Plcmnt biliary drainage cath w/img ext at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$1,252.50
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.
$8,350.00
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.
$775.00 with BLUE CROSS vs $8,350.00 with BLUE CROSS — 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 | TENNCARE BLUE SELECT | $775.00 | ↓ -38% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↓ -38% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +22% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,881.00 | ↑ +50% |
| SENTARA HEALTH | SENTARA HEALTH | $2,155.14 | ↑ +72% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,248.41 | ↑ +159% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,248.41 | ↑ +159% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,248.41 | ↑ +159% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,248.41 | ↑ +159% |
| HUMANA | HUMANA MEDICARE | $3,248.41 | ↑ +159% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,248.41 | ↑ +159% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,248.41 | ↑ +159% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,248.41 | ↑ +159% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3,256.87 | ↑ +160% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,256.87 | ↑ +160% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,260.03 | ↑ +160% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3,288.49 | ↑ +163% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,320.11 | ↑ +165% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,336.00 | ↑ +166% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,345.86 | ↑ +167% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,378.34 | ↑ +170% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,378.34 | ↑ +170% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,410.83 | ↑ +172% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,410.83 | ↑ +172% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,410.83 | ↑ +172% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,410.83 | ↑ +172% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,410.83 | ↑ +172% |
| WELLCARE | WELLCARE MEDICARE | $3,443.31 | ↑ +175% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,488.00 | ↑ +178% |
| AETNA | AETNA | $3,565.45 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $3,973.77 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $3,993.00 | ↑ +219% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,082.00 | ↑ +226% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,082.00 | ↑ +226% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5,883.00 | ↑ +370% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $6,048.00 | ↑ +383% |
| AMBETTER | AMBETTER | $7,081.52 | ↑ +465% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,515.00 | ↑ +500% |
| BLUE CROSS | ANTHEM EXCHANGE | $7,997.76 | ↑ +539% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $8,003.00 | ↑ +539% |
| CIGNA HEALTHCARE | CIGNA HMO | $8,003.00 | ↑ +539% |
| CIGNA HEALTHCARE | CIGNA PPO | $8,003.00 | ↑ +539% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $8,350.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $8,350.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $8,350.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $8,350.00 | ↑ +567% |
Visitor-reported prices
Comments
Plcmnt biliary drainage cath w/img ext at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $2,511.56 | $2,543.00 – $3,142.00 |
| CHI Memorial Hospital Hixson | Hixson | $1,943.24 | $1,313.00 – $4,595.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,777.00 | $1,378.65 – $4,595.50 |
| Johnson City Medical Center | JOHNSON CITY | $1,252.50 | $2,765.29 – $7,283.43 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $2,511.56 | $3,006.00 – $3,160.00 |
| Greeneville Community Hospital | GREENEVILLE | $1,252.50 | $2,472.81 – $7,283.43 |
| Bristol Regional Medical Center | BRISTOL | $1,252.50 | $2,962.41 – $8,151.73 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,252.50 | $2,431.92 – $7,086.79 |