Exome sequence analysis at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$6,019.79
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.
?
What you pay up front if you don't use insurance.
$26,173.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,390.00 with UNITED HEALTHCARE vs $26,173.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $2,390.00 | ↓ -60% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,744.51 | ↓ -54% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,744.51 | ↓ -54% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,747.17 | ↓ -54% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,771.15 | ↓ -54% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,797.80 | ↓ -54% |
| BLUE CROSS | TENNCARE BLUE CARE | $4,504.83 | ↓ -25% |
| BLUE CROSS | TENNCARE BLUE SELECT | $4,504.83 | ↓ -25% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,780.00 | ↓ -21% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $4,780.00 | ↓ -21% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $4,780.00 | ↓ -21% |
| BLUE CROSS | ANTHEM HMO | $4,780.00 | ↓ -21% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $4,780.00 | ↓ -21% |
| BLUE CROSS | ANTHEM EXCHANGE | $4,780.00 | ↓ -21% |
| SENTARA HEALTH | SENTARA HEALTH | $6,755.25 | ↑ +12% |
| AMERIGROUP | AMERIGROUP | $8,006.50 | ↑ +33% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $10,536.54 | ↑ +75% |
| MEDCOST | MEDCOST VHN | $12,455.73 | ↑ +107% |
| BLUE CROSS | BLUE CROSS E NETWORK | $15,296.00 | ↑ +154% |
| BLUE CROSS | BLUE CROSS S NETWORK | $15,630.60 | ↑ +160% |
| BLUE CROSS | BLUE CROSS P NETWORK | $15,630.60 | ↑ +160% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $18,321.10 | ↑ +204% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $18,582.83 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $18,582.83 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $18,582.83 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $18,582.83 | ↑ +209% |
| AMBETTER | AMBETTER | $18,582.83 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $18,582.83 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $18,582.83 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $18,582.83 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $18,582.83 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $18,582.83 | ↑ +209% |
| AETNA | AETNA | $18,635.18 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $18,880.16 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $19,140.31 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $19,472.71 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA HMO | $19,472.71 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $19,511.97 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $19,511.97 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $19,511.97 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $19,511.97 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $19,697.80 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $20,938.40 | ↑ +248% |
| WELLCARE | WELLCARE MEDICAID | $26,173.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $26,173.00 | ↑ +335% |
Visitor-reported prices
Comments
Exome sequence analysis at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $6,134.25 | $1,720.80 – $10,420.40 |
| Bristol Regional Medical Center | BRISTOL | $6,134.25 | $2,390.00 – $11,472.00 |
| Holston Valley Medical Center | KINGSPORT | $6,134.25 | $2,390.00 – $11,472.00 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $6,134.25 | $2,390.00 – $10,420.40 |
| Ascension Saint Thomas Midtown | Nashville | not published | $1,720.80 – $14,987.66 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $3,883.47 – $14,987.66 |
| Ascension Saint Thomas Highlands | Sparta | not published | $3,883.47 – $14,987.66 |
| Ascension Saint Thomas River Park | McMinnville | not published | $4,302.00 – $14,987.66 |