Prostate biopsy, any mthd at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$326.70
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.
$2,178.00
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.
$82.18 with UNITED HEALTHCARE vs $2,178.00 with WELLCARE — 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 | $82.18 | ↓ -75% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $227.66 | ↓ -30% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $227.66 | ↓ -30% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $227.88 | ↓ -30% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $229.87 | ↓ -30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $232.08 | ↓ -29% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $283.41 | ↓ -13% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $283.41 | ↓ -13% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $294.75 | ↓ -10% |
| SENTARA HEALTH | SENTARA MEDICARE | $325.21 | ↓ -0% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $325.21 | ↓ -0% |
| AETNA | AETNA HEALTHCARE MEDICARE | $325.21 | ↓ -0% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $325.21 | ↓ -0% |
| HUMANA | HUMANA MEDICARE | $325.21 | ↓ -0% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $325.21 | ↓ -0% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $325.21 | ↓ -0% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $325.21 | ↓ -0% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $334.97 | ↑ +3% |
| BLUE CROSS | BLUE CROSS MEDICARE | $338.22 | ↑ +4% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $338.22 | ↑ +4% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $341.47 | ↑ +5% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $341.47 | ↑ +5% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $341.47 | ↑ +5% |
| NHC ADVANTAGE | NHC ADVANTAGE | $341.47 | ↑ +5% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $341.47 | ↑ +5% |
| WELLCARE | WELLCARE MEDICARE | $344.72 | ↑ +6% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $395.83 | ↑ +21% |
| BLUE CROSS | TENNCARE BLUE CARE | $400.05 | ↑ +22% |
| BLUE CROSS | TENNCARE BLUE SELECT | $400.05 | ↑ +22% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $413.61 | ↑ +27% |
| SENTARA HEALTH | SENTARA HEALTH | $562.14 | ↑ +72% |
| AMBETTER | AMBETTER | $708.96 | ↑ +117% |
| BLUE CROSS | ANTHEM EXCHANGE | $800.68 | ↑ +145% |
| BLUE CROSS | ANTHEM HMO | $850.67 | ↑ +160% |
| AETNA | AETNA | $930.01 | ↑ +185% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,000.74 | ↑ +206% |
| MEDCOST | MEDCOST VHN | $1,036.51 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,340.90 | ↑ +310% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,370.23 | ↑ +319% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,370.23 | ↑ +319% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,388.39 | ↑ +325% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,388.39 | ↑ +325% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,388.39 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,960.20 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,178.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $2,178.00 | ↑ +567% |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $194.58 | $285.77 – $656.94 |
| Johnson City Medical Center | JOHNSON CITY | $326.70 | $98.38 – $729.17 |
| Hancock County Hospital | SNEEDVILLE | $320.39 | $82.18 – $674.76 |
| Greeneville Community Hospital | GREENEVILLE | $326.70 | $59.17 – $729.17 |
| Bristol Regional Medical Center | BRISTOL | $326.70 | $98.62 – $816.10 |
| Franklin Woods Community Hospital | JOHNSON CITY | $326.70 | $95.73 – $709.48 |
| Holston Valley Medical Center | KINGSPORT | $326.70 | $98.62 – $816.10 |
| 62-0123940 BMH Collierville | Collierville | $177.66 | $307.66 – $658.80 |