Ghs eye exam at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$58.35
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.
$389.00
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.
$47.56 with UNITED HEALTHCARE vs $389.00 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 | $47.56 | ↓ -18% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $50.59 | ↓ -13% |
| BLUE CROSS | TENNCARE BLUE SELECT | $57.28 | ↓ -2% |
| BLUE CROSS | TENNCARE BLUE CARE | $57.28 | ↓ -2% |
| SENTARA HEALTH | SENTARA HEALTH | $100.40 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $120.79 | ↑ +107% |
| SENTARA HEALTH | SENTARA MEDICARE | $120.79 | ↑ +107% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $120.79 | ↑ +107% |
| HUMANA | HUMANA MEDICARE | $120.79 | ↑ +107% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $120.79 | ↑ +107% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $120.79 | ↑ +107% |
| AETNA | AETNA HEALTHCARE MEDICARE | $120.79 | ↑ +107% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $120.79 | ↑ +107% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $124.41 | ↑ +113% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $125.62 | ↑ +115% |
| BLUE CROSS | BLUE CROSS MEDICARE | $125.62 | ↑ +115% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $126.83 | ↑ +117% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $126.83 | ↑ +117% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $126.83 | ↑ +117% |
| NHC ADVANTAGE | NHC ADVANTAGE | $126.83 | ↑ +117% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $126.83 | ↑ +117% |
| WELLCARE | WELLCARE MEDICARE | $128.04 | ↑ +119% |
| CIGNA HEALTHCARE | CIGNA PPO | $162.21 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $162.21 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $162.21 | ↑ +178% |
| AETNA | AETNA | $166.10 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $180.50 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $185.13 | ↑ +217% |
| AMBETTER | AMBETTER | $263.32 | ↑ +351% |
| BLUE CROSS | ANTHEM EXCHANGE | $297.39 | ↑ +410% |
| BLUE CROSS | ANTHEM HMO | $315.96 | ↑ +441% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $350.10 | ↑ +500% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $371.69 | ↑ +537% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $389.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $389.00 | ↑ +567% |
Visitor-reported prices
Comments
Ghs eye exam at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $57.04 | $47.56 – $159.92 |
| Greeneville Community Hospital | GREENEVILLE | $58.35 | $34.24 – $270.83 |
| Bristol Regional Medical Center | BRISTOL | $58.35 | $50.59 – $303.12 |
| Holston Valley Medical Center | KINGSPORT | $58.35 | $50.59 – $303.12 |
| Ascension Saint Thomas Midtown | Nashville | not published | $49.38 – $176.89 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $47.56 – $176.89 |
| Ascension Saint Thomas Highlands | Sparta | not published | $47.56 – $176.89 |
| Ascension Saint Thomas River Park | McMinnville | not published | $47.56 – $176.89 |