 | ↑ +107% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $30.24 | ↑ +116% |
| BLUE CROSS | BLUE CROSS E NETWORK | $35.62 | ↑ +154% |
| BLUE CROSS | BLUE CROSS S NETWORK | $36.40 | ↑ +159% |
| BLUE CROSS | BLUE CROSS P NETWORK | $36.40 | ↑ +159% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $43.31 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $43.31 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $43.31 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $43.31 | ↑ +209% |
| AMBETTER | AMBETTER | $43.31 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $43.31 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $43.31 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $43.31 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $43.31 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $43.31 | ↑ +209% |
| AETNA | AETNA | $43.43 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $44.00 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $44.61 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA HMO | $45.38 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $45.38 | ↑ +223% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $45.48 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $45.48 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $45.48 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $45.48 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $45.91 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $48.80 | ↑ +248% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $53.85 | ↑ +284% |
| WELLCARE | WELLCARE MEDICAID | $61.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $61.00 | ↑ +335% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $61.00 | ↑ +335% |
| AMERIGROUP | AMERIGROUP | $61.00 | ↑ +335% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $135.81 | ↑ +868% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $135.94 | ↑ +869% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $137.12 | ↑ +877% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $138.44 | ↑ +887% |
Visitor-reported prices
Comments
Consultation pathology during surgery frozen section each additional block at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $31.71 | $7.87 – $67.27 |
| CHI Memorial Hospital Hixson | Hixson | $66.31 | $8.87 – $156.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $8.74 | $7.87 – $40.39 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $94.76 | $8.87 – $156.80 |
| Johnson City Medical Center | JOHNSON CITY | $14.25 | $9.13 – $126.37 |
| Ascension Saint Thomas DeKalb | Smithville | $31.71 | $5.52 – $67.27 |
| Ascension Saint Thomas Highlands | Sparta | $31.71 | $5.52 – $67.27 |
| Ascension Saint Thomas River Park | McMinnville | $31.71 | $5.52 – $67.27 |