Puncture aspiration abscess/hematoma/bulla/cyst at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$253.65
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.
$1,691.00
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.
$29.82 with BLUE CROSS vs $1,691.00 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 | $29.82 | ↓ -88% |
| BLUE CROSS | TENNCARE BLUE CARE | $29.82 | ↓ -88% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $57.75 | ↓ -77% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $109.00 | ↓ -57% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $247.48 | ↓ -2% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $247.48 | ↓ -2% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $247.72 | ↓ -2% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $249.88 | ↓ -1% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $252.28 | ↓ -1% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $368.82 | ↑ +45% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $368.82 | ↑ +45% |
| AETNA | AETNA HEALTHCARE MEDICARE | $368.82 | ↑ +45% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $368.82 | ↑ +45% |
| HUMANA | HUMANA MEDICARE | $368.82 | ↑ +45% |
| SENTARA HEALTH | SENTARA MEDICARE | $368.82 | ↑ +45% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $368.82 | ↑ +45% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $368.82 | ↑ +45% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $379.89 | ↑ +50% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $383.57 | ↑ +51% |
| BLUE CROSS | BLUE CROSS MEDICARE | $383.57 | ↑ +51% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $387.26 | ↑ +53% |
| NHC ADVANTAGE | NHC ADVANTAGE | $387.26 | ↑ +53% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $387.26 | ↑ +53% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $387.26 | ↑ +53% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $387.26 | ↑ +53% |
| WELLCARE | WELLCARE MEDICARE | $390.95 | ↑ +54% |
| SENTARA HEALTH | SENTARA HEALTH | $436.45 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↑ +86% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +94% |
| AETNA | AETNA | $722.06 | ↑ +185% |
| AMBETTER | AMBETTER | $804.03 | ↑ +217% |
| MEDCOST | MEDCOST VHN | $804.75 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +234% |
| BLUE CROSS | ANTHEM EXCHANGE | $908.05 | ↑ +258% |
| BLUE CROSS | ANTHEM HMO | $964.75 | ↑ +280% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,134.94 | ↑ +347% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,521.90 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,691.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,691.00 | ↑ +567% |
Visitor-reported prices
Comments
Puncture aspiration abscess/hematoma/bulla/cyst at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $458.54 | $25.71 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $400.20 | $38.26 – $946.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $88.09 | $317.39 – $729.64 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $571.90 | $38.26 – $946.40 |
| Johnson City Medical Center | JOHNSON CITY | $253.65 | $57.75 – $826.95 |
| Ascension Saint Thomas DeKalb | Smithville | $458.54 | $25.71 – $2,225.50 |
| Ascension Saint Thomas Highlands | Sparta | $458.54 | $25.71 – $2,225.50 |
| Ascension Saint Thomas River Park | McMinnville | $458.54 | $25.71 – $2,225.50 |