Deep muscle biopsy 20205 at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$1,104.00
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.
$4,800.00
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.
$697.00 with UNITED HEALTHCARE vs $4,800.00 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 | $697.00 | ↓ -37% |
| BLUE CROSS | TENNCARE BLUE SELECT | $890.00 | ↓ -19% |
| BLUE CROSS | TENNCARE BLUE CARE | $890.00 | ↓ -19% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,002.00 | ↓ -9% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,082.00 | ↓ -2% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,103.00 | ↓ -0% |
| SENTARA HEALTH | SENTARA HEALTH | $1,238.88 | ↑ +12% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,861.00 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,246.00 | ↑ +103% |
| MEDCOST | MEDCOST VHN | $2,284.32 | ↑ +107% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,587.50 | ↑ +134% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,587.51 | ↑ +134% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,590.02 | ↑ +135% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,612.63 | ↑ +137% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,637.75 | ↑ +139% |
| AMERIGROUP | AMERIGROUP | $3,270.31 | ↑ +196% |
| AMBETTER | AMBETTER | $3,408.00 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,408.00 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,408.00 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,408.00 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,408.00 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,408.00 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,408.00 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $3,408.00 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,408.00 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,408.00 | ↑ +209% |
| AETNA | AETNA | $3,417.60 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $3,462.53 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,510.24 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $3,571.20 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA HMO | $3,571.20 | ↑ +223% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,578.40 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,578.40 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,578.40 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,578.40 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,612.48 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,840.00 | ↑ +248% |
| BLUE CROSS | BLUE CROSS E NETWORK | $3,993.00 | ↑ +262% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,082.00 | ↑ +270% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,082.00 | ↑ +270% |
| BLUE CROSS | ANTHEM EXCHANGE | $4,800.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $4,800.00 | ↑ +335% |
| BLUE CROSS | ANTHEM HMO | $4,800.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,800.00 | ↑ +335% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $4,800.00 | ↑ +335% |
Visitor-reported prices
Comments
Deep muscle biopsy 20205 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $1,124.85 | $2,208.38 – $5,908.92 |
| Greeneville Community Hospital | GREENEVILLE | $1,124.85 | $1,974.80 – $5,908.92 |
| Bristol Regional Medical Center | BRISTOL | $1,124.85 | $2,353.56 – $6,613.35 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,124.85 | $1,942.15 – $5,749.39 |
| Holston Valley Medical Center | KINGSPORT | $1,124.85 | $2,285.01 – $6,613.35 |
| Indian Path Community Hospital | KINGSPORT | $1,124.85 | $2,147.16 – $6,324.90 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,124.85 | $2,587.51 – $5,745.12 |
| Johnson County Community Hospital | MOUNTAIN CITY | $1,104.00 | $2,512.14 – $3,309.36 |