Pr planning advance care 1st 30 minutes at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$36.45
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.
?
What you pay up front if you don't use insurance.
$243.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$62.72 with SENTARA HEALTH vs $243.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $62.72 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $92.17 | ↑ +153% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $92.17 | ↑ +153% |
| SENTARA HEALTH | SENTARA MEDICARE | $92.17 | ↑ +153% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $92.17 | ↑ +153% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $92.17 | ↑ +153% |
| AETNA | AETNA HEALTHCARE MEDICARE | $92.17 | ↑ +153% |
| HUMANA | HUMANA MEDICARE | $92.17 | ↑ +153% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $92.17 | ↑ +153% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $94.93 | ↑ +160% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $95.86 | ↑ +163% |
| BLUE CROSS | BLUE CROSS MEDICARE | $95.86 | ↑ +163% |
| NHC ADVANTAGE | NHC ADVANTAGE | $96.78 | ↑ +166% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $96.78 | ↑ +166% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $96.78 | ↑ +166% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $96.78 | ↑ +166% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $96.78 | ↑ +166% |
| WELLCARE | WELLCARE MEDICARE | $97.70 | ↑ +168% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $101.33 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $101.33 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $101.33 | ↑ +178% |
| AETNA | AETNA | $103.76 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $112.75 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $115.64 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $170.10 | ↑ +367% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $181.47 | ↑ +398% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $181.47 | ↑ +398% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $181.65 | ↑ +398% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $183.24 | ↑ +403% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $185.00 | ↑ +408% |
| AMBETTER | AMBETTER | $200.93 | ↑ +451% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $218.70 | ↑ +500% |
| BLUE CROSS | ANTHEM EXCHANGE | $226.93 | ↑ +523% |
| BLUE CROSS | ANTHEM HMO | $241.10 | ↑ +561% |
| WELLCARE | WELLCARE MEDICAID | $243.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $243.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $243.00 | ↑ +567% |
Visitor-reported prices
Comments
Pr planning advance care 1st 30 minutes at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $35.65 | $101.20 – $181.65 |
| Greeneville Community Hospital | GREENEVILLE | $36.45 | $61.11 – $206.66 |
| Bristol Regional Medical Center | BRISTOL | $36.45 | $96.37 – $231.30 |
| Holston Valley Medical Center | KINGSPORT | $36.45 | $96.37 – $231.30 |
| Ascension Saint Thomas Midtown | Nashville | not published | $79.73 – $124.03 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $78.58 – $122.23 |
| Ascension Saint Thomas Highlands | Sparta | not published | $78.58 – $122.23 |
| Ascension Saint Thomas River Park | McMinnville | not published | $78.58 – $122.23 |