Shoulder MRI (with contrast) at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$971.40
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.
$6,476.00
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.
$217.92 with UNITED HEALTHCARE vs $4,245.00 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 | $217.92 | ↓ -78% |
| BLUE CROSS | TENNCARE BLUE SELECT | $440.93 | ↓ -55% |
| BLUE CROSS | TENNCARE BLUE CARE | $440.93 | ↓ -55% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $571.65 | ↓ -41% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $571.65 | ↓ -41% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $572.21 | ↓ -41% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $577.20 | ↓ -41% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $582.75 | ↓ -40% |
| AETNA | AETNA HEALTHCARE MEDICARE | $711.23 | ↓ -27% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $711.23 | ↓ -27% |
| HUMANA | HUMANA MEDICARE | $711.23 | ↓ -27% |
| SENTARA HEALTH | SENTARA MEDICARE | $711.23 | ↓ -27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $711.23 | ↓ -27% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $711.23 | ↓ -27% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $711.23 | ↓ -27% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $711.23 | ↓ -27% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $732.57 | ↓ -25% |
| BLUE CROSS | BLUE CROSS MEDICARE | $739.68 | ↓ -24% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $739.68 | ↓ -24% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $746.79 | ↓ -23% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $746.79 | ↓ -23% |
| NHC ADVANTAGE | NHC ADVANTAGE | $746.79 | ↓ -23% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $746.79 | ↓ -23% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $746.79 | ↓ -23% |
| WELLCARE | WELLCARE MEDICARE | $753.91 | ↓ -22% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $786.00 | ↓ -19% |
| BLUE CROSS | BLUE CROSS E NETWORK | $893.09 | ↓ -8% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $903.90 | ↓ -7% |
| BLUE CROSS | BLUE CROSS S NETWORK | $912.62 | ↓ -6% |
| BLUE CROSS | BLUE CROSS P NETWORK | $912.62 | ↓ -6% |
| SENTARA HEALTH | SENTARA HEALTH | $1,095.63 | ↑ +13% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,215.00 | ↑ +25% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,215.00 | ↑ +25% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,215.00 | ↑ +25% |
| AMBETTER | AMBETTER | $1,550.48 | ↑ +60% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,751.08 | ↑ +80% |
| AETNA | AETNA | $1,812.62 | ↑ +87% |
| BLUE CROSS | ANTHEM HMO | $1,860.42 | ↑ +92% |
| MEDCOST | MEDCOST VHN | $2,020.20 | ↑ +108% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,188.61 | ↑ +125% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,448.00 | ↑ +152% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,559.00 | ↑ +163% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,820.50 | ↑ +293% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,035.00 | ↑ +315% |
| WELLCARE | WELLCARE MEDICAID | $4,245.00 | ↑ +337% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,245.00 | ↑ +337% |
Visitor-reported prices
Comments
Shoulder MRI (with contrast) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $990.14 | $329.33 – $1,109.03 |
| CHI Memorial Hospital Hixson | Hixson | $1,416.96 | $278.75 – $3,350.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,034.08 | $380.11 – $1,442.84 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,024.91 | $278.75 – $3,350.90 |
| Johnson City Medical Center | JOHNSON CITY | $636.75 | $392.26 – $1,594.69 |
| Ascension Saint Thomas DeKalb | Smithville | $972.71 | $215.74 – $1,109.03 |
| Ascension Saint Thomas Highlands | Sparta | $972.71 | $215.74 – $1,109.03 |
| Ascension Saint Thomas River Park | McMinnville | $926.37 | $215.74 – $1,109.03 |