Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $27.90 | $186.00 | $14.64 – $63.83 | 17 |
| 17-hydroxypregnenolone CPT 84143 | $40.05 | $267.00 | $11.41 – $49.73 | 17 |
| 17-ketosteroids CPT 83586 | $22.50 | $150.00 | $6.40 – $27.90 | 17 |
| 2019-ncov diagnostic p HCPCS U0001 | $10.35 | $69.00 | $11.55 – $78.31 | 17 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $183.75 | $1,225.00 | $278.35 – $1,550.48 | 17 |
| 2nd order venous cath CPT 36012 | $1,818.15 | $12,121.00 | $282.68 – $971.54 | 5 |
| 3-d radiotherapy plan CPT 77295 | $1,404.15 | $9,361.00 | $476.77 – $2,737.61 | 17 |
| 3d recon without postprocess indpndt CPT 76376 | $559.65 | $3,731.00 | $54.14 – $1,835.00 | 3 |
| 5' nucleotidase - sendout CPT 83915 | $19.35 | $129.00 | $5.58 – $24.31 | 17 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $29.55 | $197.00 | $8.54 – $138.44 | 6 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $56.85 | $379.00 | $37.10 – $39.08 | 2 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $58.95 | $393.00 | $39.49 – $42.42 | 2 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $60.75 | $405.00 | $41.87 – $44.15 | 2 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $56.85 | $379.00 | $33.87 – $47.08 | 2 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $56.85 | $379.00 | $37.10 – $53.36 | 2 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $60.75 | $405.00 | $41.87 – $44.21 | 2 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $66.60 | $444.00 | $49.87 – $63.77 | 2 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $1,441.50 | $9,609.99 | $10.50 – $2,470.13 | 17 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $21.00 | $140.00 | $6.01 – $26.18 | 17 |
| Abd aorta w/runoff s&i CPT 75630 | $1,357.80 | $9,052.00 | $121.02 – $6,245.05 | 17 |
| Abd/low ext cath 1st CPT 36245 | $813.30 | $5,422.00 | $354.29 – $971.54 | 5 |
| Abd/low ext cath 2nd CPT 36246 | $894.75 | $5,965.00 | $390.01 – $971.54 | 5 |
| Abd/low ext cath 3rd CPT 36247 | $984.15 | $6,561.00 | $461.76 – $971.54 | 5 |
| Abd/low ext cath addl CPT 36248 | $393.60 | $2,624.00 | $85.21 – $971.54 | 5 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $617.10 | $4,114.00 | $159.14 – $455.25 | 17 |
| Abdominal CT scan (with contrast) CPT 74160 | $587.70 | $3,918.00 | $150.25 – $455.25 | 17 |
| Abdominal CT scan (without contrast) CPT 74150 | $559.65 | $3,731.00 | $94.85 – $206.78 | 17 |
| Abdominal MRI (with and without contrast) CPT 74183 | $668.55 | $4,457.00 | $267.02 – $690.02 | 17 |
| Abdominal MRI (with contrast) CPT 74182 | $636.75 | $4,245.00 | $217.92 – $690.02 | 17 |
| Abdominal MRI (without contrast) CPT 74181 | $604.95 | $4,033.00 | $169.21 – $471.92 | 17 |
| Abdominal paracentesis w/image guidance CPT 49083 | $324.60 | $2,164.00 | $822.88 – $1,793.89 | 17 |
| Abdominal Ultrasound (complete) CPT 76700 | $101.55 | $677.00 | $48.16 – $234.44 | 17 |
| Abdominal Ultrasound (limited) CPT 76705 | $96.45 | $643.00 | $46.49 – $206.78 | 17 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $407.25 | $2,715.00 | $822.88 – $1,793.89 | 17 |
| Abl1 gene CPT 81170 | $285.45 | $1,903.00 | $150.00 – $654.00 | 17 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $366.15 | $2,441.00 | $224.00 – $224.00 | 1 |
| Ablate arrhythmia add on CPT 93655 | $513.90 | $3,426.00 | $408.64 – $24,590.07 | 5 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $13,934.40 | $92,896.00 | $2,587.51 – $16,172.41 | 17 |
| Ablate heart dysrhythm focus CPT 93650 | $3,730.80 | $24,872.00 | $566.85 – $24,145.10 | 17 |
| Ablation cryo abd perit om CPT 49999 | $3,139.50 | $20,930.00 | $822.88 – $1,793.89 | 17 |
| Ablation cryo adrenal tumor CPT 60699 | $881.55 | $5,877.00 | $4,704.53 – $11,957.20 | 17 |
| Ablation cryo retro lymph node CPT 38999 | $199.65 | $1,331.00 | $400.27 – $4,709.09 | 17 |
| Ablation of upper extremity nerves rf CPT 64999 | $2,473.80 | $16,492.00 | $105.61 – $607.11 | 17 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $732.45 | $4,883.00 | $224.00 – $3,266.63 | 16 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,161.30 | $7,742.00 | $1,044.12 – $3,266.63 | 17 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $67.35 | $449.00 | $449.00 – $22,390.47 | 5 |
| Acetaminophen level CPT 80143 | $24.00 | $160.00 | $9.32 – $40.64 | 17 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $84.41 | $562.76 | $31.98 – $34.92 | 2 |
| Acetone qualitative CPT 82009 | $7.95 | $53.00 | $2.26 – $9.85 | 17 |
| Acetylcholine receptor modulating antibody CPT 86043 | $21.15 | $141.00 | $6.03 – $26.27 | 17 |
