Prq trluml c angiop 1art&/br at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$4,357.65
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.
$29,051.00
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.
$510.91 with BLUE CROSS vs $29,051.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $510.91 | ↓ -88% |
| BLUE CROSS | TENNCARE BLUE CARE | $510.91 | ↓ -88% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,853.00 | ↓ -35% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $5,163.81 | ↑ +18% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $5,163.81 | ↑ +18% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $5,163.81 | ↑ +18% |
| HUMANA | HUMANA MEDICARE | $5,163.81 | ↑ +18% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $5,163.81 | ↑ +18% |
| SENTARA HEALTH | SENTARA MEDICARE | $5,163.81 | ↑ +18% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $5,163.81 | ↑ +18% |
| AETNA | AETNA HEALTHCARE MEDICARE | $5,163.81 | ↑ +18% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $5,318.72 | ↑ +22% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $5,370.36 | ↑ +23% |
| BLUE CROSS | BLUE CROSS MEDICARE | $5,370.36 | ↑ +23% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $5,422.00 | ↑ +24% |
| NHC ADVANTAGE | NHC ADVANTAGE | $5,422.00 | ↑ +24% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $5,422.00 | ↑ +24% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $5,422.00 | ↑ +24% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $5,422.00 | ↑ +24% |
| WELLCARE | WELLCARE MEDICARE | $5,473.64 | ↑ +26% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $7,198.00 | ↑ +65% |
| SENTARA HEALTH | SENTARA HEALTH | $7,498.06 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $7,525.00 | ↑ +73% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $9,628.00 | ↑ +121% |
| AMBETTER | AMBETTER | $11,257.11 | ↑ +158% |
| CIGNA HEALTHCARE | CIGNA PPO | $12,114.27 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $12,114.27 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $12,114.27 | ↑ +178% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $12,116.94 | ↑ +178% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $12,116.94 | ↑ +178% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $12,128.70 | ↑ +178% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $12,234.58 | ↑ +181% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $12,352.22 | ↑ +183% |
| AETNA | AETNA | $12,404.78 | ↑ +185% |
| BLUE CROSS | ANTHEM EXCHANGE | $12,713.57 | ↑ +192% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $13,479.66 | ↑ +209% |
| BLUE CROSS | ANTHEM HMO | $13,507.41 | ↑ +210% |
| MEDCOST | MEDCOST VHN | $13,825.37 | ↑ +217% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $15,890.21 | ↑ +265% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $20,335.70 | ↑ +367% |
| BLUE CROSS | BLUE CROSS E NETWORK | $21,607.00 | ↑ +396% |
| BLUE CROSS | BLUE CROSS S NETWORK | $22,094.00 | ↑ +407% |
| BLUE CROSS | BLUE CROSS P NETWORK | $22,094.00 | ↑ +407% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $26,145.90 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $29,051.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $29,051.00 | ↑ +567% |
Visitor-reported prices
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Prq trluml c angiop 1art&/br at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $6,299.64 | $440.44 – $16,047.00 |
| CHI Memorial Hospital Hixson | Hixson | $10,486.40 | $655.51 – $24,798.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $5,504.13 | $4,529.37 – $10,412.34 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $14,985.63 | $655.51 – $24,798.90 |
| Johnson City Medical Center | JOHNSON CITY | $4,357.65 | $510.91 – $11,578.07 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $6,299.64 | $440.44 – $16,047.00 |
| Greeneville Community Hospital | GREENEVILLE | $4,357.65 | $510.91 – $11,764.02 |
| Bristol Regional Medical Center | BRISTOL | $4,357.65 | $510.91 – $12,958.35 |