Genetic tstg severe inh cond at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$3,142.35
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.
$20,949.00
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.
$1,224.28 with UNITED HEALTHCARE vs $20,949.00 with SEVEN CORNERS, INC. — 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 | $1,224.28 | ↓ -61% |
| AMERIGROUP | AMERIGROUP | $1,224.28 | ↓ -61% |
| BLUE CROSS | TENNCARE BLUE SELECT | $2,307.60 | ↓ -27% |
| BLUE CROSS | TENNCARE BLUE CARE | $2,307.60 | ↓ -27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,448.56 | ↓ -22% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,448.56 | ↓ -22% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,448.56 | ↓ -22% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,448.56 | ↓ -22% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,448.56 | ↓ -22% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,448.56 | ↓ -22% |
| HUMANA | HUMANA MEDICARE | $2,448.56 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,448.56 | ↓ -22% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,448.56 | ↓ -22% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,448.56 | ↓ -22% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,448.56 | ↓ -22% |
| BLUE CROSS | ANTHEM HMO | $2,448.56 | ↓ -22% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,448.56 | ↓ -22% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,522.02 | ↓ -20% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,546.50 | ↓ -19% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,546.50 | ↓ -19% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,546.50 | ↓ -19% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,570.99 | ↓ -18% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,570.99 | ↓ -18% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,570.99 | ↓ -18% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,570.99 | ↓ -18% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,570.99 | ↓ -18% |
| WELLCARE | WELLCARE MEDICARE | $2,595.47 | ↓ -17% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,744.51 | ↓ -13% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,744.51 | ↓ -13% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,747.17 | ↓ -13% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,771.15 | ↓ -12% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,797.80 | ↓ -11% |
| AMBETTER | AMBETTER | $5,337.86 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $5,397.47 | ↑ +72% |
| SENTARA HEALTH | SENTARA HEALTH | $5,406.94 | ↑ +72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $7,835.39 | ↑ +149% |
| BLUE CROSS | BLUE CROSS S NETWORK | $8,006.79 | ↑ +155% |
| BLUE CROSS | BLUE CROSS P NETWORK | $8,006.79 | ↑ +155% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $8,735.73 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $8,735.73 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $8,735.73 | ↑ +178% |
| AETNA | AETNA | $8,945.22 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $9,969.63 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $14,664.30 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $18,854.10 | ↑ +500% |
| WELLCARE | WELLCARE MEDICAID | $20,949.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $20,949.00 | ↑ +567% |
Visitor-reported prices
Comments
Genetic tstg severe inh cond at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $3,142.35 | $1,224.28 – $5,337.86 |
| Hancock County Hospital | SNEEDVILLE | $3,083.61 | $1,224.28 – $5,397.47 |
| Greeneville Community Hospital | GREENEVILLE | $3,142.35 | $881.48 – $5,337.86 |
| Bristol Regional Medical Center | BRISTOL | $3,142.35 | $1,224.28 – $5,876.54 |
| Franklin Woods Community Hospital | JOHNSON CITY | $3,142.35 | $1,224.28 – $5,337.86 |
| Holston Valley Medical Center | KINGSPORT | $3,142.35 | $1,224.28 – $5,876.54 |
| Indian Path Community Hospital | KINGSPORT | $3,142.35 | $1,224.28 – $5,876.54 |
| Johnson County Community Hospital | MOUNTAIN CITY | $3,083.61 | $2,203.70 – $5,397.47 |