Established Patient Office Visit (level 3) at 62-1138045 BMH Union City
1201 Bishop Street, Union City, TN · Baptistonline · · NPI 1114981768
$178.20
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.
$891.00
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.
$53.73 with Aetna vs $322.20 with QCA — 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 |
|---|---|---|---|
| Aetna | Medicare | $53.73 | ↓ -70% |
| Magnolia TN | Exchange | $74.93 | ↓ -58% |
| PPO Holdings | Commercial | $136.04 | ↓ -24% |
| TN BCBS | Network E | $136.04 | ↓ -24% |
| Magnolia Regional Health Center | Commercial | $143.20 | ↓ -20% |
| TN BCBS | Network L | $150.36 | ↓ -16% |
| TN BCBS | Network S | $150.36 | ↓ -16% |
| Cigna | PPO | $155.01 | ↓ -13% |
| Cigna | Local Plus | $155.01 | ↓ -13% |
| Cigna | IFP | $155.01 | ↓ -13% |
| Littler | Commercial | $179.00 | ↑ +0% |
| United Healthcare | Commercial | $206.57 | ↑ +16% |
| TN BCBS | Network P | $214.80 | ↑ +21% |
| Aetna | Commercial | $224.11 | ↑ +26% |
| Oscar | Commercial | $232.70 | ↑ +31% |
| Humana | CPOS/HMO/NPOS/PPO | $236.28 | ↑ +33% |
| First Choice Health Plan of MS | Commercial | $250.60 | ↑ +41% |
| NovaSys | All | $268.50 | ↑ +51% |
| MPCN | PPO/HMO | $268.50 | ↑ +51% |
| Multiplan | MPI Primary Network | $268.50 | ↑ +51% |
| Multiplan | Complementary Network | $268.50 | ↑ +51% |
| PPO Plus | Commercial | $304.30 | ↑ +71% |
| QCA | All | $322.20 | ↑ +81% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $71.04 | $48.00 – $168.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $112.01 | $37.88 – $53.73 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $101.52 | $50.40 – $168.00 |
| Johnson City Medical Center | JOHNSON CITY | $36.30 | $43.80 – $64.91 |
| Hancock County Hospital | SNEEDVILLE | $35.42 | $36.06 – $43.80 |
| Greeneville Community Hospital | GREENEVILLE | $36.30 | $25.96 – $43.80 |
| Bristol Regional Medical Center | BRISTOL | $36.30 | $43.27 – $43.80 |
| Franklin Woods Community Hospital | JOHNSON CITY | $36.30 | $43.80 – $64.91 |