Candida skin test at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$27.15
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.
$181.00
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.
$2.85 with UNITED HEALTHCARE vs $181.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2.85 | ↓ -90% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $13.18 | ↓ -51% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $13.18 | ↓ -51% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $13.20 | ↓ -51% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $13.31 | ↓ -51% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $13.44 | ↓ -50% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $20.06 | ↓ -26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $22.99 | ↓ -15% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $22.99 | ↓ -15% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $23.91 | ↓ -12% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $26.24 | ↓ -3% |
| AETNA | AETNA HEALTHCARE MEDICARE | $26.24 | ↓ -3% |
| SENTARA HEALTH | SENTARA MEDICARE | $26.24 | ↓ -3% |
| HUMANA | HUMANA MEDICARE | $26.24 | ↓ -3% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $26.24 | ↓ -3% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $26.24 | ↓ -3% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $26.24 | ↓ -3% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $26.24 | ↓ -3% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $27.03 | ↓ -0% |
| BLUE CROSS | BLUE CROSS MEDICARE | $27.29 | ↑ +1% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $27.29 | ↑ +1% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $27.55 | ↑ +1% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $27.55 | ↑ +1% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $27.55 | ↑ +1% |
| NHC ADVANTAGE | NHC ADVANTAGE | $27.55 | ↑ +1% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $27.55 | ↑ +1% |
| WELLCARE | WELLCARE MEDICARE | $27.82 | ↑ +2% |
| BLUE CROSS | TENNCARE BLUE SELECT | $36.70 | ↑ +35% |
| BLUE CROSS | TENNCARE BLUE CARE | $36.70 | ↑ +35% |
| CIGNA HEALTHCARE | CIGNA PPO | $37.71 | ↑ +39% |
| CIGNA HEALTHCARE | CIGNA HMO | $37.71 | ↑ +39% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $37.71 | ↑ +39% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $41.14 | ↑ +52% |
| BLUE CROSS | BLUE CROSS E NETWORK | $42.88 | ↑ +58% |
| BLUE CROSS | BLUE CROSS P NETWORK | $43.82 | ↑ +61% |
| BLUE CROSS | BLUE CROSS S NETWORK | $43.82 | ↑ +61% |
| SENTARA HEALTH | SENTARA HEALTH | $46.72 | ↑ +72% |
| AMBETTER | AMBETTER | $57.21 | ↑ +111% |
| BLUE CROSS | ANTHEM EXCHANGE | $64.60 | ↑ +138% |
| BLUE CROSS | ANTHEM HMO | $68.63 | ↑ +153% |
| AETNA | AETNA | $77.29 | ↑ +185% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $80.74 | ↑ +197% |
| MEDCOST | MEDCOST VHN | $86.14 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $162.90 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $181.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $181.00 | ↑ +567% |
Visitor-reported prices
Comments
Candida skin test at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $27.15 | $2.05 – $58.84 |
| Bristol Regional Medical Center | BRISTOL | $27.15 | $3.42 – $65.85 |
| Holston Valley Medical Center | KINGSPORT | $27.15 | $3.42 – $65.85 |
| 62-0123940 BMH Collierville | Collierville | $11.34 | $21.04 – $44.86 |
| Parkwest Medical Center | Knoxville | $28.50 | $13.23 – $85.50 |
| Roane County Medical Center | Harriman | $31.35 | $13.23 – $85.50 |
| LeConte Medical Center | Sevierville | $27.55 | $13.23 – $85.50 |
| Fort Loudoun Medical Center | Lenoir City | $31.35 | $13.23 – $85.50 |