Mayo factor v at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$30.36
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.
$132.00
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.
$5.17 with BLUE CROSS vs $132.00 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 |
|---|---|---|---|
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5.17 | ↓ -83% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $5.17 | ↓ -83% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5.18 | ↓ -83% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5.22 | ↓ -83% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5.27 | ↓ -83% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $12.50 | ↓ -59% |
| BLUE CROSS | ANTHEM EXCHANGE | $17.65 | ↓ -42% |
| BLUE CROSS | ANTHEM HMO | $17.65 | ↓ -42% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $17.65 | ↓ -42% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $17.65 | ↓ -42% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $17.65 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $17.65 | ↓ -42% |
| SENTARA HEALTH | SENTARA HEALTH | $34.07 | ↑ +12% |
| AMERIGROUP | AMERIGROUP | $36.50 | ↑ +20% |
| BLUE CROSS | TENNCARE BLUE CARE | $38.96 | ↑ +28% |
| BLUE CROSS | TENNCARE BLUE SELECT | $38.96 | ↑ +28% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $38.98 | ↑ +28% |
| MEDCOST | MEDCOST VHN | $62.82 | ↑ +107% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $67.45 | ↑ +122% |
| BLUE CROSS | BLUE CROSS E NETWORK | $77.02 | ↑ +154% |
| BLUE CROSS | BLUE CROSS S NETWORK | $78.71 | ↑ +159% |
| BLUE CROSS | BLUE CROSS P NETWORK | $78.71 | ↑ +159% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $93.72 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $93.72 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $93.72 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $93.72 | ↑ +209% |
| AMBETTER | AMBETTER | $93.72 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $93.72 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $93.72 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $93.72 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $93.72 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $93.72 | ↑ +209% |
| AETNA | AETNA | $93.98 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $95.22 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $96.53 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $98.21 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA HMO | $98.21 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $98.41 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $98.41 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $98.41 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $98.41 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $99.34 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $105.60 | ↑ +248% |
| WELLCARE | WELLCARE MEDICAID | $132.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $132.00 | ↑ +335% |
Visitor-reported prices
Comments
Mayo factor v at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $165.96 | $6.35 – $68.87 |
| CHI Memorial Hospital Hixson | Hixson | $158.36 | $15.67 – $49.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $26.22 | $15.36 – $35.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $226.31 | $14.70 – $49.00 |
| Johnson City Medical Center | JOHNSON CITY | $30.90 | $4.63 – $38.48 |
| Ascension Saint Thomas DeKalb | Smithville | $165.96 | $12.38 – $68.87 |
| Ascension Saint Thomas Highlands | Sparta | $165.96 | $12.38 – $68.87 |
| Ascension Saint Thomas River Park | McMinnville | $165.96 | $12.38 – $68.87 |