Ligation/major artery/extremity 37618 at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$644.55
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.
$4,297.00
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.
$775.00 with BLUE CROSS vs $4,297.00 with BLUE CROSS — 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 | TENNCARE BLUE SELECT | $775.00 | ↑ +20% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↑ +20% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $948.00 | ↑ +47% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $968.00 | ↑ +50% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,055.00 | ↑ +64% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,103.00 | ↑ +71% |
| SENTARA HEALTH | SENTARA HEALTH | $1,109.06 | ↑ +72% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,385.82 | ↑ +115% |
| BLUE CROSS | ANTHEM HMO | $1,472.35 | ↑ +128% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,732.08 | ↑ +169% |
| AETNA | AETNA | $1,834.82 | ↑ +185% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,861.00 | ↑ +189% |
| MEDCOST | MEDCOST VHN | $2,044.94 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3,016.98 | ↑ +368% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,016.98 | ↑ +368% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,019.90 | ↑ +369% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3,046.27 | ↑ +373% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,075.56 | ↑ +377% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +397% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,867.30 | ↑ +500% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,239.00 | ↑ +558% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,239.00 | ↑ +558% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,239.00 | ↑ +558% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,297.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $4,297.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4,297.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,297.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,297.00 | ↑ +567% |
Visitor-reported prices
Comments
Ligation/major artery/extremity 37618 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $644.55 | $2,699.32 – $2,807.29 |
| Hancock County Hospital | SNEEDVILLE | $632.50 | $1,293.46 – $3,075.56 |
| Greeneville Community Hospital | GREENEVILLE | $644.55 | $2,929.10 – $2,929.10 |
| Bristol Regional Medical Center | BRISTOL | $644.55 | $1,467.57 – $2,797.48 |
| Franklin Woods Community Hospital | JOHNSON CITY | $644.55 | $2,929.10 – $3,046.27 |
| Holston Valley Medical Center | KINGSPORT | $644.55 | $1,208.73 – $2,797.48 |
| Indian Path Community Hospital | KINGSPORT | $644.55 | $1,843.64 – $2,680.61 |
| Johnson County Community Hospital | MOUNTAIN CITY | $632.50 | $2,750.00 – $3,046.27 |