Consultation/report referred material w/preparation of slides at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$68.40
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.
$456.00
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.
$11.10 with BLUE CROSS vs $456.00 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 CARE | $11.10 | ↓ -84% |
| BLUE CROSS | TENNCARE BLUE SELECT | $11.10 | ↓ -84% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $18.41 | ↓ -73% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $26.61 | ↓ -61% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $47.28 | ↓ -31% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $47.28 | ↓ -31% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $47.28 | ↓ -31% |
| SENTARA HEALTH | SENTARA MEDICARE | $47.28 | ↓ -31% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $47.28 | ↓ -31% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $47.28 | ↓ -31% |
| AETNA | AETNA HEALTHCARE MEDICARE | $47.28 | ↓ -31% |
| HUMANA | HUMANA MEDICARE | $47.28 | ↓ -31% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $48.70 | ↓ -29% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $49.17 | ↓ -28% |
| BLUE CROSS | BLUE CROSS MEDICARE | $49.17 | ↓ -28% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $49.47 | ↓ -28% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $49.47 | ↓ -28% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $49.64 | ↓ -27% |
| NHC ADVANTAGE | NHC ADVANTAGE | $49.64 | ↓ -27% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $49.64 | ↓ -27% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $49.64 | ↓ -27% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $49.64 | ↓ -27% |
| WELLCARE | WELLCARE MEDICARE | $50.12 | ↓ -27% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $51.45 | ↓ -25% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $63.95 | ↓ -7% |
| AMBETTER | AMBETTER | $103.07 | ↑ +51% |
| BLUE CROSS | ANTHEM EXCHANGE | $116.40 | ↑ +70% |
| SENTARA HEALTH | SENTARA HEALTH | $117.69 | ↑ +72% |
| BLUE CROSS | ANTHEM HMO | $123.67 | ↑ +81% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $135.80 | ↑ +99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $135.80 | ↑ +99% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $135.94 | ↑ +99% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $137.12 | ↑ +100% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $138.44 | ↑ +102% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $145.49 | ↑ +113% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $158.54 | ↑ +132% |
| CIGNA HEALTHCARE | CIGNA PPO | $158.54 | ↑ +132% |
| CIGNA HEALTHCARE | CIGNA HMO | $158.54 | ↑ +132% |
| BLUE CROSS | BLUE CROSS E NETWORK | $170.46 | ↑ +149% |
| BLUE CROSS | BLUE CROSS S NETWORK | $174.19 | ↑ +155% |
| BLUE CROSS | BLUE CROSS P NETWORK | $174.19 | ↑ +155% |
| AETNA | AETNA | $194.71 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $217.01 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $410.40 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $456.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $456.00 | ↑ +567% |
Visitor-reported prices
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Consultation/report referred material w/preparation of slides at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $29.60 | $9.57 – $104.50 |
| CHI Memorial Hospital Hixson | Hixson | $38.19 | $14.24 – $93.21 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $54.57 | $14.24 – $93.21 |
| Johnson City Medical Center | JOHNSON CITY | $68.40 | $11.10 – $121.50 |
| Ascension Saint Thomas DeKalb | Smithville | $29.60 | $9.57 – $113.47 |
| Ascension Saint Thomas Highlands | Sparta | $29.60 | $9.57 – $113.47 |
| Ascension Saint Thomas River Park | McMinnville | $29.60 | $14.30 – $113.47 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $29.60 | $9.57 – $113.47 |