MRI fetal sngl/1st gestation at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$897.00
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.
$5,980.00
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.
$136.77 with UNITED HEALTHCARE vs $5,980.00 with SEVEN CORNERS, INC. — 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 | $136.77 | ↓ -85% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $216.48 | ↓ -76% |
| SENTARA HEALTH | SENTARA MEDICARE | $216.48 | ↓ -76% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $216.48 | ↓ -76% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $216.48 | ↓ -76% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $216.48 | ↓ -76% |
| HUMANA | HUMANA MEDICARE | $216.48 | ↓ -76% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $216.48 | ↓ -76% |
| AETNA | AETNA HEALTHCARE MEDICARE | $216.48 | ↓ -76% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $222.97 | ↓ -75% |
| BLUE CROSS | BLUE CROSS MEDICARE | $225.14 | ↓ -75% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $225.14 | ↓ -75% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $227.30 | ↓ -75% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $227.30 | ↓ -75% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $227.30 | ↓ -75% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $227.30 | ↓ -75% |
| NHC ADVANTAGE | NHC ADVANTAGE | $227.30 | ↓ -75% |
| WELLCARE | WELLCARE MEDICARE | $229.47 | ↓ -74% |
| BLUE CROSS | TENNCARE BLUE CARE | $280.34 | ↓ -69% |
| BLUE CROSS | TENNCARE BLUE SELECT | $280.34 | ↓ -69% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $339.94 | ↓ -62% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $339.94 | ↓ -62% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $340.27 | ↓ -62% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $343.24 | ↓ -62% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $346.54 | ↓ -61% |
| AMBETTER | AMBETTER | $471.92 | ↓ -47% |
| BLUE CROSS | ANTHEM EXCHANGE | $532.97 | ↓ -41% |
| BLUE CROSS | ANTHEM HMO | $566.25 | ↓ -37% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $666.14 | ↓ -26% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $786.00 | ↓ -12% |
| BLUE CROSS | BLUE CROSS E NETWORK | $951.87 | ↑ +6% |
| BLUE CROSS | BLUE CROSS P NETWORK | $972.69 | ↑ +8% |
| BLUE CROSS | BLUE CROSS S NETWORK | $972.69 | ↑ +8% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,215.00 | ↑ +35% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,215.00 | ↑ +35% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,215.00 | ↑ +35% |
| SENTARA HEALTH | SENTARA HEALTH | $1,543.44 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,448.00 | ↑ +173% |
| AETNA | AETNA | $2,553.46 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,559.00 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $2,845.88 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,035.00 | ↑ +350% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $4,186.00 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,382.00 | ↑ +500% |
| WELLCARE | WELLCARE MEDICAID | $5,980.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $5,980.00 | ↑ +567% |
Visitor-reported prices
Comments
MRI fetal sngl/1st gestation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $897.00 | $98.47 – $485.38 |
| Bristol Regional Medical Center | BRISTOL | $897.00 | $164.12 – $543.24 |
| Holston Valley Medical Center | KINGSPORT | $897.00 | $164.12 – $543.24 |
| 62-0123940 BMH Collierville | Collierville | $301.14 | $210.27 – $442.68 |
| Fort Sanders Regional Medical Center | Knoxville | $556.71 | $52.56 – $1,518.30 |
| Ascension Saint Thomas Midtown | Nashville | not published | $208.35 – $1,273.66 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $135.40 – $1,273.66 |
| Ascension Saint Thomas Highlands | Sparta | not published | $135.40 – $1,273.66 |