Eeg monitor/record/awake/drowsy 95816 at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$205.50
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.
$1,370.00
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.
$46.86 with BLUE CROSS vs $1,370.00 with WELLCARE — 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 | $46.86 | ↓ -77% |
| BLUE CROSS | TENNCARE BLUE SELECT | $46.86 | ↓ -77% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $71.39 | ↓ -65% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $85.04 | ↓ -59% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $195.90 | ↓ -5% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $195.90 | ↓ -5% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $195.90 | ↓ -5% |
| HUMANA | HUMANA MEDICARE | $195.90 | ↓ -5% |
| AETNA | AETNA HEALTHCARE MEDICARE | $195.90 | ↓ -5% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $195.90 | ↓ -5% |
| SENTARA HEALTH | SENTARA MEDICARE | $195.90 | ↓ -5% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $195.90 | ↓ -5% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $201.78 | ↓ -2% |
| BLUE CROSS | BLUE CROSS MEDICARE | $203.74 | ↓ -1% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $203.74 | ↓ -1% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $205.70 | ↑ +0% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $205.70 | ↑ +0% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $205.70 | ↑ +0% |
| NHC ADVANTAGE | NHC ADVANTAGE | $205.70 | ↑ +0% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $205.70 | ↑ +0% |
| WELLCARE | WELLCARE MEDICARE | $207.66 | ↑ +1% |
| SENTARA HEALTH | SENTARA HEALTH | $353.60 | ↑ +72% |
| AMBETTER | AMBETTER | $427.07 | ↑ +108% |
| BLUE CROSS | ANTHEM EXCHANGE | $482.33 | ↑ +135% |
| BLUE CROSS | ANTHEM HMO | $512.44 | ↑ +149% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $528.13 | ↑ +157% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $528.13 | ↑ +157% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $528.65 | ↑ +157% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $533.26 | ↑ +159% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $538.39 | ↑ +162% |
| CIGNA HEALTHCARE | CIGNA HMO | $571.29 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $571.29 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $571.29 | ↑ +178% |
| AETNA | AETNA | $584.99 | ↑ +185% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $602.84 | ↑ +193% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $635.68 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $651.98 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $700.00 | ↑ +241% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $733.00 | ↑ +257% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,118.00 | ↑ +444% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,158.15 | ↑ +464% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,182.05 | ↑ +475% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,182.05 | ↑ +475% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,233.00 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,370.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,370.00 | ↑ +567% |
Visitor-reported prices
Comments
Eeg monitor/record/awake/drowsy 95816 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $297.48 | $40.40 – $610.95 |
| CHI Memorial Hospital Hixson | Hixson | $463.54 | $60.13 – $1,096.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $662.42 | $60.13 – $1,096.20 |
| Johnson City Medical Center | JOHNSON CITY | $205.50 | $46.86 – $472.53 |
| Ascension Saint Thomas DeKalb | Smithville | $297.48 | $40.40 – $610.95 |
| Ascension Saint Thomas Highlands | Sparta | $297.48 | $40.40 – $610.95 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $297.45 | $40.40 – $610.95 |
| Greeneville Community Hospital | GREENEVILLE | $205.50 | $46.86 – $512.75 |