Pt evaluation low complexity patient/family at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$72.45
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.
?
What you pay up front if you don't use insurance.
$315.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$46.00 with UNITED HEALTHCARE vs $336.88 with MOLINA HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $46.00 | ↓ -37% |
| BLUE CROSS | TENNCARE BLUE SELECT | $77.42 | ↑ +7% |
| BLUE CROSS | TENNCARE BLUE CARE | $77.42 | ↑ +7% |
| SENTARA HEALTH | SENTARA HEALTH | $81.30 | ↑ +12% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $93.52 | ↑ +29% |
| BLUE CROSS | ANTHEM EXCHANGE | $93.52 | ↑ +29% |
| BLUE CROSS | ANTHEM HMO | $93.52 | ↑ +29% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $116.00 | ↑ +60% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $146.16 | ↑ +102% |
| MEDCOST | MEDCOST VHN | $149.91 | ↑ +107% |
| AMERIGROUP | AMERIGROUP | $156.65 | ↑ +116% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $223.65 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $223.65 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $223.65 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $223.65 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $223.65 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $223.65 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $223.65 | ↑ +209% |
| AMBETTER | AMBETTER | $223.65 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $223.65 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $223.65 | ↑ +209% |
| AETNA | AETNA | $224.28 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $227.23 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $230.36 | ↑ +218% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $233.00 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $234.36 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA HMO | $234.36 | ↑ +223% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $234.83 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $234.83 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $234.83 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $234.83 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $237.07 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $252.00 | ↑ +248% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $257.00 | ↑ +255% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $315.00 | ↑ +335% |
| BLUE CROSS | BLUE CROSS P NETWORK | $315.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $315.00 | ↑ +335% |
| BLUE CROSS | BLUE CROSS E NETWORK | $315.00 | ↑ +335% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $315.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $315.00 | ↑ +335% |
| BLUE CROSS | BLUE CROSS S NETWORK | $315.00 | ↑ +335% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $330.47 | ↑ +356% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $330.79 | ↑ +357% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $333.67 | ↑ +361% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $336.88 | ↑ +365% |
Visitor-reported prices
Comments
Pt evaluation low complexity patient/family at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $69.56 | $66.74 – $176.18 |
| CHI Memorial Hospital Hixson | Hixson | $166.06 | $70.00 – $392.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $207.23 | $64.31 – $66.74 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $237.31 | $70.00 – $392.70 |
| Johnson City Medical Center | JOHNSON CITY | $73.80 | $44.00 – $295.67 |
| Ascension Saint Thomas DeKalb | Smithville | $129.60 | $66.74 – $176.18 |
| Ascension Saint Thomas Highlands | Sparta | $129.60 | $66.74 – $176.18 |
| Ascension Saint Thomas River Park | McMinnville | $123.42 | $83.29 – $176.18 |