Pcv21 vaccine im at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$415.01
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.
$2,766.72
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.
$163.95 with UNITED HEALTHCARE vs $2,766.72 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 | $163.95 | ↓ -60% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $174.32 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $174.32 | ↓ -58% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $174.49 | ↓ -58% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $176.01 | ↓ -58% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $177.70 | ↓ -57% |
| BLUE CROSS | ANTHEM HMO | $327.89 | ↓ -21% |
| BLUE CROSS | ANTHEM EXCHANGE | $327.89 | ↓ -21% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $327.89 | ↓ -21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $400.03 | ↓ -4% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $595.50 | ↑ +43% |
| SENTARA HEALTH | SENTARA HEALTH | $714.09 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,153.72 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,153.72 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,153.72 | ↑ +178% |
| AETNA | AETNA | $1,181.39 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,316.68 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,936.70 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,490.05 | ↑ +500% |
| WELLCARE | WELLCARE MEDICAID | $2,766.72 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,766.72 | ↑ +567% |
Visitor-reported prices
Comments
Pcv21 vaccine im at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $415.01 | $155.97 – $595.50 |
| Hancock County Hospital | SNEEDVILLE | $364.00 | $2.62 – $595.50 |
| Greeneville Community Hospital | GREENEVILLE | $415.01 | $118.04 – $2,231.64 |
| Bristol Regional Medical Center | BRISTOL | $415.01 | $158.56 – $595.50 |
| Franklin Woods Community Hospital | JOHNSON CITY | $415.01 | $169.24 – $2,444.67 |
| Holston Valley Medical Center | KINGSPORT | $415.01 | $153.94 – $595.50 |
| Indian Path Community Hospital | KINGSPORT | $415.01 | $148.93 – $595.50 |
| Johnson County Community Hospital | MOUNTAIN CITY | $636.35 | $46.43 – $595.50 |