Inj proc ankle arthr at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$155.25
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.
$1,035.00
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.
$148.00 with BLUE CROSS vs $1,035.00 with CIGNA HEALTHCARE — 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 E NETWORK | $148.00 | ↓ -5% |
| BLUE CROSS | BLUE CROSS S NETWORK | $151.00 | ↓ -3% |
| BLUE CROSS | BLUE CROSS P NETWORK | $151.00 | ↓ -3% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $173.00 | ↑ +11% |
| SENTARA HEALTH | SENTARA HEALTH | $267.13 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $277.00 | ↑ +78% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $289.00 | ↑ +86% |
| AETNA | AETNA | $441.95 | ↑ +185% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $490.48 | ↑ +216% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $490.48 | ↑ +216% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $490.95 | ↑ +216% |
| MEDCOST | MEDCOST VHN | $492.56 | ↑ +217% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $495.24 | ↑ +219% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $500.00 | ↑ +222% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $528.00 | ↑ +240% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $931.50 | ↑ +500% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,035.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,035.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,035.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,035.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,035.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,035.00 | ↑ +567% |
Visitor-reported prices
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Inj proc ankle arthr at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $395.57 | $394.86 – $2,225.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $395.57 | $394.86 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $155.25 | $476.19 – $476.19 |
| Bristol Regional Medical Center | BRISTOL | $155.25 | $446.13 – $454.80 |
| Holston Valley Medical Center | KINGSPORT | $155.25 | $433.14 – $454.80 |
| 62-0123940 BMH Collierville | Collierville | $99.54 | $46.33 – $46.33 |
| Parkwest Medical Center | Knoxville | $239.40 | $76.51 – $76.51 |
| Roane County Medical Center | Harriman | $263.34 | $179.55 – $359.10 |