X-ray exam of femur 1 at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$64.63
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.
$281.00
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.
$16.24 with BLUE CROSS vs $281.00 with SEVEN CORNERS, INC. — 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 | TENNCARE BLUE SELECT | $16.24 | ↓ -75% |
| BLUE CROSS | TENNCARE BLUE CARE | $16.24 | ↓ -75% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $30.40 | ↓ -53% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $39.84 | ↓ -38% |
| BLUE CROSS | BLUE CROSS E NETWORK | $55.14 | ↓ -15% |
| BLUE CROSS | BLUE CROSS P NETWORK | $56.34 | ↓ -13% |
| BLUE CROSS | BLUE CROSS S NETWORK | $56.34 | ↓ -13% |
| SENTARA HEALTH | SENTARA HEALTH | $72.53 | ↑ +12% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $78.85 | ↑ +22% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $78.85 | ↑ +22% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $78.92 | ↑ +22% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $79.61 | ↑ +23% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $80.38 | ↑ +24% |
| AMERIGROUP | AMERIGROUP | $87.38 | ↑ +35% |
| MEDCOST | MEDCOST VHN | $133.73 | ↑ +107% |
| BLUE CROSS | ANTHEM EXCHANGE | $181.44 | ↑ +181% |
| BLUE CROSS | ANTHEM HMO | $192.79 | ↑ +198% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $196.70 | ↑ +204% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $199.51 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $199.51 | ↑ +209% |
| WELLCARE | WELLCARE MEDICARE | $199.51 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $199.51 | ↑ +209% |
| AMBETTER | AMBETTER | $199.51 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $199.51 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $199.51 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $199.51 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $199.51 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $199.51 | ↑ +209% |
| AETNA | AETNA | $200.07 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $202.70 | ↑ +214% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $205.50 | ↑ +218% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $209.06 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA HMO | $209.06 | ↑ +223% |
| NHC ADVANTAGE | NHC ADVANTAGE | $209.49 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $209.49 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $209.49 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $209.49 | ↑ +224% |
| BLUE CROSS | BLUE CROSS MEDICARE | $211.48 | ↑ +227% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $213.00 | ↑ +230% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $224.80 | ↑ +248% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $226.80 | ↑ +251% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↑ +261% |
| WELLCARE | WELLCARE MEDICAID | $281.00 | ↑ +335% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $281.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $281.00 | ↑ +335% |
Visitor-reported prices
Comments
X-ray exam of femur 1 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $106.05 | $14.00 – $127.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $54.28 | $14.00 – $160.80 |
| Johnson City Medical Center | JOHNSON CITY | $65.85 | $16.24 – $177.03 |
| Ascension Saint Thomas DeKalb | Smithville | $96.20 | $14.00 – $127.70 |
| Ascension Saint Thomas Highlands | Sparta | $96.20 | $14.00 – $127.70 |
| Ascension Saint Thomas River Park | McMinnville | $96.20 | $20.33 – $127.70 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $106.05 | $14.00 – $127.70 |
| Greeneville Community Hospital | GREENEVILLE | $65.85 | $16.24 – $177.03 |