| Acetylcholinesterase assay CPT 82013 | $19.50 | $130.00 | $6.15 – $26.79 | 17 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $536.58 | $3,577.20 | $0.59 – $1.40 | 3 |
| Acetylcysteine non-comp unit HCPCS J7608 | $4.80 | $32.01 | $2.23 – $15.81 | 16 |
| Acne surgery 10040 CPT 10040 | $83.55 | $557.00 | $31.39 – $396.83 | 17 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $38.55 | $257.00 | $26.85 – $200.93 | 17 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $19.65 | $131.00 | $40.22 – $84.06 | 5 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $39.45 | $263.00 | $80.74 – $351.06 | 17 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $94.35 | $629.00 | $47.63 – $263.32 | 17 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $5.25 | $35.00 | $7.32 – $292.92 | 17 |
| Acoustic immitance testing CPT 92570 | $15.45 | $103.00 | $29.79 – $254.50 | 17 |
| Acoustic refl threshold tst CPT 92568 | $10.50 | $70.00 | $13.27 – $73.87 | 17 |
| Acute hepatitis panel CPT 80074 | $80.70 | $538.00 | $10.60 – $103.83 | 17 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $27.51 | $183.41 | $0.02 – $0.07 | 2 |
| #acylcarnitineprfl CPT 82017 | $28.50 | $190.00 | $8.44 – $36.78 | 17 |
| Adapter b 8 channel 10cm HCPCS C1883 | $75.15 | $501.00 | $96.40 – $96.40 | 1 |
| Adding walker to prev cast CPT 29440 | $68.40 | $456.00 | $33.25 – $321.40 | 17 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $26.78 | $178.52 | $0.99 – $0.99 | 1 |
| Adenovirus ag ia CPT 87301 | $20.10 | $134.00 | $5.99 – $26.12 | 17 |
| Adenovirus antibody,serum - quest CPT 86603 | $22.50 | $150.00 | $6.44 – $28.06 | 17 |
| Adh-sendout CPT 84588 | $30.75 | $205.00 | $16.97 – $73.99 | 17 |
| Adj gastric band via subq port CPT 43999 | $331.80 | $2,212.00 | $822.88 – $4,801.13 | 17 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $273.18 | $1,821.23 | $0.12 – $140.13 | 16 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $58.95 | $393.00 | $17.41 – $727.90 | 17 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $126.90 | $846.00 | $36.35 – $402.54 | 17 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $260.40 | $1,736.00 | $103.89 – $653.30 | 17 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $184.05 | $1,227.00 | $63.32 – $653.30 | 17 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $53.55 | $357.00 | $17.41 – $142.41 | 17 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $88.05 | $587.00 | $17.41 – $142.41 | 17 |
| Administration immunization 1 vaccine CPT 90471 | $25.50 | $170.00 | $5.19 – $142.41 | 17 |
| Administration immunization each additional vaccine CPT 90472 | $14.70 | $98.00 | $5.30 – $57.62 | 5 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $30.60 | $204.00 | $3.63 – $142.41 | 17 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $12.75 | $85.00 | $3.63 – $57.62 | 5 |
| Administration vaccine hepatitis b HCPCS G0010 | $13.35 | $89.00 | $4.71 – $92.61 | 17 |
| Administration vaccine influenza virus HCPCS G0008 | $15.30 | $102.00 | $4.71 – $92.61 | 17 |
| Administration vaccine pneumococcal HCPCS G0009 | $13.35 | $89.00 | $4.71 – $92.61 | 17 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $3,895.19 | $25,967.90 | $14.59 – $6,103.39 | 17 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $37.80 | $252.00 | $181.47 – $185.00 | 5 |
| Aep hearing status deter i&r CPT 92651 | $66.30 | $442.00 | $69.78 – $427.07 | 17 |
| Aep neurodiagnostic i&r CPT 92653 | $125.55 | $837.00 | $82.24 – $427.07 | 17 |
| Aep thrshld est mlt freq i&r CPT 92652 | $125.55 | $837.00 | $112.33 – $427.07 | 17 |
| _afb id by dna probe rflx ast CPT 87149 | $35.10 | $234.00 | $10.03 – $43.71 | 17 |
| #afb mycobacteria suscep. #1 CPT 87190 | $9.45 | $63.00 | $1.42 – $15.94 | 17 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $201.90 | $1,346.00 | $57.68 – $251.48 | 17 |
| Afo molded to patient plasti HCPCS L1940 | $248.55 | $1,657.00 | $614.33 – $1,793.84 | 16 |
| After cataract laser surgery CPT 66821 | $251.55 | $1,677.00 | $499.00 – $1,087.82 | 17 |
| Air conduction bilat CPT 92552 | $15.90 | $106.00 | $15.72 – $263.15 | 17 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $42.90 | $286.00 | $25.88 – $254.50 | 17 |
| Albumin body fluid quantitative each specimen CPT 82042 | $9.00 | $60.00 | $3.67 – $16.96 | 17 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $54.19 | $361.26 | $34.02 – $193.38 | 17 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $34.77 | $231.81 | $31.01 – $433.68 | 17 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.