Ghs moderate sedation, > 5 yr, 30 min, other at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$75.15
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.
?
What you pay up front if you don't use insurance.
$501.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$30.93 with BLUE CROSS vs $501.00 with WELLCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | ANTHEM HLTHKEEP MEDICIAD | $30.93 | ↓ -59% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $30.93 | ↓ -59% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $30.96 | ↓ -59% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $31.24 | ↓ -58% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $31.53 | ↓ -58% |
| SENTARA HEALTH | SENTARA HEALTH | $129.31 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $153.81 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $161.82 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $161.82 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA HMO | $208.92 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $208.92 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $208.92 | ↑ +178% |
| AETNA | AETNA | $213.93 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $232.46 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $238.43 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $350.70 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $450.90 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $501.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $501.00 | ↑ +567% |
Visitor-reported prices
Comments
Ghs moderate sedation, > 5 yr, 30 min, other at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $118.91 | $78.93 – $78.93 |
| Johnson City Medical Center | JOHNSON CITY | $75.15 | $27.68 – $28.79 |
| Hancock County Hospital | SNEEDVILLE | $73.83 | $30.93 – $31.53 |
| Greeneville Community Hospital | GREENEVILLE | $75.15 | $30.03 – $30.03 |
| Bristol Regional Medical Center | BRISTOL | $75.15 | $28.14 – $28.69 |
| Franklin Woods Community Hospital | JOHNSON CITY | $75.15 | $30.03 – $186.37 |
| Holston Valley Medical Center | KINGSPORT | $75.15 | $27.32 – $28.69 |
| 62-0123940 BMH Collierville | Collierville | $108.57 | $78.93 – $78.93 |