Diagnostic radio unlisted proc at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$63.90
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.
$426.00
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.
$22.40 with UNITED HEALTHCARE vs $426.00 with SEVEN CORNERS, INC. — 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 | $22.40 | ↓ -65% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $78.85 | ↑ +23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $78.85 | ↑ +23% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $78.92 | ↑ +24% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $78.96 | ↑ +24% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $78.96 | ↑ +24% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $78.96 | ↑ +24% |
| SENTARA HEALTH | SENTARA MEDICARE | $78.96 | ↑ +24% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $78.96 | ↑ +24% |
| HUMANA | HUMANA MEDICARE | $78.96 | ↑ +24% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $78.96 | ↑ +24% |
| AETNA | AETNA HEALTHCARE MEDICARE | $78.96 | ↑ +24% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $79.61 | ↑ +25% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $80.38 | ↑ +26% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $81.32 | ↑ +27% |
| BLUE CROSS | BLUE CROSS MEDICARE | $82.11 | ↑ +28% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $82.11 | ↑ +28% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $82.90 | ↑ +30% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $82.90 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $82.90 | ↑ +30% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $82.90 | ↑ +30% |
| NHC ADVANTAGE | NHC ADVANTAGE | $82.90 | ↑ +30% |
| WELLCARE | WELLCARE MEDICARE | $83.69 | ↑ +31% |
| SENTARA HEALTH | SENTARA HEALTH | $109.95 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $153.62 | ↑ +140% |
| CIGNA HEALTHCARE | CIGNA PPO | $169.56 | ↑ +165% |
| CIGNA HEALTHCARE | CIGNA HMO | $169.56 | ↑ +165% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $169.56 | ↑ +165% |
| AMBETTER | AMBETTER | $172.12 | ↑ +169% |
| AETNA | AETNA | $181.90 | ↑ +185% |
| BLUE CROSS | ANTHEM EXCHANGE | $194.39 | ↑ +204% |
| MEDCOST | MEDCOST VHN | $202.73 | ↑ +217% |
| BLUE CROSS | ANTHEM HMO | $206.53 | ↑ +223% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↑ +251% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↑ +265% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $242.97 | ↑ +280% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↑ +479% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $383.40 | ↑ +500% |
| WELLCARE | WELLCARE MEDICAID | $426.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $426.00 | ↑ +567% |
Visitor-reported prices
Comments
Diagnostic radio unlisted proc at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $63.90 | $16.13 – $177.03 |
| Bristol Regional Medical Center | BRISTOL | $63.90 | $26.88 – $198.14 |
| Holston Valley Medical Center | KINGSPORT | $63.90 | $26.88 – $198.14 |
| 62-0123940 BMH Collierville | Collierville | $77.28 | $76.60 – $161.26 |
| Parkwest Medical Center | Knoxville | $90.00 | $27.91 – $181.00 |
| Fort Sanders Regional Medical Center | Knoxville | $99.00 | $27.91 – $181.00 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $99.00 | $27.91 – $200.00 |
| Cumberland Medical Center, Inc. | Crossville | $96.00 | $33.49 – $216.00 |