Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$45.31
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.
$197.00
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.
$45.95 with BLUE CROSS vs $197.00 with BLUE CROSS — 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 | TENNCARE BLUE CARE | $45.95 | ↑ +1% |
| BLUE CROSS | TENNCARE BLUE SELECT | $45.95 | ↑ +1% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $46.00 | ↑ +2% |
| BLUE CROSS | ANTHEM EXCHANGE | $46.88 | ↑ +3% |
| BLUE CROSS | ANTHEM HMO | $46.88 | ↑ +3% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $46.88 | ↑ +3% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $50.15 | ↑ +11% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $50.15 | ↑ +11% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $50.20 | ↑ +11% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $50.64 | ↑ +12% |
| SENTARA HEALTH | SENTARA HEALTH | $50.85 | ↑ +12% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $51.12 | ↑ +13% |
| AMERIGROUP | AMERIGROUP | $78.52 | ↑ +73% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $91.41 | ↑ +102% |
| MEDCOST | MEDCOST VHN | $93.75 | ↑ +107% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $116.00 | ↑ +156% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $139.87 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $139.87 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $139.87 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $139.87 | ↑ +209% |
| AMBETTER | AMBETTER | $139.87 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $139.87 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $139.87 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $139.87 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $139.87 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $139.87 | ↑ +209% |
| AETNA | AETNA | $140.26 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $142.11 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $144.07 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA HMO | $146.57 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $146.57 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $146.86 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $146.86 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $146.86 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $146.86 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $148.26 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $157.60 | ↑ +248% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $197.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $197.00 | ↑ +335% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $197.00 | ↑ +335% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $197.00 | ↑ +335% |
| BLUE CROSS | BLUE CROSS E NETWORK | $197.00 | ↑ +335% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $197.00 | ↑ +335% |
| BLUE CROSS | BLUE CROSS P NETWORK | $197.00 | ↑ +335% |
| BLUE CROSS | BLUE CROSS S NETWORK | $197.00 | ↑ +335% |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $50.48 | $39.61 – $104.56 |
| CHI Memorial Hospital Hixson | Hixson | $63.35 | $42.80 – $189.52 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $90.53 | $44.94 – $189.52 |
| Johnson City Medical Center | JOHNSON CITY | $46.20 | $44.00 – $102.20 |
| Ascension Saint Thomas DeKalb | Smithville | $50.48 | $39.61 – $104.56 |
| Ascension Saint Thomas Highlands | Sparta | $50.48 | $39.61 – $104.56 |
| Ascension Saint Thomas River Park | McMinnville | $50.48 | $41.78 – $104.56 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $42.50 | $39.61 – $104.56 |