Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$222.30
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.
$1,482.00
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.
$58.07 with BLUE CROSS vs $1,482.00 with BLUE CROSS — 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 | $58.07 | ↓ -74% |
| BLUE CROSS | TENNCARE BLUE SELECT | $58.07 | ↓ -74% |
| SENTARA HEALTH | SENTARA HEALTH | $382.50 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $611.89 | ↑ +175% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $611.89 | ↑ +175% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $612.49 | ↑ +176% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $617.83 | ↑ +178% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $623.77 | ↑ +181% |
| AETNA | AETNA | $632.81 | ↑ +185% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $642.47 | ↑ +189% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $642.47 | ↑ +189% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $642.47 | ↑ +189% |
| AETNA | AETNA HEALTHCARE MEDICARE | $642.47 | ↑ +189% |
| HUMANA | HUMANA MEDICARE | $642.47 | ↑ +189% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $642.47 | ↑ +189% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $642.47 | ↑ +189% |
| SENTARA HEALTH | SENTARA MEDICARE | $642.47 | ↑ +189% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $650.00 | ↑ +192% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $661.74 | ↑ +198% |
| BLUE CROSS | BLUE CROSS MEDICARE | $668.17 | ↑ +201% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $668.17 | ↑ +201% |
| BLUE CROSS | BLUE CROSS E NETWORK | $670.00 | ↑ +201% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $674.59 | ↑ +203% |
| NHC ADVANTAGE | NHC ADVANTAGE | $674.59 | ↑ +203% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $674.59 | ↑ +203% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $674.59 | ↑ +203% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $674.59 | ↑ +203% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $679.00 | ↑ +205% |
| WELLCARE | WELLCARE MEDICARE | $681.02 | ↑ +206% |
| BLUE CROSS | BLUE CROSS P NETWORK | $685.00 | ↑ +208% |
| BLUE CROSS | BLUE CROSS S NETWORK | $685.00 | ↑ +208% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↑ +217% |
| MEDCOST | MEDCOST VHN | $705.28 | ↑ +217% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $772.00 | ↑ +247% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,101.00 | ↑ +395% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,333.80 | ↑ +500% |
| AMBETTER | AMBETTER | $1,400.59 | ↑ +530% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +558% |
| BLUE CROSS | ANTHEM HMO | $1,482.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,482.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,482.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,482.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,482.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,482.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,482.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,482.00 | ↑ +567% |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,052.28 | $74.50 – $2,488.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $278.53 | $558.94 – $1,284.92 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,503.77 | $74.50 – $2,488.50 |
| Johnson City Medical Center | JOHNSON CITY | $222.30 | $58.07 – $1,440.52 |
| Greeneville Community Hospital | GREENEVILLE | $222.30 | $58.07 – $1,440.52 |
| Bristol Regional Medical Center | BRISTOL | $222.30 | $58.07 – $1,482.00 |
| Franklin Woods Community Hospital | JOHNSON CITY | $222.30 | $70.58 – $1,401.63 |
| Holston Valley Medical Center | KINGSPORT | $222.30 | $58.07 – $1,482.00 |