Exc mal+marg tal 2.1-3 cm 11603 at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$161.00
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.
$700.00
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.
$86.33 with BLUE CROSS vs $700.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $86.33 | ↓ -46% |
| BLUE CROSS | TENNCARE BLUE CARE | $86.33 | ↓ -46% |
| SENTARA HEALTH | SENTARA HEALTH | $180.67 | ↑ +12% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $190.43 | ↑ +18% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $214.90 | ↑ +33% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $270.20 | ↑ +68% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $270.20 | ↑ +68% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $324.80 | ↑ +102% |
| MEDCOST | MEDCOST VHN | $333.13 | ↑ +107% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $413.29 | ↑ +157% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $497.00 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $497.00 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $497.00 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $497.00 | ↑ +209% |
| AMBETTER | AMBETTER | $497.00 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $497.00 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $497.00 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $497.00 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $497.00 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $497.00 | ↑ +209% |
| AETNA | AETNA | $498.40 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $504.95 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $511.91 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA HMO | $520.80 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $520.80 | ↑ +223% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $521.85 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $521.85 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $521.85 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $521.85 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $526.82 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $560.00 | ↑ +248% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $611.89 | ↑ +280% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $611.89 | ↑ +280% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $612.49 | ↑ +280% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $617.83 | ↑ +284% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $623.77 | ↑ +287% |
| AMERIGROUP | AMERIGROUP | $700.00 | ↑ +335% |
| BLUE CROSS | ANTHEM HMO | $700.00 | ↑ +335% |
| BLUE CROSS | ANTHEM EXCHANGE | $700.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $700.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $700.00 | ↑ +335% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $700.00 | ↑ +335% |
Visitor-reported prices
Comments
Exc mal+marg tal 2.1-3 cm 11603 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,051.40 | $110.76 – $2,486.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,502.50 | $110.76 – $2,486.40 |
| Johnson City Medical Center | JOHNSON CITY | $164.10 | $86.33 – $1,440.52 |
| Greeneville Community Hospital | GREENEVILLE | $164.10 | $86.33 – $1,440.52 |
| Bristol Regional Medical Center | BRISTOL | $164.10 | $86.33 – $1,464.46 |
| Franklin Woods Community Hospital | JOHNSON CITY | $164.10 | $104.93 – $1,401.63 |
| Holston Valley Medical Center | KINGSPORT | $164.10 | $86.33 – $1,464.46 |
| Indian Path Community Hospital | KINGSPORT | $164.10 | $86.33 – $1,400.59 |