Debridement (>20 cm) charge pt at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$76.95
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.
$513.00
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.
$41.07 with AMERIGROUP vs $1,478.04 with MOLINA HEALTHCARE — 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $41.07 | ↓ -47% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $43.00 | ↓ -44% |
| SENTARA HEALTH | SENTARA MEDICARE | $44.16 | ↓ -43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $44.16 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $44.16 | ↓ -43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $44.16 | ↓ -43% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $44.16 | ↓ -43% |
| BLUE CROSS | ANTHEM HMO | $44.16 | ↓ -43% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $44.16 | ↓ -43% |
| AETNA | AETNA HEALTHCARE MEDICARE | $44.16 | ↓ -43% |
| BLUE CROSS | ANTHEM EXCHANGE | $44.16 | ↓ -43% |
| HUMANA | HUMANA MEDICARE | $44.16 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $44.16 | ↓ -43% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $45.48 | ↓ -41% |
| BLUE CROSS | BLUE CROSS MEDICARE | $45.93 | ↓ -40% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $45.93 | ↓ -40% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $46.37 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $46.37 | ↓ -40% |
| NHC ADVANTAGE | NHC ADVANTAGE | $46.37 | ↓ -40% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $46.37 | ↓ -40% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $46.37 | ↓ -40% |
| WELLCARE | WELLCARE MEDICARE | $46.81 | ↓ -39% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $58.16 | ↓ -24% |
| BLUE CROSS | TENNCARE BLUE CARE | $58.79 | ↓ -24% |
| BLUE CROSS | TENNCARE BLUE SELECT | $58.79 | ↓ -24% |
| AMBETTER | AMBETTER | $96.27 | ↑ +25% |
| BLUE CROSS | BLUE CROSS E NETWORK | $101.63 | ↑ +32% |
| BLUE CROSS | BLUE CROSS S NETWORK | $103.73 | ↑ +35% |
| BLUE CROSS | BLUE CROSS P NETWORK | $103.73 | ↑ +35% |
| SENTARA HEALTH | SENTARA HEALTH | $129.31 | ↑ +68% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $157.49 | ↑ +105% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $165.70 | ↑ +115% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $165.70 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA HMO | $208.92 | ↑ +172% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $208.92 | ↑ +172% |
| CIGNA HEALTHCARE | CIGNA PPO | $208.92 | ↑ +172% |
| AETNA | AETNA | $213.93 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $232.46 | ↑ +202% |
| MEDCOST | MEDCOST VHN | $238.43 | ↑ +210% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $450.90 | ↑ +486% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $501.00 | ↑ +551% |
| WELLCARE | WELLCARE MEDICAID | $501.00 | ↑ +551% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $501.00 | ↑ +551% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,449.89 | ↑ +1784% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,451.30 | ↑ +1786% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,463.97 | ↑ +1802% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,478.04 | ↑ +1821% |
Visitor-reported prices
Comments
Debridement (>20 cm) charge pt at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $96.11 | $42.89 – $53.61 |
| CHI Memorial Hospital Hixson | Hixson | $116.04 | $75.43 – $269.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $109.94 | $25.82 – $50.68 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $165.82 | $75.43 – $269.50 |
| Johnson City Medical Center | JOHNSON CITY | $76.95 | $44.00 – $1,297.23 |
| Ascension Saint Thomas DeKalb | Smithville | $198.27 | $42.89 – $67.46 |
| Ascension Saint Thomas Highlands | Sparta | $198.27 | $42.89 – $76.02 |
| Ascension Saint Thomas River Park | McMinnville | $188.82 | $42.89 – $96.29 |