D&c/diagnostic/therapeutic/non ob 58120 at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$1,247.98
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.
$5,426.00
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.
$106.00 with UNITED HEALTHCARE vs $5,426.00 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 | $106.00 | ↓ -92% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $318.22 | ↓ -75% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $447.00 | ↓ -64% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↓ -61% |
| AMERIGROUP | AMERIGROUP | $639.00 | ↓ -49% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↓ -32% |
| SENTARA HEALTH | SENTARA HEALTH | $1,400.45 | ↑ +12% |
| MEDCOST | MEDCOST VHN | $2,582.23 | ↑ +107% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,362.69 | ↑ +169% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3,362.69 | ↑ +169% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,365.96 | ↑ +170% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3,395.34 | ↑ +172% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,427.99 | ↑ +175% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,852.46 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,852.46 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $3,852.46 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,852.46 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,852.46 | ↑ +209% |
| AMBETTER | AMBETTER | $3,852.46 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,852.46 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,852.46 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,852.46 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,852.46 | ↑ +209% |
| AETNA | AETNA | $3,863.31 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $3,914.10 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,968.03 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,036.94 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,036.94 | ↑ +223% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $4,045.08 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $4,045.08 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $4,045.08 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $4,045.08 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $4,083.61 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,340.80 | ↑ +248% |
| BLUE CROSS | ANTHEM EXCHANGE | $5,426.00 | ↑ +335% |
| BLUE CROSS | ANTHEM HMO | $5,426.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $5,426.00 | ↑ +335% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $5,426.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $5,426.00 | ↑ +335% |
Visitor-reported prices
Comments
D&c/diagnostic/therapeutic/non ob 58120 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $1,271.85 | $318.22 – $6,585.13 |
| Greeneville Community Hospital | GREENEVILLE | $1,271.85 | $318.22 – $6,585.13 |
| Bristol Regional Medical Center | BRISTOL | $1,271.85 | $318.22 – $7,370.17 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,271.85 | $318.22 – $6,407.33 |
| Holston Valley Medical Center | KINGSPORT | $1,271.85 | $318.22 – $7,370.17 |
| Indian Path Community Hospital | KINGSPORT | $1,271.85 | $318.22 – $7,048.71 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,271.85 | $318.22 – $6,402.58 |
| Johnson County Community Hospital | MOUNTAIN CITY | $1,247.98 | $318.22 – $3,395.34 |