99381 initial comp preventive med less than 1 year new at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$56.85
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.
$379.00
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.
$37.10 with UNITED HEALTHCARE vs $379.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $37.10 | ↓ -35% |
| BLUE CROSS | TENNCARE BLUE CARE | $39.08 | ↓ -31% |
| BLUE CROSS | TENNCARE BLUE SELECT | $39.08 | ↓ -31% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $60.48 | ↑ +6% |
| SENTARA HEALTH | SENTARA HEALTH | $97.82 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $116.35 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $122.42 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $122.42 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $158.04 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $158.04 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $158.04 | ↑ +178% |
| AETNA | AETNA | $161.83 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $175.86 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $180.37 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $341.10 | ↑ +500% |
| WELLCARE | WELLCARE MEDICAID | $379.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $379.00 | ↑ +567% |
Visitor-reported prices
Comments
99381 initial comp preventive med less than 1 year new at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $56.85 | $26.71 – $39.08 |
| Bristol Regional Medical Center | BRISTOL | $56.85 | $39.08 – $44.52 |
| Holston Valley Medical Center | KINGSPORT | $56.85 | $39.08 – $44.52 |
| Ascension Saint Thomas Midtown | Nashville | not published | $33.69 – $33.69 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $33.69 – $44.84 |
| Ascension Saint Thomas Highlands | Sparta | not published | $33.69 – $50.53 |
| Ascension Saint Thomas River Park | McMinnville | not published | $37.10 – $64.01 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $33.69 – $33.69 |