Pr incision & drainage abscess complicated/multiple at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$155.25
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.
$675.00
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 $675.00 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 | $106.00 | ↓ -32% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $136.29 | ↓ -12% |
| SENTARA HEALTH | SENTARA HEALTH | $174.22 | ↑ +12% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $247.48 | ↑ +59% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $247.48 | ↑ +59% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $247.72 | ↑ +60% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $249.88 | ↑ +61% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $252.28 | ↑ +62% |
| MEDCOST | MEDCOST VHN | $321.23 | ↑ +107% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $447.00 | ↑ +188% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $479.25 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $479.25 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $479.25 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $479.25 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $479.25 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $479.25 | ↑ +209% |
| AMBETTER | AMBETTER | $479.25 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $479.25 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $479.25 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $479.25 | ↑ +209% |
| AETNA | AETNA | $480.60 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $486.92 | ↑ +214% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +216% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $493.63 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $502.20 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA HMO | $502.20 | ↑ +223% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $503.21 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $503.21 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $503.21 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $503.21 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $508.01 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $540.00 | ↑ +248% |
| AMERIGROUP | AMERIGROUP | $639.00 | ↑ +312% |
| WELLCARE | WELLCARE MEDICAID | $675.00 | ↑ +335% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $675.00 | ↑ +335% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $675.00 | ↑ +335% |
| BLUE CROSS | ANTHEM HMO | $675.00 | ↑ +335% |
| BLUE CROSS | ANTHEM EXCHANGE | $675.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $675.00 | ↑ +335% |
Visitor-reported prices
Comments
Pr incision & drainage abscess complicated/multiple at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $555.60 | $375.40 – $1,313.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $289.80 | $317.39 – $729.64 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $793.98 | $394.17 – $1,313.90 |
| Johnson City Medical Center | JOHNSON CITY | $158.25 | $136.29 – $826.95 |
| Ascension Saint Thomas DeKalb | Smithville | $290.99 | $80.98 – $1,004.50 |
| Ascension Saint Thomas Highlands | Sparta | $290.99 | $80.98 – $1,004.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $290.99 | $344.37 – $1,217.22 |
| Greeneville Community Hospital | GREENEVILLE | $158.25 | $136.29 – $826.95 |