Appendix Removal (Laparoscopic) at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$2,401.65
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.
$16,011.00
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.
$1,248.00 with BLUE CROSS vs $16,011.00 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 →
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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 SELECT | $1,248.00 | ↓ -48% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,248.00 | ↓ -48% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↓ -37% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,733.00 | ↑ +14% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,853.00 | ↑ +19% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $3,617.00 | ↑ +51% |
| CIGNA HEALTHCARE | CIGNA HMO | $3,617.00 | ↑ +51% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,617.00 | ↑ +51% |
| SENTARA HEALTH | SENTARA HEALTH | $4,132.44 | ↑ +72% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $5,484.95 | ↑ +128% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $5,484.95 | ↑ +128% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $5,484.95 | ↑ +128% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $5,484.95 | ↑ +128% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $5,484.95 | ↑ +128% |
| SENTARA HEALTH | SENTARA MEDICARE | $5,484.95 | ↑ +128% |
| AETNA | AETNA HEALTHCARE MEDICARE | $5,484.95 | ↑ +128% |
| HUMANA | HUMANA MEDICARE | $5,484.95 | ↑ +128% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $5,649.50 | ↑ +135% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $5,704.35 | ↑ +138% |
| BLUE CROSS | BLUE CROSS MEDICARE | $5,704.35 | ↑ +138% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $5,743.91 | ↑ +139% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5,743.91 | ↑ +139% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5,749.48 | ↑ +139% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $5,759.20 | ↑ +140% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $5,759.20 | ↑ +140% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $5,759.20 | ↑ +140% |
| NHC ADVANTAGE | NHC ADVANTAGE | $5,759.20 | ↑ +140% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $5,759.20 | ↑ +140% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5,799.67 | ↑ +141% |
| WELLCARE | WELLCARE MEDICARE | $5,814.05 | ↑ +142% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5,855.44 | ↑ +144% |
| AETNA | AETNA | $6,836.70 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $7,198.00 | ↑ +200% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $7,525.00 | ↑ +213% |
| MEDCOST | MEDCOST VHN | $7,619.63 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $7,988.00 | ↑ +233% |
| BLUE CROSS | BLUE CROSS S NETWORK | $8,168.00 | ↑ +240% |
| BLUE CROSS | BLUE CROSS P NETWORK | $8,168.00 | ↑ +240% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $9,628.00 | ↑ +301% |
| AMBETTER | AMBETTER | $11,957.20 | ↑ +398% |
| BLUE CROSS | ANTHEM EXCHANGE | $13,504.26 | ↑ +462% |
| BLUE CROSS | ANTHEM HMO | $14,347.47 | ↑ +497% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $14,409.90 | ↑ +500% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $16,011.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $16,011.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $16,011.00 | ↑ +567% |
Visitor-reported prices
Comments
Appendix Removal (Laparoscopic) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $2,401.65 | $4,263.77 – $12,298.12 |
| Hancock County Hospital | SNEEDVILLE | $2,357.04 | $5,743.91 – $6,314.07 |
| Greeneville Community Hospital | GREENEVILLE | $2,401.65 | $3,812.80 – $12,298.12 |
| Bristol Regional Medical Center | BRISTOL | $2,401.65 | $5,224.58 – $13,764.24 |
| Franklin Woods Community Hospital | JOHNSON CITY | $2,401.65 | $3,749.74 – $11,966.08 |
| Holston Valley Medical Center | KINGSPORT | $2,401.65 | $5,072.41 – $13,764.24 |
| Indian Path Community Hospital | KINGSPORT | $2,401.65 | $4,145.57 – $13,163.89 |
| Johnson County Community Hospital | MOUNTAIN CITY | $2,357.04 | $5,576.61 – $6,389.46 |