Lymphatics/lymph node imaging at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$452.25
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.
$3,015.00
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.
$127.93 with UNITED HEALTHCARE vs $3,015.00 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 | $127.93 | ↓ -72% |
| BLUE CROSS | TENNCARE BLUE SELECT | $133.59 | ↓ -70% |
| BLUE CROSS | TENNCARE BLUE CARE | $133.59 | ↓ -70% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $270.84 | ↓ -40% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $492.62 | ↑ +9% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $492.62 | ↑ +9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $492.62 | ↑ +9% |
| AETNA | AETNA HEALTHCARE MEDICARE | $492.62 | ↑ +9% |
| HUMANA | HUMANA MEDICARE | $492.62 | ↑ +9% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $492.62 | ↑ +9% |
| SENTARA HEALTH | SENTARA MEDICARE | $492.62 | ↑ +9% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $492.62 | ↑ +9% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $503.98 | ↑ +11% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $507.40 | ↑ +12% |
| BLUE CROSS | BLUE CROSS MEDICARE | $512.33 | ↑ +13% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $512.33 | ↑ +13% |
| NHC ADVANTAGE | NHC ADVANTAGE | $517.25 | ↑ +14% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $517.25 | ↑ +14% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $517.25 | ↑ +14% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $517.25 | ↑ +14% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $517.25 | ↑ +14% |
| WELLCARE | WELLCARE MEDICARE | $522.18 | ↑ +15% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $774.00 | ↑ +71% |
| SENTARA HEALTH | SENTARA HEALTH | $778.17 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $810.00 | ↑ +79% |
| BLUE CROSS | BLUE CROSS E NETWORK | $873.70 | ↑ +93% |
| BLUE CROSS | BLUE CROSS P NETWORK | $892.81 | ↑ +97% |
| BLUE CROSS | BLUE CROSS S NETWORK | $892.81 | ↑ +97% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $968.33 | ↑ +114% |
| CIGNA HEALTHCARE | CIGNA HMO | $968.33 | ↑ +114% |
| CIGNA HEALTHCARE | CIGNA PPO | $968.33 | ↑ +114% |
| AMBETTER | AMBETTER | $1,073.92 | ↑ +137% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,212.87 | ↑ +168% |
| AETNA | AETNA | $1,287.41 | ↑ +185% |
| BLUE CROSS | ANTHEM HMO | $1,288.60 | ↑ +185% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,290.13 | ↑ +185% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,290.13 | ↑ +185% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,291.39 | ↑ +186% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,302.66 | ↑ +188% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,315.19 | ↑ +191% |
| MEDCOST | MEDCOST VHN | $1,434.84 | ↑ +217% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,515.92 | ↑ +235% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,599.00 | ↑ +254% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,713.50 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,015.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $3,015.00 | ↑ +567% |
Visitor-reported prices
Comments
Lymphatics/lymph node imaging at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,088.01 | $115.16 – $820.53 |
| CHI Memorial Hospital Hixson | Hixson | $814.89 | $171.39 – $1,927.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $220.11 | $115.16 – $983.02 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,164.52 | $171.39 – $1,927.10 |
| Johnson City Medical Center | JOHNSON CITY | $452.25 | $133.59 – $1,154.30 |
| Ascension Saint Thomas DeKalb | Smithville | $718.83 | $115.16 – $820.53 |
| Ascension Saint Thomas Highlands | Sparta | $718.80 | $115.16 – $820.53 |
| Ascension Saint Thomas River Park | McMinnville | $718.80 | $126.65 – $820.53 |