Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$555.60
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.
$3,704.00
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.
$243.55 with BLUE CROSS vs $3,704.00 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 | $243.55 | ↓ -56% |
| BLUE CROSS | TENNCARE BLUE CARE | $243.55 | ↓ -56% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $397.29 | ↓ -28% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $484.20 | ↓ -13% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $723.00 | ↑ +30% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $756.00 | ↑ +36% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $779.11 | ↑ +40% |
| AETNA | AETNA HEALTHCARE MEDICARE | $779.11 | ↑ +40% |
| HUMANA | HUMANA MEDICARE | $779.11 | ↑ +40% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $779.11 | ↑ +40% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $779.11 | ↑ +40% |
| SENTARA HEALTH | SENTARA MEDICARE | $779.11 | ↑ +40% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $779.11 | ↑ +40% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $779.11 | ↑ +40% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $802.49 | ↑ +44% |
| BLUE CROSS | BLUE CROSS MEDICARE | $810.28 | ↑ +46% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $810.28 | ↑ +46% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $818.07 | ↑ +47% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $818.07 | ↑ +47% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $818.07 | ↑ +47% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $818.07 | ↑ +47% |
| NHC ADVANTAGE | NHC ADVANTAGE | $818.07 | ↑ +47% |
| WELLCARE | WELLCARE MEDICARE | $825.86 | ↑ +49% |
| SENTARA HEALTH | SENTARA HEALTH | $956.00 | ↑ +72% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,087.72 | ↑ +96% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,087.72 | ↑ +96% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,088.78 | ↑ +96% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,098.28 | ↑ +98% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,108.84 | ↑ +100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,193.00 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,544.57 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,544.57 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,544.57 | ↑ +178% |
| AETNA | AETNA | $1,581.61 | ↑ +185% |
| AMBETTER | AMBETTER | $1,698.47 | ↑ +206% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,718.66 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $1,762.73 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,918.21 | ↑ +245% |
| BLUE CROSS | ANTHEM HMO | $2,037.99 | ↑ +267% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,039.91 | ↑ +267% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,082.02 | ↑ +275% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,082.02 | ↑ +275% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,397.50 | ↑ +332% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,333.60 | ↑ +500% |
| WELLCARE | WELLCARE MEDICAID | $3,704.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,704.00 | ↑ +567% |
Visitor-reported prices
Comments
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $2,195.14 | $312.48 – $2,335.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,417.95 | $209.96 – $1,858.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,136.97 | $312.48 – $2,335.90 |
| Johnson City Medical Center | JOHNSON CITY | $555.60 | $243.55 – $1,746.89 |
| Ascension Saint Thomas River Park | McMinnville | $1,569.15 | $313.70 – $1,344.43 |
| Greeneville Community Hospital | GREENEVILLE | $555.60 | $243.55 – $1,746.89 |
| Bristol Regional Medical Center | BRISTOL | $555.60 | $243.55 – $1,955.15 |
| Franklin Woods Community Hospital | JOHNSON CITY | $555.60 | $296.04 – $1,699.73 |