Scan duplex abd/pelvis/retroperitoneal limited at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$229.50
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.
$1,530.00
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.
$76.07 with UNITED HEALTHCARE vs $1,530.00 with SEVEN CORNERS, INC. — 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 | $76.07 | ↓ -67% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $94.85 | ↓ -59% |
| SENTARA HEALTH | SENTARA MEDICARE | $94.85 | ↓ -59% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $94.85 | ↓ -59% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $94.85 | ↓ -59% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $94.85 | ↓ -59% |
| HUMANA | HUMANA MEDICARE | $94.85 | ↓ -59% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $94.85 | ↓ -59% |
| AETNA | AETNA HEALTHCARE MEDICARE | $94.85 | ↓ -59% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $97.70 | ↓ -57% |
| BLUE CROSS | BLUE CROSS MEDICARE | $98.65 | ↓ -57% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $98.65 | ↓ -57% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $99.59 | ↓ -57% |
| NHC ADVANTAGE | NHC ADVANTAGE | $99.59 | ↓ -57% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $99.59 | ↓ -57% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $99.59 | ↓ -57% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $99.59 | ↓ -57% |
| WELLCARE | WELLCARE MEDICARE | $100.54 | ↓ -56% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $112.12 | ↓ -51% |
| BLUE CROSS | TENNCARE BLUE CARE | $125.69 | ↓ -45% |
| BLUE CROSS | TENNCARE BLUE SELECT | $125.69 | ↓ -45% |
| AMBETTER | AMBETTER | $206.78 | ↓ -10% |
| BLUE CROSS | ANTHEM EXCHANGE | $233.53 | ↑ +2% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $234.21 | ↑ +2% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $234.21 | ↑ +2% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $234.44 | ↑ +2% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $236.48 | ↑ +3% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $238.76 | ↑ +4% |
| BLUE CROSS | ANTHEM HMO | $248.11 | ↑ +8% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $291.88 | ↑ +27% |
| SENTARA HEALTH | SENTARA HEALTH | $394.89 | ↑ +72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $594.09 | ↑ +159% |
| BLUE CROSS | BLUE CROSS P NETWORK | $606.36 | ↑ +164% |
| BLUE CROSS | BLUE CROSS S NETWORK | $606.36 | ↑ +164% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $638.01 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $638.01 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $638.01 | ↑ +178% |
| AETNA | AETNA | $653.31 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $709.92 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $728.13 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $857.00 | ↑ +273% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $896.00 | ↑ +290% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,377.00 | ↑ +500% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,413.00 | ↑ +516% |
| WELLCARE | WELLCARE MEDICAID | $1,530.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,530.00 | ↑ +567% |
Visitor-reported prices
Comments
Scan duplex abd/pelvis/retroperitoneal limited at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $269.93 | $91.66 – $334.25 |
| CHI Memorial Hospital Hixson | Hixson | $452.00 | $132.73 – $1,068.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $312.34 | $84.48 – $194.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $645.93 | $132.73 – $1,068.90 |
| Johnson City Medical Center | JOHNSON CITY | $229.50 | $97.56 – $212.67 |
| Ascension Saint Thomas DeKalb | Smithville | $440.79 | $76.07 – $334.25 |
| Ascension Saint Thomas Highlands | Sparta | $440.79 | $76.07 – $334.25 |
| Ascension Saint Thomas River Park | McMinnville | $440.78 | $76.07 – $334.25 |