Diffusing capacity at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$100.35
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.
$669.00
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.
$31.15 with UNITED HEALTHCARE vs $669.00 with UNITED 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $31.15 | ↓ -69% |
| BLUE CROSS | TENNCARE BLUE CARE | $40.95 | ↓ -59% |
| BLUE CROSS | TENNCARE BLUE SELECT | $40.95 | ↓ -59% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $82.29 | ↓ -18% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $82.29 | ↓ -18% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $82.38 | ↓ -18% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $83.09 | ↓ -17% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $83.90 | ↓ -16% |
| SENTARA HEALTH | SENTARA HEALTH | $172.67 | ↑ +72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $176.14 | ↑ +76% |
| BLUE CROSS | BLUE CROSS P NETWORK | $179.78 | ↑ +79% |
| BLUE CROSS | BLUE CROSS S NETWORK | $179.78 | ↑ +79% |
| CIGNA HEALTHCARE | CIGNA PPO | $278.97 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $278.97 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $278.97 | ↑ +178% |
| AETNA | AETNA | $285.66 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $310.42 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $318.38 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $468.30 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $602.10 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $669.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $669.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $669.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $669.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $669.00 | ↑ +567% |
Visitor-reported prices
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Diffusing capacity at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $250.89 | $35.30 – $92.92 |
| CHI Memorial Hospital Hixson | Hixson | $208.68 | $52.54 – $493.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $69.46 | $35.30 – $91.11 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $298.22 | $52.54 – $493.50 |
| Johnson City Medical Center | JOHNSON CITY | $100.35 | $40.95 – $125.63 |
| Ascension Saint Thomas DeKalb | Smithville | $263.46 | $31.15 – $92.92 |
| Ascension Saint Thomas Highlands | Sparta | $263.46 | $31.15 – $92.92 |
| Ascension Saint Thomas River Park | McMinnville | $263.46 | $31.15 – $92.92 |