Autologous blood process at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$80.55
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.
$537.00
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.
$21.23 with BLUE CROSS vs $537.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $21.23 | ↓ -74% |
| BLUE CROSS | TENNCARE BLUE CARE | $21.23 | ↓ -74% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $23.54 | ↓ -71% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $105.32 | ↑ +31% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $121.93 | ↑ +51% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $121.93 | ↑ +51% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $122.05 | ↑ +52% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $123.11 | ↑ +53% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $124.30 | ↑ +54% |
| SENTARA HEALTH | SENTARA HEALTH | $138.60 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $143.50 | ↑ +78% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $143.50 | ↑ +78% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $149.24 | ↑ +85% |
| HUMANA | HUMANA MEDICARE | $154.57 | ↑ +92% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $154.57 | ↑ +92% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $154.57 | ↑ +92% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $154.57 | ↑ +92% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $154.57 | ↑ +92% |
| AETNA | AETNA HEALTHCARE MEDICARE | $154.57 | ↑ +92% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $154.57 | ↑ +92% |
| SENTARA HEALTH | SENTARA MEDICARE | $154.57 | ↑ +92% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $159.21 | ↑ +98% |
| BLUE CROSS | BLUE CROSS MEDICARE | $160.76 | ↑ +100% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $160.76 | ↑ +100% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $162.30 | ↑ +101% |
| NHC ADVANTAGE | NHC ADVANTAGE | $162.30 | ↑ +101% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $162.30 | ↑ +101% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $162.30 | ↑ +101% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $162.30 | ↑ +101% |
| WELLCARE | WELLCARE MEDICARE | $163.85 | ↑ +103% |
| CIGNA HEALTHCARE | CIGNA PPO | $189.48 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA HMO | $189.48 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $189.48 | ↑ +135% |
| BLUE CROSS | BLUE CROSS E NETWORK | $200.74 | ↑ +149% |
| BLUE CROSS | BLUE CROSS P NETWORK | $205.13 | ↑ +155% |
| BLUE CROSS | BLUE CROSS S NETWORK | $205.13 | ↑ +155% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $206.43 | ↑ +156% |
| AETNA | AETNA | $229.30 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $255.56 | ↑ +217% |
| AMBETTER | AMBETTER | $336.97 | ↑ +318% |
| BLUE CROSS | ANTHEM EXCHANGE | $380.57 | ↑ +372% |
| BLUE CROSS | ANTHEM HMO | $404.34 | ↑ +402% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $475.66 | ↑ +491% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $483.30 | ↑ +500% |
| WELLCARE | WELLCARE MEDICAID | $537.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $537.00 | ↑ +567% |
Visitor-reported prices
Comments
Autologous blood process at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $91.76 | $27.24 – $217.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $131.13 | $27.24 – $217.00 |
| Johnson City Medical Center | JOHNSON CITY | $80.55 | $21.23 – $346.58 |
| Ascension Saint Thomas DeKalb | Smithville | $394.55 | $18.30 – $329.59 |
| Ascension Saint Thomas Highlands | Sparta | $394.55 | $18.30 – $329.59 |
| Ascension Saint Thomas River Park | McMinnville | $394.55 | $23.30 – $329.59 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $394.55 | $18.30 – $329.59 |
| Greeneville Community Hospital | GREENEVILLE | $80.55 | $16.95 – $346.58 |