Drainage of urethra abscess 53060 at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$877.35
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.
$5,849.00
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.
$59.64 with BLUE CROSS vs $5,849.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $59.64 | ↓ -93% |
| BLUE CROSS | TENNCARE BLUE SELECT | $59.64 | ↓ -93% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $72.27 | ↓ -92% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $109.00 | ↓ -88% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↓ -46% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↓ -44% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↓ -3% |
| SENTARA HEALTH | SENTARA HEALTH | $1,509.63 | ↑ +72% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,896.55 | ↑ +116% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,896.55 | ↑ +116% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,896.55 | ↑ +116% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,896.55 | ↑ +116% |
| HUMANA | HUMANA MEDICARE | $1,896.55 | ↑ +116% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,896.55 | ↑ +116% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,896.55 | ↑ +116% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,896.55 | ↑ +116% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,953.45 | ↑ +123% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,972.41 | ↑ +125% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,972.41 | ↑ +125% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,991.38 | ↑ +127% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,991.38 | ↑ +127% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,991.38 | ↑ +127% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,991.38 | ↑ +127% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,991.38 | ↑ +127% |
| WELLCARE | WELLCARE MEDICARE | $2,010.34 | ↑ +129% |
| AETNA | AETNA | $2,497.52 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $2,783.54 | ↑ +217% |
| AMBETTER | AMBETTER | $4,134.48 | ↑ +371% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $4,273.76 | ↑ +387% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $4,273.76 | ↑ +387% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $4,277.92 | ↑ +388% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $4,315.26 | ↑ +392% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $4,356.75 | ↑ +397% |
| BLUE CROSS | ANTHEM EXCHANGE | $4,669.42 | ↑ +432% |
| BLUE CROSS | ANTHEM HMO | $4,960.98 | ↑ +465% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,264.10 | ↑ +500% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $5,836.14 | ↑ +565% |
| WELLCARE | WELLCARE MEDICAID | $5,849.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $5,849.00 | ↑ +567% |
Visitor-reported prices
Comments
Drainage of urethra abscess 53060 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $877.35 | $72.27 – $4,252.37 |
| Hancock County Hospital | SNEEDVILLE | $860.89 | $59.64 – $4,356.75 |
| Greeneville Community Hospital | GREENEVILLE | $877.35 | $59.64 – $4,252.37 |
| Bristol Regional Medical Center | BRISTOL | $877.35 | $59.64 – $4,759.31 |
| Franklin Woods Community Hospital | JOHNSON CITY | $877.35 | $72.27 – $4,149.29 |
| Holston Valley Medical Center | KINGSPORT | $877.35 | $59.64 – $4,759.31 |
| Indian Path Community Hospital | KINGSPORT | $877.35 | $72.27 – $4,551.72 |
| Johnson County Community Hospital | MOUNTAIN CITY | $860.89 | $72.27 – $4,315.26 |