Electrophysiology evaluation at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$1,142.25
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.
$7,615.00
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.
$329.44 with BLUE CROSS vs $15,426.63 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 SELECT | $329.44 | ↓ -71% |
| BLUE CROSS | TENNCARE BLUE CARE | $329.44 | ↓ -71% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $558.57 | ↓ -51% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,571.00 | ↑ +38% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,642.00 | ↑ +44% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,879.48 | ↑ +65% |
| SENTARA HEALTH | SENTARA HEALTH | $1,965.43 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,097.00 | ↑ +171% |
| CIGNA HEALTHCARE | CIGNA HMO | $3,175.46 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $3,175.46 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,175.46 | ↑ +178% |
| AETNA | AETNA | $3,251.61 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,533.36 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $3,623.98 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6,853.50 | ↑ +500% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $7,076.44 | ↑ +520% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $7,076.44 | ↑ +520% |
| AETNA | AETNA HEALTHCARE MEDICARE | $7,076.44 | ↑ +520% |
| HUMANA | HUMANA MEDICARE | $7,076.44 | ↑ +520% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $7,076.44 | ↑ +520% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $7,076.44 | ↑ +520% |
| SENTARA HEALTH | SENTARA MEDICARE | $7,076.44 | ↑ +520% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $7,076.44 | ↑ +520% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $7,288.73 | ↑ +538% |
| BLUE CROSS | BLUE CROSS MEDICARE | $7,359.49 | ↑ +544% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $7,359.49 | ↑ +544% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $7,430.26 | ↑ +550% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $7,430.26 | ↑ +550% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $7,430.26 | ↑ +550% |
| NHC ADVANTAGE | NHC ADVANTAGE | $7,430.26 | ↑ +550% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $7,430.26 | ↑ +550% |
| WELLCARE | WELLCARE MEDICARE | $7,501.02 | ↑ +557% |
| BLUE CROSS | ANTHEM HMO | $7,615.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $7,615.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,615.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $7,615.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $7,615.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $7,615.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $9,668.25 | ↑ +746% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $9,677.64 | ↑ +747% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $9,762.12 | ↑ +755% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $9,855.98 | ↑ +763% |
| AMBETTER | AMBETTER | $15,426.63 | ↑ +1251% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $6,179.09 | $284.00 – $720.41 |
| CHI Memorial Hospital Hixson | Hixson | $2,890.74 | $422.68 – $6,836.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,131.02 | $422.68 – $6,836.20 |
| Johnson City Medical Center | JOHNSON CITY | $1,142.25 | $329.44 – $15,866.48 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $6,179.09 | $284.00 – $720.41 |
| Greeneville Community Hospital | GREENEVILLE | $1,142.25 | $329.44 – $15,866.48 |
| Bristol Regional Medical Center | BRISTOL | $1,142.25 | $329.44 – $16,130.18 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,142.25 | $400.44 – $15,438.09 |