Contrast x-ray of ankle at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$69.30
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.
$462.00
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.
$68.99 with BLUE CROSS vs $690.02 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $68.99 | ↓ -0% |
| BLUE CROSS | TENNCARE BLUE SELECT | $68.99 | ↓ -0% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $116.32 | ↑ +68% |
| SENTARA HEALTH | SENTARA HEALTH | $119.24 | ↑ +72% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $140.29 | ↑ +102% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $164.84 | ↑ +138% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $164.84 | ↑ +138% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $165.00 | ↑ +138% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $166.44 | ↑ +140% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $168.04 | ↑ +142% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $189.53 | ↑ +173% |
| AETNA | AETNA | $197.27 | ↑ +185% |
| BLUE CROSS | BLUE CROSS E NETWORK | $217.79 | ↑ +214% |
| MEDCOST | MEDCOST VHN | $219.87 | ↑ +217% |
| BLUE CROSS | BLUE CROSS S NETWORK | $222.56 | ↑ +221% |
| BLUE CROSS | BLUE CROSS P NETWORK | $222.56 | ↑ +221% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↑ +223% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↑ +236% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $316.52 | ↑ +357% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $316.52 | ↑ +357% |
| AETNA | AETNA HEALTHCARE MEDICARE | $316.52 | ↑ +357% |
| HUMANA | HUMANA MEDICARE | $316.52 | ↑ +357% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $316.52 | ↑ +357% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $316.52 | ↑ +357% |
| SENTARA HEALTH | SENTARA MEDICARE | $316.52 | ↑ +357% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $316.52 | ↑ +357% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $326.02 | ↑ +370% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $329.19 | ↑ +375% |
| BLUE CROSS | BLUE CROSS MEDICARE | $329.19 | ↑ +375% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $332.35 | ↑ +380% |
| NHC ADVANTAGE | NHC ADVANTAGE | $332.35 | ↑ +380% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $332.35 | ↑ +380% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $332.35 | ↑ +380% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $332.35 | ↑ +380% |
| WELLCARE | WELLCARE MEDICARE | $335.52 | ↑ +384% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↑ +434% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $415.80 | ↑ +500% |
| BLUE CROSS | ANTHEM HMO | $462.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $462.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $462.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA PPO | $462.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $462.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $462.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $462.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $462.00 | ↑ +567% |
| AMBETTER | AMBETTER | $690.02 | ↑ +896% |
Visitor-reported prices
Comments
Contrast x-ray of ankle at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $194.49 | $59.47 – $610.96 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $194.49 | $59.47 – $610.96 |
| Greeneville Community Hospital | GREENEVILLE | $69.30 | $68.99 – $709.70 |
| Bristol Regional Medical Center | BRISTOL | $69.30 | $68.99 – $721.49 |
| Holston Valley Medical Center | KINGSPORT | $69.30 | $68.99 – $721.49 |
| Parkwest Medical Center | Knoxville | $338.40 | $74.34 – $415.41 |
| Roane County Medical Center | Harriman | $372.24 | $74.34 – $415.41 |
| LeConte Medical Center | Sevierville | $327.12 | $74.34 – $415.41 |