Coronary art/grft angio s&i at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$1,818.15
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.
?
What you pay up front if you don't use insurance.
$12,121.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$638.43 with BLUE CROSS vs $12,121.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $638.43 | ↓ -65% |
| BLUE CROSS | TENNCARE BLUE SELECT | $638.43 | ↓ -65% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,603.00 | ↑ +43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,941.32 | ↑ +62% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,941.32 | ↑ +62% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,941.32 | ↑ +62% |
| HUMANA | HUMANA MEDICARE | $2,941.32 | ↑ +62% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,941.32 | ↑ +62% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,941.32 | ↑ +62% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,941.32 | ↑ +62% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,941.32 | ↑ +62% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,029.56 | ↑ +67% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,058.97 | ↑ +68% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,058.97 | ↑ +68% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,088.39 | ↑ +70% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,088.39 | ↑ +70% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,088.39 | ↑ +70% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,088.39 | ↑ +70% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,088.39 | ↑ +70% |
| WELLCARE | WELLCARE MEDICARE | $3,117.80 | ↑ +71% |
| SENTARA HEALTH | SENTARA HEALTH | $3,128.43 | ↑ +72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $3,190.00 | ↑ +75% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,509.95 | ↑ +93% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3,509.95 | ↑ +93% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,513.36 | ↑ +93% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3,544.03 | ↑ +95% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,578.11 | ↑ +97% |
| BLUE CROSS | BLUE CROSS E NETWORK | $3,993.00 | ↑ +120% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,082.00 | ↑ +125% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,082.00 | ↑ +125% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $4,176.00 | ↑ +130% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $4,367.00 | ↑ +140% |
| CIGNA HEALTHCARE | CIGNA HMO | $5,054.46 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $5,054.46 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $5,054.46 | ↑ +178% |
| AETNA | AETNA | $5,175.67 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $5,624.14 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $5,768.38 | ↑ +217% |
| AMBETTER | AMBETTER | $6,412.08 | ↑ +253% |
| BLUE CROSS | ANTHEM EXCHANGE | $7,241.69 | ↑ +298% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $7,364.00 | ↑ +305% |
| BLUE CROSS | ANTHEM HMO | $7,693.87 | ↑ +323% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $9,051.12 | ↑ +398% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $10,908.90 | ↑ +500% |
| WELLCARE | WELLCARE MEDICAID | $12,121.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $12,121.00 | ↑ +567% |
Visitor-reported prices
Comments
Coronary art/grft angio s&i at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $6,208.25 | $550.37 – $12,416.49 |
| CHI Memorial Hospital Hixson | Hixson | $2,522.81 | $819.12 – $7,669.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $3,365.59 | $2,364.00 – $5,873.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,605.23 | $819.12 – $7,669.00 |
| Johnson City Medical Center | JOHNSON CITY | $1,818.15 | $638.43 – $6,594.90 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $6,208.25 | $550.37 – $12,416.49 |
| Greeneville Community Hospital | GREENEVILLE | $1,818.15 | $638.43 – $6,594.90 |
| Bristol Regional Medical Center | BRISTOL | $1,818.15 | $638.43 – $7,381.11 |