Coombs direct at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$16.65
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.
$111.00
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.
$3.85 with UNITED HEALTHCARE vs $116.68 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 | $3.85 | ↓ -77% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $5.08 | ↓ -69% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5.08 | ↓ -69% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5.09 | ↓ -69% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5.13 | ↓ -69% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5.19 | ↓ -69% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5.39 | ↓ -68% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5.39 | ↓ -68% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $5.61 | ↓ -66% |
| BLUE CROSS | TENNCARE BLUE SELECT | $9.95 | ↓ -40% |
| BLUE CROSS | TENNCARE BLUE CARE | $9.95 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $11.55 | ↓ -31% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $15.04 | ↓ -10% |
| CIGNA HEALTHCARE | CIGNA PPO | $21.63 | ↑ +30% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $21.63 | ↑ +30% |
| CIGNA HEALTHCARE | CIGNA HMO | $21.63 | ↑ +30% |
| BLUE CROSS | BLUE CROSS E NETWORK | $23.49 | ↑ +41% |
| BLUE CROSS | BLUE CROSS P NETWORK | $24.00 | ↑ +44% |
| BLUE CROSS | BLUE CROSS S NETWORK | $24.00 | ↑ +44% |
| SENTARA HEALTH | SENTARA HEALTH | $28.65 | ↑ +72% |
| AETNA | AETNA | $47.40 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $52.82 | ↑ +217% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $53.52 | ↑ +221% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $53.52 | ↑ +221% |
| AETNA | AETNA HEALTHCARE MEDICARE | $53.52 | ↑ +221% |
| HUMANA | HUMANA MEDICARE | $53.52 | ↑ +221% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $53.52 | ↑ +221% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $53.52 | ↑ +221% |
| SENTARA HEALTH | SENTARA MEDICARE | $53.52 | ↑ +221% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $53.52 | ↑ +221% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $55.13 | ↑ +231% |
| BLUE CROSS | BLUE CROSS MEDICARE | $55.66 | ↑ +234% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $55.66 | ↑ +234% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $56.20 | ↑ +238% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $56.20 | ↑ +238% |
| NHC ADVANTAGE | NHC ADVANTAGE | $56.20 | ↑ +238% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $56.20 | ↑ +238% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $56.20 | ↑ +238% |
| WELLCARE | WELLCARE MEDICARE | $56.73 | ↑ +241% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $99.90 | ↑ +500% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $111.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $111.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $111.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $111.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $111.00 | ↑ +567% |
| AMBETTER | AMBETTER | $116.68 | ↑ +601% |
Visitor-reported prices
Comments
Coombs direct at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $53.81 | $4.85 – $79.65 |
| CHI Memorial Hospital Hixson | Hixson | $7.40 | $5.39 – $17.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $39.79 | $8.58 – $108.48 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $10.58 | $5.25 – $17.50 |
| Johnson City Medical Center | JOHNSON CITY | $16.65 | $4.55 – $120.01 |
| Ascension Saint Thomas DeKalb | Smithville | $56.69 | $3.81 – $78.50 |
| Ascension Saint Thomas Highlands | Sparta | $56.69 | $3.81 – $78.50 |
| Ascension Saint Thomas River Park | McMinnville | $56.69 | $3.81 – $78.50 |