Strep a ag ia at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$20.10
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.
$134.00
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.
$8.41 with AMERIGROUP vs $134.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $8.41 | ↓ -58% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $8.50 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $11.55 | ↓ -43% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $11.55 | ↓ -43% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $11.56 | ↓ -42% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $11.66 | ↓ -42% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $11.77 | ↓ -41% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $16.81 | ↓ -16% |
| AETNA | AETNA HEALTHCARE MEDICARE | $16.81 | ↓ -16% |
| HUMANA | HUMANA MEDICARE | $16.81 | ↓ -16% |
| BLUE CROSS | ANTHEM EXCHANGE | $16.81 | ↓ -16% |
| BLUE CROSS | ANTHEM HMO | $16.81 | ↓ -16% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $16.81 | ↓ -16% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $16.81 | ↓ -16% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $16.81 | ↓ -16% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $16.81 | ↓ -16% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $16.81 | ↓ -16% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $16.81 | ↓ -16% |
| SENTARA HEALTH | SENTARA MEDICARE | $16.81 | ↓ -16% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $16.81 | ↓ -16% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $17.31 | ↓ -14% |
| BLUE CROSS | BLUE CROSS MEDICARE | $17.48 | ↓ -13% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $17.48 | ↓ -13% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $17.48 | ↓ -13% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $17.65 | ↓ -12% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $17.65 | ↓ -12% |
| NHC ADVANTAGE | NHC ADVANTAGE | $17.65 | ↓ -12% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $17.65 | ↓ -12% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $17.65 | ↓ -12% |
| WELLCARE | WELLCARE MEDICARE | $17.82 | ↓ -11% |
| BLUE CROSS | TENNCARE BLUE CARE | $23.17 | ↑ +15% |
| BLUE CROSS | TENNCARE BLUE SELECT | $23.17 | ↑ +15% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $28.67 | ↑ +43% |
| SENTARA HEALTH | SENTARA HEALTH | $34.59 | ↑ +72% |
| AMBETTER | AMBETTER | $36.65 | ↑ +82% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $36.81 | ↑ +83% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $48.24 | ↑ +140% |
| CIGNA HEALTHCARE | CIGNA PPO | $48.24 | ↑ +140% |
| CIGNA HEALTHCARE | CIGNA HMO | $48.24 | ↑ +140% |
| BLUE CROSS | BLUE CROSS E NETWORK | $49.98 | ↑ +149% |
| BLUE CROSS | BLUE CROSS P NETWORK | $51.08 | ↑ +154% |
| BLUE CROSS | BLUE CROSS S NETWORK | $51.08 | ↑ +154% |
| AETNA | AETNA | $57.22 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $63.77 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $120.60 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $134.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $134.00 | ↑ +567% |
Visitor-reported prices
Comments
Strep a ag ia at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $20.10 | $6.12 – $36.65 |
| Bristol Regional Medical Center | BRISTOL | $20.10 | $8.41 – $40.34 |
| Holston Valley Medical Center | KINGSPORT | $20.10 | $8.41 – $40.34 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | $347.04 | $7.56 – $50.43 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $781.00 | $7.56 – $50.43 |
| STONECREST MEDICAL CENTER | Smyrna | $629.81 | $7.56 – $50.43 |
| Ascension Saint Thomas Midtown | Nashville | not published | $6.05 – $53.04 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $8.42 – $53.04 |