Counseling visit to discuss need for ldct g0296 at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$37.72
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.
$164.00
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.
$34.83 with UNITED HEALTHCARE vs $164.00 with BLUE CROSS — 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 | $34.83 | ↓ -8% |
| SENTARA HEALTH | SENTARA HEALTH | $42.33 | ↑ +12% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $76.10 | ↑ +102% |
| MEDCOST | MEDCOST VHN | $78.05 | ↑ +107% |
| AMERIGROUP | AMERIGROUP | $101.20 | ↑ +168% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $114.80 | ↑ +204% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $116.44 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $116.44 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $116.44 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $116.44 | ↑ +209% |
| AMBETTER | AMBETTER | $116.44 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $116.44 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $116.44 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $116.44 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $116.44 | ↑ +209% |
| AETNA | AETNA | $116.77 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $118.30 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $119.93 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $122.02 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA HMO | $122.02 | ↑ +223% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $122.26 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $122.26 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $122.26 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $122.26 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $123.43 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $131.20 | ↑ +248% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $164.00 | ↑ +335% |
| BLUE CROSS | ANTHEM EXCHANGE | $164.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $164.00 | ↑ +335% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $164.00 | ↑ +335% |
| BLUE CROSS | ANTHEM HMO | $164.00 | ↑ +335% |
Visitor-reported prices
Comments
Counseling visit to discuss need for ldct g0296 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $38.55 | $25.07 – $206.66 |
| Bristol Regional Medical Center | BRISTOL | $38.55 | $41.79 – $231.30 |
| Holston Valley Medical Center | KINGSPORT | $38.55 | $41.79 – $231.30 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $38.55 | $34.83 – $200.93 |
| Parkwest Medical Center | Knoxville | not published | $31.98 – $96.78 |
| Roane County Medical Center | Harriman | not published | $35.13 – $96.78 |
| Claiborne Medical Center | Tazewell | not published | $35.13 – $103.65 |
| LeConte Medical Center | Sevierville | not published | $35.13 – $103.65 |