Ther nma rdctj intus/obstrcj at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$72.45
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.
$483.00
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.
$42.92 with UNITED HEALTHCARE vs $483.00 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 | $42.92 | ↓ -41% |
| BLUE CROSS | TENNCARE BLUE SELECT | $84.17 | ↑ +16% |
| BLUE CROSS | TENNCARE BLUE CARE | $84.17 | ↑ +16% |
| SENTARA HEALTH | SENTARA HEALTH | $124.66 | ↑ +72% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $159.14 | ↑ +120% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $159.14 | ↑ +120% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $159.14 | ↑ +120% |
| HUMANA | HUMANA MEDICARE | $159.14 | ↑ +120% |
| AETNA | AETNA HEALTHCARE MEDICARE | $159.14 | ↑ +120% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $159.14 | ↑ +120% |
| SENTARA HEALTH | SENTARA MEDICARE | $159.14 | ↑ +120% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $159.14 | ↑ +120% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $163.91 | ↑ +126% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $164.84 | ↑ +128% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $164.84 | ↑ +128% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $165.00 | ↑ +128% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $165.50 | ↑ +128% |
| BLUE CROSS | BLUE CROSS MEDICARE | $165.50 | ↑ +128% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $166.44 | ↑ +130% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $167.09 | ↑ +131% |
| NHC ADVANTAGE | NHC ADVANTAGE | $167.09 | ↑ +131% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $167.09 | ↑ +131% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $167.09 | ↑ +131% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $167.09 | ↑ +131% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $168.04 | ↑ +132% |
| WELLCARE | WELLCARE MEDICARE | $168.69 | ↑ +133% |
| AETNA | AETNA | $206.24 | ↑ +185% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $209.10 | ↑ +189% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $229.86 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $293.51 | ↑ +305% |
| BLUE CROSS | BLUE CROSS E NETWORK | $307.36 | ↑ +324% |
| BLUE CROSS | BLUE CROSS P NETWORK | $314.08 | ↑ +334% |
| BLUE CROSS | BLUE CROSS S NETWORK | $314.08 | ↑ +334% |
| CIGNA HEALTHCARE | CIGNA HMO | $324.85 | ↑ +348% |
| CIGNA HEALTHCARE | CIGNA PPO | $324.85 | ↑ +348% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $324.85 | ↑ +348% |
| AMBETTER | AMBETTER | $346.92 | ↑ +379% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↑ +411% |
| BLUE CROSS | ANTHEM EXCHANGE | $391.81 | ↑ +441% |
| BLUE CROSS | ANTHEM HMO | $416.27 | ↑ +475% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $434.70 | ↑ +500% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $483.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $483.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $483.00 | ↑ +567% |
Visitor-reported prices
Comments
Ther nma rdctj intus/obstrcj at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $72.45 | $77.25 – $356.81 |
| Greeneville Community Hospital | GREENEVILLE | $72.45 | $30.90 – $356.81 |
| Bristol Regional Medical Center | BRISTOL | $72.45 | $51.50 – $399.35 |
| Franklin Woods Community Hospital | JOHNSON CITY | $72.45 | $77.25 – $347.18 |
| Holston Valley Medical Center | KINGSPORT | $72.45 | $51.50 – $399.35 |
| Indian Path Community Hospital | KINGSPORT | $72.45 | $77.25 – $381.93 |
| Sycamore Shoals Hospital | ELIZABETHTON | $72.45 | $77.25 – $346.92 |
| Ascension Saint Thomas Midtown | Nashville | not published | $72.56 – $330.77 |