Heparin bolus from bag at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$19.32
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.
$84.00
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.
$0.13 with UNITED HEALTHCARE vs $20.00 with SEVEN CORNERS, INC. — 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 | $0.13 | ↓ -99% |
| BLUE CROSS | TENNCARE BLUE CARE | $0.16 | ↓ -99% |
| BLUE CROSS | TENNCARE BLUE SELECT | $0.16 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $0.37 | ↓ -98% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $0.62 | ↓ -97% |
| SENTARA HEALTH | SENTARA HEALTH | $5.16 | ↓ -73% |
| MEDCOST | MEDCOST VHN | $9.52 | ↓ -51% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $14.20 | ↓ -27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $14.20 | ↓ -27% |
| WELLCARE | WELLCARE MEDICARE | $14.20 | ↓ -27% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $14.20 | ↓ -27% |
| AETNA | AETNA HEALTHCARE MEDICARE | $14.20 | ↓ -27% |
| AMBETTER | AMBETTER | $14.20 | ↓ -27% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $14.20 | ↓ -27% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $14.20 | ↓ -27% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $14.20 | ↓ -27% |
| SENTARA HEALTH | SENTARA MEDICARE | $14.20 | ↓ -27% |
| AETNA | AETNA | $14.24 | ↓ -26% |
| HUMANA | HUMANA MEDICARE | $14.43 | ↓ -25% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $14.63 | ↓ -24% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $14.88 | ↓ -23% |
| CIGNA HEALTHCARE | CIGNA HMO | $14.88 | ↓ -23% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $14.91 | ↓ -23% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $14.91 | ↓ -23% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $14.91 | ↓ -23% |
| NHC ADVANTAGE | NHC ADVANTAGE | $14.91 | ↓ -23% |
| BLUE CROSS | BLUE CROSS MEDICARE | $15.05 | ↓ -22% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $16.00 | ↓ -17% |
| WELLCARE | WELLCARE MEDICAID | $20.00 | ↑ +4% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $20.00 | ↑ +4% |
Visitor-reported prices
Comments
Heparin bolus from bag at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $11.81 | $0.14 – $0.50 |
| CHI Memorial Hospital Hixson | Hixson | $36.74 | $0.05 – $0.25 |
| 62-1166050 BMH Carroll County | Huntingdon | $39.90 | $0.14 – $0.33 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $52.50 | $0.06 – $0.25 |
| Johnson City Medical Center | JOHNSON CITY | $454.85 | $0.16 – $0.37 |
| Ascension Saint Thomas Highlands | Sparta | $8.31 | $0.13 – $0.50 |
| Ascension Saint Thomas River Park | McMinnville | $8.31 | $0.13 – $0.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $62.54 | $0.14 – $0.50 |