Special physics consult at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$175.05
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.
$1,167.00
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.
$53.78 with UNITED HEALTHCARE vs $1,167.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $53.78 | ↓ -69% |
| BLUE CROSS | TENNCARE BLUE SELECT | $114.69 | ↓ -34% |
| BLUE CROSS | TENNCARE BLUE CARE | $114.69 | ↓ -34% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $121.95 | ↓ -30% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $121.95 | ↓ -30% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $121.95 | ↓ -30% |
| HUMANA | HUMANA MEDICARE | $121.95 | ↓ -30% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $121.95 | ↓ -30% |
| SENTARA HEALTH | SENTARA MEDICARE | $121.95 | ↓ -30% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $121.95 | ↓ -30% |
| AETNA | AETNA HEALTHCARE MEDICARE | $121.95 | ↓ -30% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $125.60 | ↓ -28% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $126.82 | ↓ -28% |
| BLUE CROSS | BLUE CROSS MEDICARE | $126.82 | ↓ -28% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $128.04 | ↓ -27% |
| NHC ADVANTAGE | NHC ADVANTAGE | $128.04 | ↓ -27% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $128.04 | ↓ -27% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $128.04 | ↓ -27% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $128.04 | ↓ -27% |
| WELLCARE | WELLCARE MEDICARE | $129.26 | ↓ -26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $169.41 | ↓ -3% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $169.41 | ↓ -3% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $169.58 | ↓ -3% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $171.05 | ↓ -2% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $172.70 | ↓ -1% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $227.72 | ↑ +30% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $229.38 | ↑ +31% |
| AMBETTER | AMBETTER | $265.84 | ↑ +52% |
| BLUE CROSS | ANTHEM EXCHANGE | $300.24 | ↑ +72% |
| SENTARA HEALTH | SENTARA HEALTH | $301.20 | ↑ +72% |
| BLUE CROSS | ANTHEM HMO | $318.99 | ↑ +82% |
| BLUE CROSS | BLUE CROSS E NETWORK | $327.68 | ↑ +87% |
| BLUE CROSS | BLUE CROSS P NETWORK | $334.85 | ↑ +91% |
| BLUE CROSS | BLUE CROSS S NETWORK | $334.85 | ↑ +91% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $375.26 | ↑ +114% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $407.09 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $407.09 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA PPO | $407.09 | ↑ +133% |
| AETNA | AETNA | $498.31 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $555.38 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,050.30 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,167.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,167.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,167.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,167.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,167.00 | ↑ +567% |
Visitor-reported prices
Comments
Special physics consult at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $396.15 | $98.87 – $336.54 |
| CHI Memorial Hospital Hixson | Hixson | $228.52 | $73.87 – $540.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $326.56 | $73.87 – $540.40 |
| Johnson City Medical Center | JOHNSON CITY | $175.05 | $96.80 – $273.42 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $396.15 | $98.87 – $336.54 |
| Greeneville Community Hospital | GREENEVILLE | $175.05 | $38.72 – $273.42 |
| Bristol Regional Medical Center | BRISTOL | $175.05 | $64.54 – $306.02 |
| Franklin Woods Community Hospital | JOHNSON CITY | $175.05 | $96.80 – $266.04 |