Reposition vad w/image rt/lt sep session at Hawkins County Memorial Hospital

851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$693.60

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.

Full explanation →

What you pay up front if you don't use insurance.

$4,624.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$968.00 with UNITED HEALTHCARE vs $10,420.99 with MOLINA HEALTHCARE — 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 →

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 $968.00 ↑ +40%
UNITED HEALTHCARE UHC HERITAGE SELECT $1,055.00 ↑ +52%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $1,103.00 ↑ +59%
SENTARA HEALTH SENTARA HEALTH $1,193.45 ↑ +72%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $1,523.00 ↑ +120%
UNITED HEALTHCARE UNITED HEALTHCARE $1,861.00 ↑ +168%
BLUE CROSS BLUE CROSS E NETWORK $1,871.00 ↑ +170%
BLUE CROSS BLUE CROSS P NETWORK $1,913.00 ↑ +176%
BLUE CROSS BLUE CROSS S NETWORK $1,913.00 ↑ +176%
AETNA AETNA $1,974.45 ↑ +185%
MEDCOST MEDCOST VHN $2,200.56 ↑ +217%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $3,204.00 ↑ +362%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $4,161.60 ↑ +500%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $4,239.00 ↑ +511%
CIGNA HEALTHCARE CIGNA HMO $4,239.00 ↑ +511%
CIGNA HEALTHCARE CIGNA PPO $4,239.00 ↑ +511%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $4,624.00 ↑ +567%
WELLCARE WELLCARE MEDICAID $4,624.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $4,624.00 ↑ +567%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $10,222.50 ↑ +1374%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $10,232.42 ↑ +1375%
AETNA AETNA BETTER HEALTH OF VIRGINIA $10,321.74 ↑ +1388%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $10,420.99 ↑ +1402%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Reposition vad w/image rt/lt sep session at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $557.21 $484.77 – $2,225.50
CHI Memorial Hospital Hixson Hixson $495.51 $334.80 – $1,171.80
CHI Memorial Hospital Chattanooga Chattanooga $708.11 $351.54 – $1,171.80
Johnson City Medical Center JOHNSON CITY $693.60 $4,624.00 – $9,512.02
Ascension Saint Thomas Rutherford Murfreesboro $557.21 $484.77 – $2,225.50
Greeneville Community Hospital GREENEVILLE $693.60 $9,924.75 – $9,924.75
Bristol Regional Medical Center BRISTOL $693.60 $4,624.00 – $9,478.79
Franklin Woods Community Hospital JOHNSON CITY $693.60 $9,924.75 – $10,321.74

All Tennessee hospitals for this procedure →