Bx vag mucos smpl (sep proc) at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$246.60
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.
$1,644.00
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.
$424.32 with SENTARA HEALTH vs $1,821.71 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $424.32 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $650.00 | ↑ +164% |
| BLUE CROSS | BLUE CROSS E NETWORK | $670.00 | ↑ +172% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $679.00 | ↑ +175% |
| BLUE CROSS | BLUE CROSS S NETWORK | $685.00 | ↑ +178% |
| BLUE CROSS | BLUE CROSS P NETWORK | $685.00 | ↑ +178% |
| AETNA | AETNA | $701.99 | ↑ +185% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $741.66 | ↑ +201% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $741.66 | ↑ +201% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $742.38 | ↑ +201% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $748.86 | ↑ +204% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $756.06 | ↑ +207% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $772.00 | ↑ +213% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↑ +214% |
| BLUE CROSS | TENNCARE BLUE SELECT | $775.00 | ↑ +214% |
| MEDCOST | MEDCOST VHN | $782.38 | ↑ +217% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $835.65 | ↑ +239% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $835.65 | ↑ +239% |
| AETNA | AETNA HEALTHCARE MEDICARE | $835.65 | ↑ +239% |
| HUMANA | HUMANA MEDICARE | $835.65 | ↑ +239% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $835.65 | ↑ +239% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $835.65 | ↑ +239% |
| SENTARA HEALTH | SENTARA MEDICARE | $835.65 | ↑ +239% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $835.65 | ↑ +239% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $860.71 | ↑ +249% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $869.07 | ↑ +252% |
| BLUE CROSS | BLUE CROSS MEDICARE | $869.07 | ↑ +252% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $877.43 | ↑ +256% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $877.43 | ↑ +256% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $877.43 | ↑ +256% |
| NHC ADVANTAGE | NHC ADVANTAGE | $877.43 | ↑ +256% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $877.43 | ↑ +256% |
| WELLCARE | WELLCARE MEDICARE | $885.78 | ↑ +259% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $948.00 | ↑ +284% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,101.00 | ↑ +346% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +493% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,479.60 | ↑ +500% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,644.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,644.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $1,644.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,644.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,644.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,644.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,644.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,644.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,821.71 | ↑ +639% |
Visitor-reported prices
Comments
Bx vag mucos smpl (sep proc) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $246.60 | $546.76 – $1,873.65 |
| Greeneville Community Hospital | GREENEVILLE | $246.60 | $488.93 – $1,873.65 |
| Bristol Regional Medical Center | BRISTOL | $246.60 | $674.61 – $1,904.79 |
| Franklin Woods Community Hospital | JOHNSON CITY | $246.60 | $480.84 – $1,823.06 |
| Holston Valley Medical Center | KINGSPORT | $246.60 | $654.96 – $1,904.79 |
| Indian Path Community Hospital | KINGSPORT | $246.60 | $531.60 – $1,821.71 |
| Sycamore Shoals Hospital | ELIZABETHTON | $246.60 | $531.60 – $1,821.71 |
| Ascension Saint Thomas Midtown | Nashville | not published | $733.50 – $1,534.53 |