Partial removal of vaginal wall 57106 at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$3,139.50
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.
$20,930.00
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.
$487.47 with BLUE CROSS vs $20,930.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $487.47 | ↓ -84% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $923.10 | ↓ -71% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,936.96 | ↓ -6% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,936.96 | ↓ -6% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,936.96 | ↓ -6% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,936.96 | ↓ -6% |
| HUMANA | HUMANA MEDICARE | $2,936.96 | ↓ -6% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,936.96 | ↓ -6% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,936.96 | ↓ -6% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,936.96 | ↓ -6% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,025.07 | ↓ -4% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,054.44 | ↓ -3% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,054.44 | ↓ -3% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,083.81 | ↓ -2% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,083.81 | ↓ -2% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,083.81 | ↓ -2% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,083.81 | ↓ -2% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,083.81 | ↓ -2% |
| WELLCARE | WELLCARE MEDICARE | $3,113.18 | ↓ -1% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,612.41 | ↑ +15% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3,612.41 | ↑ +15% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,615.91 | ↑ +15% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3,647.48 | ↑ +16% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,682.55 | ↑ +17% |
| SENTARA HEALTH | SENTARA HEALTH | $5,402.03 | ↑ +72% |
| AMBETTER | AMBETTER | $6,402.58 | ↑ +104% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $6,425.51 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $6,760.39 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $6,760.39 | ↑ +115% |
| BLUE CROSS | ANTHEM EXCHANGE | $7,230.96 | ↑ +130% |
| BLUE CROSS | ANTHEM HMO | $7,682.46 | ↑ +145% |
| CIGNA HEALTHCARE | CIGNA PPO | $8,727.81 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $8,727.81 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $8,727.81 | ↑ +178% |
| AETNA | AETNA | $8,937.11 | ↑ +185% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $9,037.70 | ↑ +188% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $9,711.52 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $9,960.59 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $18,837.00 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $20,930.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $20,930.00 | ↑ +567% |
Visitor-reported prices
Comments
Partial removal of vaginal wall 57106 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $3,139.50 | $487.47 – $6,585.13 |
| Bristol Regional Medical Center | BRISTOL | $3,139.50 | $487.47 – $7,370.17 |
| Holston Valley Medical Center | KINGSPORT | $3,139.50 | $487.47 – $7,370.17 |
| Ascension Saint Thomas Midtown | Nashville | not published | $1,752.88 – $2,225.50 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $923.10 – $2,225.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $923.10 – $2,225.50 |
| Ascension Saint Thomas River Park | McMinnville | not published | $923.10 – $2,225.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $1,869.19 – $9,354.00 |