Removal duct glbldr calculi at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$825.47
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.
$3,589.00
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.
$148.00 with BLUE CROSS vs $8,228.43 with MOLINA HEALTHCARE — 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 | BLUE CROSS E NETWORK | $148.00 | ↓ -82% |
| BLUE CROSS | BLUE CROSS S NETWORK | $151.00 | ↓ -82% |
| BLUE CROSS | BLUE CROSS P NETWORK | $151.00 | ↓ -82% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $223.00 | ↓ -73% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $263.00 | ↓ -68% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $289.00 | ↓ -65% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $528.00 | ↓ -36% |
| BLUE CROSS | TENNCARE BLUE SELECT | $775.00 | ↓ -6% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↓ -6% |
| SENTARA HEALTH | SENTARA HEALTH | $926.32 | ↑ +12% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $1,708.01 | ↑ +107% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,548.19 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,548.19 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,548.19 | ↑ +209% |
| AMBETTER | AMBETTER | $2,548.19 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,548.19 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,548.19 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,548.19 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,548.19 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,548.19 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $2,548.19 | ↑ +209% |
| AETNA | AETNA | $2,555.37 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $2,588.96 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,624.64 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,670.22 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,670.22 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,675.60 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,675.60 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,675.60 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,675.60 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,701.08 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,871.20 | ↑ +248% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,589.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,589.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $3,589.00 | ↑ +335% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $8,071.70 | ↑ +878% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $8,079.53 | ↑ +879% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $8,150.06 | ↑ +887% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $8,228.43 | ↑ +897% |
Visitor-reported prices
Comments
Removal duct glbldr calculi at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $2,808.30 | $2,118.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $254.27 | $171.80 – $601.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $363.36 | $180.39 – $601.30 |
| Johnson City Medical Center | JOHNSON CITY | $841.05 | $5,607.00 – $7,510.70 |
| Greeneville Community Hospital | GREENEVILLE | $841.05 | $7,836.60 – $7,836.60 |
| Bristol Regional Medical Center | BRISTOL | $841.05 | $5,607.00 – $7,484.46 |
| Franklin Woods Community Hospital | JOHNSON CITY | $841.05 | $7,836.60 – $8,150.06 |
| Holston Valley Medical Center | KINGSPORT | $841.05 | $5,607.00 – $7,484.46 |