Plmt nephroureteral catheter at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$2,296.05
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.
$15,307.00
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 $10,205.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $775.00 | ↓ -66% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↓ -66% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,418.00 | ↓ -38% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↓ -34% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,436.00 | ↑ +6% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,547.00 | ↑ +11% |
| SENTARA HEALTH | SENTARA HEALTH | $2,633.91 | ↑ +15% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,198.13 | ↑ +39% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,198.13 | ↑ +39% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,198.13 | ↑ +39% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,198.13 | ↑ +39% |
| HUMANA | HUMANA MEDICARE | $3,198.13 | ↑ +39% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,198.13 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,198.13 | ↑ +39% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,198.13 | ↑ +39% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,294.07 | ↑ +43% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,326.05 | ↑ +45% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,326.05 | ↑ +45% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,358.03 | ↑ +46% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,358.03 | ↑ +46% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,358.03 | ↑ +46% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,358.03 | ↑ +46% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,358.03 | ↑ +46% |
| WELLCARE | WELLCARE MEDICARE | $3,390.01 | ↑ +48% |
| BLUE CROSS | BLUE CROSS E NETWORK | $3,993.00 | ↑ +74% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,082.00 | ↑ +78% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,082.00 | ↑ +78% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $4,152.52 | ↑ +81% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $4,152.52 | ↑ +81% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $4,156.56 | ↑ +81% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $4,192.84 | ↑ +83% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $4,233.16 | ↑ +84% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,296.00 | ↑ +87% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $4,353.00 | ↑ +90% |
| AETNA | AETNA | $4,357.54 | ↑ +90% |
| MEDCOST | MEDCOST VHN | $4,856.56 | ↑ +112% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $5,761.00 | ↑ +151% |
| CIGNA HEALTHCARE | CIGNA HMO | $5,761.00 | ↑ +151% |
| CIGNA HEALTHCARE | CIGNA PPO | $5,761.00 | ↑ +151% |
| AMBETTER | AMBETTER | $6,971.91 | ↑ +204% |
| BLUE CROSS | ANTHEM EXCHANGE | $7,873.96 | ↑ +243% |
| BLUE CROSS | ANTHEM HMO | $8,365.61 | ↑ +264% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $9,184.50 | ↑ +300% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $9,841.36 | ↑ +329% |
| WELLCARE | WELLCARE MEDICAID | $10,205.00 | ↑ +344% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $10,205.00 | ↑ +344% |
Visitor-reported prices
Comments
Plmt nephroureteral catheter at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $2,604.77 | $2,543.00 – $2,965.00 |
| CHI Memorial Hospital Hixson | Hixson | $2,115.22 | $1,429.20 – $5,002.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,022.76 | $1,500.66 – $5,002.20 |
| Johnson City Medical Center | JOHNSON CITY | $2,296.05 | $2,561.64 – $7,170.70 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $2,604.77 | $2,836.50 – $2,981.50 |
| Greeneville Community Hospital | GREENEVILLE | $2,296.05 | $2,290.69 – $7,170.70 |
| Bristol Regional Medical Center | BRISTOL | $2,296.05 | $3,343.98 – $8,025.55 |
| Franklin Woods Community Hospital | JOHNSON CITY | $2,296.05 | $2,252.81 – $6,977.09 |