M/phmtrc alys ishquant/semiq at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$103.50
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.
$450.00
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.
$91.81 with UNITED HEALTHCARE vs $450.00 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 | $91.81 | ↓ -11% |
| SENTARA HEALTH | SENTARA HEALTH | $116.15 | ↑ +12% |
| BLUE CROSS | TENNCARE BLUE CARE | $125.44 | ↑ +21% |
| BLUE CROSS | TENNCARE BLUE SELECT | $125.44 | ↑ +21% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $143.50 | ↑ +39% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $143.50 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $143.50 | ↑ +39% |
| MEDCOST | MEDCOST VHN | $214.16 | ↑ +107% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $227.66 | ↑ +120% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $227.66 | ↑ +120% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $227.88 | ↑ +120% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $229.87 | ↑ +122% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $232.08 | ↑ +124% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $315.00 | ↑ +204% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $319.50 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $319.50 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $319.50 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $319.50 | ↑ +209% |
| AMBETTER | AMBETTER | $319.50 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $319.50 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $319.50 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $319.50 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $319.50 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $319.50 | ↑ +209% |
| AETNA | AETNA | $320.40 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $324.61 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $329.09 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA HMO | $334.80 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $334.80 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $335.48 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $335.48 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $335.48 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $335.48 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $338.67 | ↑ +227% |
| BLUE CROSS | ANTHEM EXCHANGE | $355.21 | ↑ +243% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $360.00 | ↑ +248% |
| BLUE CROSS | ANTHEM HMO | $377.43 | ↑ +265% |
| BLUE CROSS | BLUE CROSS E NETWORK | $425.95 | ↑ +312% |
| BLUE CROSS | BLUE CROSS P NETWORK | $435.27 | ↑ +321% |
| BLUE CROSS | BLUE CROSS S NETWORK | $435.27 | ↑ +321% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $444.02 | ↑ +329% |
| AMERIGROUP | AMERIGROUP | $450.00 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $450.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $450.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $450.00 | ↑ +335% |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $600.21 | $108.14 – $1,098.46 |
| Johnson City Medical Center | JOHNSON CITY | $105.75 | $58.99 – $346.58 |
| Ascension Saint Thomas DeKalb | Smithville | $600.21 | $90.89 – $1,098.46 |
| Ascension Saint Thomas Highlands | Sparta | $600.21 | $90.89 – $1,098.46 |
| Ascension Saint Thomas River Park | McMinnville | $600.21 | $90.89 – $1,098.46 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $600.21 | $108.14 – $1,098.46 |
| Greeneville Community Hospital | GREENEVILLE | $105.75 | $53.09 – $346.58 |
| Bristol Regional Medical Center | BRISTOL | $105.75 | $110.17 – $387.89 |