#resp virpnl dfa-adenovirus at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$10.81
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.
$47.00
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.
$8.50 with UNITED HEALTHCARE vs $47.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $8.50 | ↓ -21% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $11.55 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $11.55 | ↑ +7% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $11.56 | ↑ +7% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $11.66 | ↑ +8% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $11.77 | ↑ +9% |
| SENTARA HEALTH | SENTARA HEALTH | $12.13 | ↑ +12% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $14.43 | ↑ +33% |
| BLUE CROSS | ANTHEM EXCHANGE | $14.43 | ↑ +33% |
| BLUE CROSS | ANTHEM HMO | $14.43 | ↑ +33% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $14.43 | ↑ +33% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $14.43 | ↑ +33% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $14.43 | ↑ +33% |
| MEDCOST | MEDCOST VHN | $22.37 | ↑ +107% |
| BLUE CROSS | TENNCARE BLUE SELECT | $23.17 | ↑ +114% |
| BLUE CROSS | TENNCARE BLUE CARE | $23.17 | ↑ +114% |
| AMERIGROUP | AMERIGROUP | $24.79 | ↑ +129% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $31.76 | ↑ +194% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $33.37 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $33.37 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $33.37 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $33.37 | ↑ +209% |
| AMBETTER | AMBETTER | $33.37 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $33.37 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $33.37 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $33.37 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $33.37 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $33.37 | ↑ +209% |
| AETNA | AETNA | $33.46 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $33.90 | ↑ +214% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $34.21 | ↑ +216% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $34.37 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA HMO | $34.97 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $34.97 | ↑ +223% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $35.04 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $35.04 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $35.04 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $35.04 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $35.37 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $37.60 | ↑ +248% |
| BLUE CROSS | BLUE CROSS E NETWORK | $47.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $47.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $47.00 | ↑ +335% |
| BLUE CROSS | BLUE CROSS P NETWORK | $47.00 | ↑ +335% |
| BLUE CROSS | BLUE CROSS S NETWORK | $47.00 | ↑ +335% |
Visitor-reported prices
Comments
#resp virpnl dfa-adenovirus at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $35.19 | $12.55 – $28.86 |
| Greeneville Community Hospital | GREENEVILLE | $11.10 | $6.12 – $31.46 |
| Bristol Regional Medical Center | BRISTOL | $11.10 | $7.22 – $34.63 |
| Holston Valley Medical Center | KINGSPORT | $11.10 | $7.22 – $34.63 |
| 62-0123940 BMH Collierville | Collierville | $32.13 | $13.71 – $28.86 |
| 62-1138045 BMH Union City | Union City | $29.40 | $12.55 – $28.86 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $11.10 | $7.22 – $31.46 |
| Parkwest Medical Center | Knoxville | $41.58 | $6.49 – $59.40 |