Biopsy skin incisional single lesion at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$114.15
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.
$761.00
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.
$157.04 with UNITED HEALTHCARE vs $1,461.78 with AMBETTER — 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 | $157.04 | ↑ +38% |
| SENTARA HEALTH | SENTARA HEALTH | $196.41 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $233.63 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $245.80 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $245.80 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA HMO | $317.34 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $317.34 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $317.34 | ↑ +178% |
| AETNA | AETNA | $324.95 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $353.10 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $362.16 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $532.70 | ↑ +367% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $611.89 | ↑ +436% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $611.89 | ↑ +436% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $612.49 | ↑ +437% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $617.83 | ↑ +441% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $623.77 | ↑ +446% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $670.54 | ↑ +487% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $670.54 | ↑ +487% |
| AETNA | AETNA HEALTHCARE MEDICARE | $670.54 | ↑ +487% |
| HUMANA | HUMANA MEDICARE | $670.54 | ↑ +487% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $670.54 | ↑ +487% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $670.54 | ↑ +487% |
| SENTARA HEALTH | SENTARA MEDICARE | $670.54 | ↑ +487% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $670.54 | ↑ +487% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $684.90 | ↑ +500% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $690.66 | ↑ +505% |
| BLUE CROSS | BLUE CROSS MEDICARE | $697.36 | ↑ +511% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $697.36 | ↑ +511% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $704.07 | ↑ +517% |
| NHC ADVANTAGE | NHC ADVANTAGE | $704.07 | ↑ +517% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $704.07 | ↑ +517% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $704.07 | ↑ +517% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $704.07 | ↑ +517% |
| WELLCARE | WELLCARE MEDICARE | $710.77 | ↑ +523% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $761.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $761.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $761.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $761.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $761.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,461.78 | ↑ +1181% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $459.69 | $310.60 – $1,087.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $656.92 | $326.13 – $1,087.10 |
| Johnson City Medical Center | JOHNSON CITY | $114.15 | $282.67 – $1,503.46 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $353.28 | $527.62 – $1,004.50 |
| Greeneville Community Hospital | GREENEVILLE | $114.15 | $113.07 – $1,503.46 |
| Bristol Regional Medical Center | BRISTOL | $114.15 | $188.45 – $1,528.45 |
| Franklin Woods Community Hospital | JOHNSON CITY | $114.15 | $282.67 – $1,462.87 |
| Holston Valley Medical Center | KINGSPORT | $114.15 | $188.45 – $1,528.45 |