Echo exam of fetal heart at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$144.00
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.
$960.00
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.
$64.60 with BLUE CROSS vs $1,080.73 with AMBETTER — 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 | $64.60 | ↓ -55% |
| BLUE CROSS | TENNCARE BLUE SELECT | $64.60 | ↓ -55% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $110.59 | ↓ -23% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $141.75 | ↓ -2% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $141.75 | ↓ -2% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $141.89 | ↓ -1% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $141.98 | ↓ -1% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $143.13 | ↓ -1% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $144.50 | ↑ +0% |
| SENTARA HEALTH | SENTARA HEALTH | $247.78 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $344.37 | ↑ +139% |
| AETNA | AETNA | $409.92 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $417.00 | ↑ +190% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $435.00 | ↑ +202% |
| MEDCOST | MEDCOST VHN | $456.86 | ↑ +217% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $495.75 | ↑ +244% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $495.75 | ↑ +244% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $495.75 | ↑ +244% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $495.75 | ↑ +244% |
| AETNA | AETNA HEALTHCARE MEDICARE | $495.75 | ↑ +244% |
| HUMANA | HUMANA MEDICARE | $495.75 | ↑ +244% |
| SENTARA HEALTH | SENTARA MEDICARE | $495.75 | ↑ +244% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $495.75 | ↑ +244% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $510.62 | ↑ +255% |
| BLUE CROSS | BLUE CROSS MEDICARE | $515.58 | ↑ +258% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $515.58 | ↑ +258% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $520.54 | ↑ +261% |
| NHC ADVANTAGE | NHC ADVANTAGE | $520.54 | ↑ +261% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $520.54 | ↑ +261% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $520.54 | ↑ +261% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $520.54 | ↑ +261% |
| WELLCARE | WELLCARE MEDICARE | $525.49 | ↑ +265% |
| BLUE CROSS | BLUE CROSS E NETWORK | $554.43 | ↑ +285% |
| BLUE CROSS | BLUE CROSS S NETWORK | $566.56 | ↑ +293% |
| BLUE CROSS | BLUE CROSS P NETWORK | $566.56 | ↑ +293% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $687.00 | ↑ +377% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $837.08 | ↑ +481% |
| CIGNA HEALTHCARE | CIGNA HMO | $837.08 | ↑ +481% |
| CIGNA HEALTHCARE | CIGNA PPO | $837.08 | ↑ +481% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $864.00 | ↑ +500% |
| BLUE CROSS | ANTHEM EXCHANGE | $960.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $960.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $960.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $960.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $960.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,080.73 | ↑ +651% |
Visitor-reported prices
Comments
Echo exam of fetal heart at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $144.00 | $64.60 – $1,111.55 |
| Greeneville Community Hospital | GREENEVILLE | $144.00 | $64.60 – $1,111.55 |
| Bristol Regional Medical Center | BRISTOL | $144.00 | $64.60 – $1,130.02 |
| Franklin Woods Community Hospital | JOHNSON CITY | $144.00 | $78.52 – $1,081.53 |
| Holston Valley Medical Center | KINGSPORT | $144.00 | $64.60 – $1,130.02 |
| Indian Path Community Hospital | KINGSPORT | $144.00 | $64.60 – $1,080.73 |
| Sycamore Shoals Hospital | ELIZABETHTON | $144.00 | $64.60 – $1,080.73 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $1,838.81 | $74.62 – $657.03 |