Analyze neurostimulator simple w/reprogramming 95971 at Hawkins County Memorial Hospital

851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$59.85

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$399.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$39.10 with BLUE CROSS vs $399.00 with WELLCARE — 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 →

Payer
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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
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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 $39.10 ↓ -35%
BLUE CROSS TENNCARE BLUE SELECT $39.10 ↓ -35%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $45.09 ↓ -25%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $56.04 ↓ -6%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $86.26 ↑ +44%
ALLCARE MEDICARE ALLCARE MEDICARE $86.26 ↑ +44%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $86.26 ↑ +44%
HUMANA HUMANA MEDICARE $86.26 ↑ +44%
AETNA AETNA HEALTHCARE MEDICARE $86.26 ↑ +44%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $86.26 ↑ +44%
SENTARA HEALTH SENTARA MEDICARE $86.26 ↑ +44%
MANAGED MEDICAIRE MANAGED MEDICAIRE $86.26 ↑ +44%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $88.84 ↑ +48%
BLUE CROSS BLUE CROSS MEDICARE $89.71 ↑ +50%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $89.71 ↑ +50%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $90.57 ↑ +51%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $90.57 ↑ +51%
NHC ADVANTAGE NHC ADVANTAGE $90.57 ↑ +51%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $90.57 ↑ +51%
CIGNA HEALTHCARE CIGNA MEDICARE $90.57 ↑ +51%
WELLCARE WELLCARE MEDICARE $91.43 ↑ +53%
SENTARA HEALTH SENTARA HEALTH $102.98 ↑ +72%
CIGNA HEALTHCARE CIGNA PPO $166.38 ↑ +178%
CIGNA HEALTHCARE CIGNA HMO $166.38 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $166.38 ↑ +178%
AETNA AETNA $170.37 ↑ +185%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $185.14 ↑ +209%
AMBETTER AMBETTER $188.04 ↑ +214%
MEDCOST MEDCOST VHN $189.88 ↑ +217%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $195.35 ↑ +226%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $195.35 ↑ +226%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $195.54 ↑ +227%
AETNA AETNA BETTER HEALTH OF VIRGINIA $197.24 ↑ +230%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $199.14 ↑ +233%
BLUE CROSS ANTHEM EXCHANGE $212.36 ↑ +255%
BLUE CROSS ANTHEM HMO $225.62 ↑ +277%
BLUE CROSS BLUE CROSS E NETWORK $246.78 ↑ +312%
BLUE CROSS BLUE CROSS P NETWORK $251.87 ↑ +321%
BLUE CROSS BLUE CROSS S NETWORK $251.87 ↑ +321%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $265.42 ↑ +343%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $359.10 ↑ +500%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $399.00 ↑ +567%
UNITED HEALTHCARE UNITED HEALTHCARE $399.00 ↑ +567%
UNITED HEALTHCARE UHC HERITAGE SELECT $399.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $399.00 ↑ +567%
WELLCARE WELLCARE MEDICAID $399.00 ↑ +567%

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Analyze neurostimulator simple w/reprogramming 95971 at other Tennessee hospitals

Hospital City Cash price Negotiated range
Johnson City Medical Center JOHNSON CITY $59.85 $39.10 – $193.40
Hancock County Hospital SNEEDVILLE $58.88 $39.10 – $199.14
Greeneville Community Hospital GREENEVILLE $59.85 $39.10 – $193.40
Bristol Regional Medical Center BRISTOL $59.85 $39.10 – $216.45
Franklin Woods Community Hospital JOHNSON CITY $59.85 $45.09 – $189.66
Holston Valley Medical Center KINGSPORT $59.85 $39.10 – $216.45
Indian Path Community Hospital KINGSPORT $59.85 $39.10 – $207.01
Johnson County Community Hospital MOUNTAIN CITY $58.88 $39.10 – $197.25

All Tennessee hospitals for this procedure →