Surgical pathology level 5 gross & microscopic examination at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$230.92
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.
$1,004.00
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.
$28.83 with UNITED HEALTHCARE vs $1,004.00 with WELLCARE — 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 | $28.83 | ↓ -88% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $34.65 | ↓ -85% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $227.66 | ↓ -1% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $227.66 | ↓ -1% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $227.88 | ↓ -1% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $229.87 | ↓ -0% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $232.08 | ↑ +1% |
| SENTARA HEALTH | SENTARA HEALTH | $259.13 | ↑ +12% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $283.41 | ↑ +23% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $283.41 | ↑ +23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $283.41 | ↑ +23% |
| AMERIGROUP | AMERIGROUP | $415.60 | ↑ +80% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $451.42 | ↑ +95% |
| MEDCOST | MEDCOST VHN | $477.80 | ↑ +107% |
| BLUE CROSS | BLUE CROSS E NETWORK | $586.34 | ↑ +154% |
| BLUE CROSS | BLUE CROSS P NETWORK | $599.16 | ↑ +159% |
| BLUE CROSS | BLUE CROSS S NETWORK | $599.16 | ↑ +159% |
| AMBETTER | AMBETTER | $712.84 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $712.84 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $712.84 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $712.84 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $712.84 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $712.84 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $712.84 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $712.84 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $712.84 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $712.84 | ↑ +209% |
| AETNA | AETNA | $714.85 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $724.25 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $734.23 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA HMO | $746.98 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $746.98 | ↑ +223% |
| BLUE CROSS | ANTHEM EXCHANGE | $747.32 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $748.48 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $748.48 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $748.48 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $748.48 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $755.61 | ↑ +227% |
| BLUE CROSS | ANTHEM HMO | $794.07 | ↑ +244% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $803.20 | ↑ +248% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $934.16 | ↑ +305% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,004.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $1,004.00 | ↑ +335% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $161.76 | $22.20 – $570.20 |
| CHI Memorial Hospital Hixson | Hixson | $294.82 | $33.04 – $697.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $115.23 | $22.20 – $656.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $421.31 | $33.04 – $697.20 |
| Johnson City Medical Center | JOHNSON CITY | $235.20 | $34.65 – $729.17 |
| Ascension Saint Thomas DeKalb | Smithville | $161.76 | $22.20 – $570.20 |
| Ascension Saint Thomas Highlands | Sparta | $161.76 | $22.20 – $570.20 |
| Ascension Saint Thomas River Park | McMinnville | $161.76 | $28.54 – $570.20 |