X-ray tibia/fibula 2 views (both sides) at Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
$71.53
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.
$311.00
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.
$17.45 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 CARE | $17.45 | ↓ -76% |
| BLUE CROSS | TENNCARE BLUE SELECT | $17.45 | ↓ -76% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $22.40 | ↓ -69% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $28.88 | ↓ -60% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $39.42 | ↓ -45% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $39.42 | ↓ -45% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $39.46 | ↓ -45% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $39.81 | ↓ -44% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $40.18 | ↓ -44% |
| AMERIGROUP | AMERIGROUP | $43.69 | ↓ -39% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $44.85 | ↓ -37% |
| BLUE CROSS | BLUE CROSS E NETWORK | $55.17 | ↓ -23% |
| BLUE CROSS | BLUE CROSS P NETWORK | $56.37 | ↓ -21% |
| BLUE CROSS | BLUE CROSS S NETWORK | $56.37 | ↓ -21% |
| SENTARA HEALTH | SENTARA HEALTH | $72.53 | ↑ +1% |
| BLUE CROSS | ANTHEM EXCHANGE | $90.72 | ↑ +27% |
| BLUE CROSS | ANTHEM HMO | $96.39 | ↑ +35% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $113.40 | ↑ +59% |
| MEDCOST | MEDCOST VHN | $133.73 | ↑ +87% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $199.51 | ↑ +179% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $199.51 | ↑ +179% |
| WELLCARE | WELLCARE MEDICARE | $199.51 | ↑ +179% |
| AETNA | AETNA HEALTHCARE MEDICARE | $199.51 | ↑ +179% |
| AMBETTER | AMBETTER | $199.51 | ↑ +179% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $199.51 | ↑ +179% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $199.51 | ↑ +179% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $199.51 | ↑ +179% |
| SENTARA HEALTH | SENTARA MEDICARE | $199.51 | ↑ +179% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $199.51 | ↑ +179% |
| AETNA | AETNA | $200.07 | ↑ +180% |
| HUMANA | HUMANA MEDICARE | $202.70 | ↑ +183% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $205.50 | ↑ +187% |
| CIGNA HEALTHCARE | CIGNA HMO | $209.06 | ↑ +192% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $209.06 | ↑ +192% |
| NHC ADVANTAGE | NHC ADVANTAGE | $209.49 | ↑ +193% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $209.49 | ↑ +193% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $209.49 | ↑ +193% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $209.49 | ↑ +193% |
| BLUE CROSS | BLUE CROSS MEDICARE | $211.48 | ↑ +196% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $213.00 | ↑ +198% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $224.80 | ↑ +214% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↑ +226% |
| WELLCARE | WELLCARE MEDICAID | $281.00 | ↑ +293% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $281.00 | ↑ +293% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $281.00 | ↑ +293% |
Visitor-reported prices
Comments
X-ray tibia/fibula 2 views (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $88.44 | $15.04 – $127.70 |
| CHI Memorial Hospital Hixson | Hixson | $227.04 | $22.38 – $536.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $99.82 | $15.04 – $160.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $324.45 | $22.38 – $536.90 |
| Johnson City Medical Center | JOHNSON CITY | $72.75 | $17.45 – $88.52 |
| Ascension Saint Thomas DeKalb | Smithville | $124.85 | $15.04 – $127.70 |
| Ascension Saint Thomas Highlands | Sparta | $124.85 | $15.04 – $127.70 |
| Ascension Saint Thomas River Park | McMinnville | $118.89 | $20.34 – $127.70 |