Treatment of fibula fracture 27780 at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$217.35
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.
$945.00
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.
$106.00 with UNITED HEALTHCARE vs $945.00 with WELLCARE — 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 | $106.00 | ↓ -51% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $193.83 | ↓ -11% |
| SENTARA HEALTH | SENTARA HEALTH | $243.90 | ↑ +12% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $447.00 | ↑ +106% |
| MEDCOST | MEDCOST VHN | $449.73 | ↑ +107% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +126% |
| BLUE CROSS | ANTHEM EXCHANGE | $514.28 | ↑ +137% |
| BLUE CROSS | ANTHEM HMO | $546.45 | ↑ +151% |
| AMERIGROUP | AMERIGROUP | $639.00 | ↑ +194% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $642.86 | ↑ +196% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $670.95 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $670.95 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $670.95 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $670.95 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $670.95 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $670.95 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $670.95 | ↑ +209% |
| AMBETTER | AMBETTER | $670.95 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $670.95 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $670.95 | ↑ +209% |
| AETNA | AETNA | $672.84 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $681.69 | ↑ +214% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $689.96 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $689.97 | ↑ +217% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $690.64 | ↑ +218% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $691.08 | ↑ +218% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $696.66 | ↑ +221% |
| CIGNA HEALTHCARE | CIGNA HMO | $703.08 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $703.08 | ↑ +223% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $703.36 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $704.50 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $704.50 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $704.50 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $704.50 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $711.21 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $756.00 | ↑ +248% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +290% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $945.00 | ↑ +335% |
| WELLCARE | WELLCARE MEDICAID | $945.00 | ↑ +335% |
Visitor-reported prices
Comments
Treatment of fibula fracture 27780 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $221.40 | $193.83 – $617.32 |
| Greeneville Community Hospital | GREENEVILLE | $221.40 | $182.54 – $669.87 |
| Bristol Regional Medical Center | BRISTOL | $221.40 | $193.83 – $628.19 |
| Franklin Woods Community Hospital | JOHNSON CITY | $221.40 | $193.83 – $669.87 |
| Holston Valley Medical Center | KINGSPORT | $221.40 | $193.83 – $628.19 |
| Indian Path Community Hospital | KINGSPORT | $221.40 | $193.83 – $589.46 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $221.40 | $193.83 – $690.64 |
| Johnson County Community Hospital | MOUNTAIN CITY | $217.35 | $193.83 – $696.66 |