Elect anlys sp inf pmp w/reprg&fill 62369 at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$147.00
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.
$980.00
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.
$123.77 with UNITED HEALTHCARE vs $980.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $123.77 | ↓ -16% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $195.35 | ↑ +33% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $195.35 | ↑ +33% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $195.54 | ↑ +33% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $197.24 | ↑ +34% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $199.14 | ↑ +35% |
| SENTARA HEALTH | SENTARA HEALTH | $252.94 | ↑ +72% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $278.66 | ↑ +90% |
| AETNA | AETNA HEALTHCARE MEDICARE | $278.66 | ↑ +90% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $278.66 | ↑ +90% |
| HUMANA | HUMANA MEDICARE | $278.66 | ↑ +90% |
| SENTARA HEALTH | SENTARA MEDICARE | $278.66 | ↑ +90% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $278.66 | ↑ +90% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $278.66 | ↑ +90% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $278.66 | ↑ +90% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $287.02 | ↑ +95% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $289.80 | ↑ +97% |
| BLUE CROSS | BLUE CROSS MEDICARE | $289.80 | ↑ +97% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $292.59 | ↑ +99% |
| NHC ADVANTAGE | NHC ADVANTAGE | $292.59 | ↑ +99% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $292.59 | ↑ +99% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $292.59 | ↑ +99% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $292.59 | ↑ +99% |
| WELLCARE | WELLCARE MEDICARE | $295.38 | ↑ +101% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $300.86 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $316.54 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $316.54 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $408.66 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $408.66 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $408.66 | ↑ +178% |
| AETNA | AETNA | $418.46 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $454.72 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $466.38 | ↑ +217% |
| AMBETTER | AMBETTER | $607.47 | ↑ +313% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $686.00 | ↑ +367% |
| BLUE CROSS | ANTHEM EXCHANGE | $686.07 | ↑ +367% |
| BLUE CROSS | ANTHEM HMO | $728.91 | ↑ +396% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $857.50 | ↑ +483% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $882.00 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $980.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $980.00 | ↑ +567% |
Visitor-reported prices
Comments
Elect anlys sp inf pmp w/reprg&fill 62369 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $147.00 | $89.11 – $624.79 |
| Bristol Regional Medical Center | BRISTOL | $147.00 | $148.52 – $699.28 |
| Holston Valley Medical Center | KINGSPORT | $147.00 | $148.52 – $699.28 |
| Parkwest Medical Center | Knoxville | $560.10 | $50.68 – $1,680.30 |
| Roane County Medical Center | Harriman | $616.11 | $278.66 – $1,680.30 |
| LeConte Medical Center | Sevierville | $541.43 | $298.44 – $1,680.30 |
| Fort Loudoun Medical Center | Lenoir City | $616.11 | $278.66 – $1,680.30 |
| Fort Sanders Regional Medical Center | Knoxville | $616.11 | $278.66 – $1,680.30 |