Pet image w/ct lmtd at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$1,405.50
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.
$9,370.00
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.
$518.48 with UNITED HEALTHCARE vs $9,370.00 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 | $518.48 | ↓ -63% |
| BLUE CROSS | TENNCARE BLUE CARE | $877.32 | ↓ -38% |
| BLUE CROSS | TENNCARE BLUE SELECT | $877.32 | ↓ -38% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,297.36 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,297.36 | ↓ -8% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,297.36 | ↓ -8% |
| HUMANA | HUMANA MEDICARE | $1,297.36 | ↓ -8% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,297.36 | ↓ -8% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,297.36 | ↓ -8% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,297.36 | ↓ -8% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,297.36 | ↓ -8% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,336.28 | ↓ -5% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,346.49 | ↓ -4% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,349.25 | ↓ -4% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,349.25 | ↓ -4% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,362.22 | ↓ -3% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,362.22 | ↓ -3% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,362.22 | ↓ -3% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,362.22 | ↓ -3% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,362.22 | ↓ -3% |
| WELLCARE | WELLCARE MEDICARE | $1,375.20 | ↓ -2% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,814.00 | ↑ +29% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,978.89 | ↑ +41% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,978.89 | ↑ +41% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,980.81 | ↑ +41% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,998.10 | ↑ +42% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,017.31 | ↑ +44% |
| SENTARA HEALTH | SENTARA HEALTH | $2,418.40 | ↑ +72% |
| AMBETTER | AMBETTER | $2,828.23 | ↑ +101% |
| BLUE CROSS | ANTHEM EXCHANGE | $3,194.16 | ↑ +127% |
| BLUE CROSS | BLUE CROSS E NETWORK | $3,263.36 | ↑ +132% |
| BLUE CROSS | BLUE CROSS P NETWORK | $3,334.75 | ↑ +137% |
| BLUE CROSS | BLUE CROSS S NETWORK | $3,334.75 | ↑ +137% |
| BLUE CROSS | ANTHEM HMO | $3,393.61 | ↑ +141% |
| CIGNA HEALTHCARE | CIGNA HMO | $3,924.62 | ↑ +179% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,924.62 | ↑ +179% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $3,924.62 | ↑ +179% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,957.00 | ↑ +182% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,992.26 | ↑ +184% |
| AETNA | AETNA | $4,000.99 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $4,136.00 | ↑ +194% |
| MEDCOST | MEDCOST VHN | $4,459.18 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $6,522.00 | ↑ +364% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $8,433.00 | ↑ +500% |
| WELLCARE | WELLCARE MEDICAID | $9,370.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $9,370.00 | ↑ +567% |
Visitor-reported prices
Comments
Pet image w/ct lmtd at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $1,405.50 | $877.32 – $2,908.87 |
| Greeneville Community Hospital | GREENEVILLE | $1,405.50 | $373.30 – $2,908.87 |
| Bristol Regional Medical Center | BRISTOL | $1,405.50 | $622.17 – $3,255.65 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,405.50 | $933.26 – $2,830.34 |
| Holston Valley Medical Center | KINGSPORT | $1,405.50 | $622.17 – $3,255.65 |
| Indian Path Community Hospital | KINGSPORT | $1,405.50 | $877.32 – $3,113.65 |
| Sycamore Shoals Hospital | ELIZABETHTON | $1,405.50 | $877.32 – $2,828.23 |
| Parkwest Medical Center | Knoxville | $1,609.20 | $616.17 – $3,228.00 |