Nasopharyngoscopy w/endoscope at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$79.80
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.
$532.00
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.
$37.61 with UNITED HEALTHCARE vs $532.00 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 | $37.61 | ↓ -53% |
| BLUE CROSS | TENNCARE BLUE CARE | $64.59 | ↓ -19% |
| BLUE CROSS | TENNCARE BLUE SELECT | $64.59 | ↓ -19% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $78.79 | ↓ -1% |
| SENTARA HEALTH | SENTARA HEALTH | $137.31 | ↑ +72% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $181.10 | ↑ +127% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $181.10 | ↑ +127% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $181.10 | ↑ +127% |
| AETNA | AETNA HEALTHCARE MEDICARE | $181.10 | ↑ +127% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $181.10 | ↑ +127% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $181.10 | ↑ +127% |
| SENTARA HEALTH | SENTARA MEDICARE | $181.10 | ↑ +127% |
| HUMANA | HUMANA MEDICARE | $181.10 | ↑ +127% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $186.53 | ↑ +134% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $188.34 | ↑ +136% |
| BLUE CROSS | BLUE CROSS MEDICARE | $188.34 | ↑ +136% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $190.15 | ↑ +138% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $190.15 | ↑ +138% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $190.15 | ↑ +138% |
| NHC ADVANTAGE | NHC ADVANTAGE | $190.15 | ↑ +138% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $190.15 | ↑ +138% |
| WELLCARE | WELLCARE MEDICARE | $191.96 | ↑ +141% |
| CIGNA HEALTHCARE | CIGNA HMO | $221.84 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $221.84 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $221.84 | ↑ +178% |
| AETNA | AETNA | $227.16 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $246.85 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $253.18 | ↑ +217% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $262.73 | ↑ +229% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $262.73 | ↑ +229% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $262.99 | ↑ +230% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $265.28 | ↑ +232% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $267.83 | ↑ +236% |
| AMBETTER | AMBETTER | $394.79 | ↑ +395% |
| BLUE CROSS | ANTHEM EXCHANGE | $445.87 | ↑ +459% |
| BLUE CROSS | ANTHEM HMO | $473.71 | ↑ +494% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $478.80 | ↑ +500% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $532.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $532.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $532.00 | ↑ +567% |
Visitor-reported prices
Comments
Nasopharyngoscopy w/endoscope at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $127.26 | $55.68 – $289.80 |
| CHI Memorial Hospital Hixson | Hixson | $457.03 | $82.87 – $1,080.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $50.60 | $55.68 – $354.54 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $653.12 | $82.87 – $1,080.80 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $127.26 | $55.68 – $289.80 |
| Hancock County Hospital | SNEEDVILLE | $78.20 | $37.61 – $267.83 |
| Greeneville Community Hospital | GREENEVILLE | $79.80 | $27.08 – $406.05 |
| Bristol Regional Medical Center | BRISTOL | $79.80 | $45.13 – $454.46 |