Initial nursing facility care/day low severity 99304 at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$48.00
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.
$320.00
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.
$63.00 with BLUE CROSS vs $320.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $63.00 | ↑ +31% |
| BLUE CROSS | ANTHEM EXCHANGE | $77.22 | ↑ +61% |
| BLUE CROSS | ANTHEM HMO | $77.22 | ↑ +61% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $77.22 | ↑ +61% |
| SENTARA HEALTH | SENTARA HEALTH | $82.59 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA HMO | $133.44 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $133.44 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $133.44 | ↑ +178% |
| AETNA | AETNA | $136.64 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $148.48 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $152.29 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $288.00 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $320.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $320.00 | ↑ +567% |
Visitor-reported prices
Comments
Initial nursing facility care/day low severity 99304 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $47.15 | $63.00 – $178.13 |
| Greeneville Community Hospital | GREENEVILLE | $48.00 | $63.00 – $63.00 |
| Bristol Regional Medical Center | BRISTOL | $48.00 | $63.00 – $63.00 |
| Holston Valley Medical Center | KINGSPORT | $48.00 | $63.00 – $63.00 |
| Ascension Saint Thomas Midtown | Nashville | not published | $84.02 – $84.02 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $84.02 – $84.02 |
| Ascension Saint Thomas Highlands | Sparta | not published | $84.02 – $84.02 |
| Ascension Saint Thomas River Park | McMinnville | not published | $84.02 – $84.02 |