Ghs simple repair 20.1 - 30.0 cm - 12017 at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$278.76
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.
$1,212.00
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 $1,212.00 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 | ↓ -62% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $269.45 | ↓ -3% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $269.45 | ↓ -3% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $269.71 | ↓ -3% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $272.07 | ↓ -2% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $274.68 | ↓ -1% |
| SENTARA HEALTH | SENTARA HEALTH | $312.82 | ↑ +12% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $319.00 | ↑ +14% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $447.00 | ↑ +60% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +76% |
| MEDCOST | MEDCOST VHN | $576.79 | ↑ +107% |
| AMERIGROUP | AMERIGROUP | $639.00 | ↑ +129% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +204% |
| BLUE CROSS | ANTHEM EXCHANGE | $847.53 | ↑ +204% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $860.52 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $860.52 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $860.52 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $860.52 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $860.52 | ↑ +209% |
| AMBETTER | AMBETTER | $860.52 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $860.52 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $860.52 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $860.52 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $860.52 | ↑ +209% |
| AETNA | AETNA | $862.94 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $874.29 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $886.34 | ↑ +218% |
| BLUE CROSS | ANTHEM HMO | $900.55 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $901.73 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA HMO | $901.73 | ↑ +223% |
| NHC ADVANTAGE | NHC ADVANTAGE | $903.55 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $903.55 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $903.55 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $903.55 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $912.15 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $969.60 | ↑ +248% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,059.43 | ↑ +280% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,212.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $1,212.00 | ↑ +335% |
Visitor-reported prices
Comments
Ghs simple repair 20.1 - 30.0 cm - 12017 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $107.64 | $317.39 – $729.64 |
| Johnson City Medical Center | JOHNSON CITY | $283.95 | $241.08 – $826.95 |
| Greeneville Community Hospital | GREENEVILLE | $283.95 | $261.60 – $826.95 |
| Bristol Regional Medical Center | BRISTOL | $283.95 | $245.09 – $925.54 |
| Franklin Woods Community Hospital | JOHNSON CITY | $283.95 | $261.60 – $804.63 |
| Holston Valley Medical Center | KINGSPORT | $283.95 | $237.95 – $925.54 |
| 62-0123940 BMH Collierville | Collierville | $108.36 | $347.56 – $731.70 |
| Indian Path Community Hospital | KINGSPORT | $283.95 | $230.20 – $885.17 |