Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$383.85
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.
$2,559.00
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.
$569.14 with AETNA vs $2,559.00 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 |
|---|---|---|---|
| AETNA | AETNA HEALTHCARE MEDICARE | $569.14 | ↑ +48% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $569.14 | ↑ +48% |
| SENTARA HEALTH | SENTARA MEDICARE | $569.14 | ↑ +48% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $569.14 | ↑ +48% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $569.14 | ↑ +48% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $569.14 | ↑ +48% |
| HUMANA | HUMANA MEDICARE | $569.14 | ↑ +48% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $569.14 | ↑ +48% |
| BLUE CROSS | TENNCARE BLUE SELECT | $578.00 | ↑ +51% |
| BLUE CROSS | TENNCARE BLUE CARE | $578.00 | ↑ +51% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $586.21 | ↑ +53% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $591.90 | ↑ +54% |
| BLUE CROSS | BLUE CROSS MEDICARE | $591.90 | ↑ +54% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $597.59 | ↑ +56% |
| NHC ADVANTAGE | NHC ADVANTAGE | $597.59 | ↑ +56% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $597.59 | ↑ +56% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $597.59 | ↑ +56% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $597.59 | ↑ +56% |
| WELLCARE | WELLCARE MEDICARE | $603.28 | ↑ +57% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $650.00 | ↑ +69% |
| SENTARA HEALTH | SENTARA HEALTH | $660.48 | ↑ +72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $670.00 | ↑ +75% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $679.00 | ↑ +77% |
| BLUE CROSS | BLUE CROSS P NETWORK | $685.00 | ↑ +78% |
| BLUE CROSS | BLUE CROSS S NETWORK | $685.00 | ↑ +78% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $772.00 | ↑ +101% |
| AETNA | AETNA | $1,092.69 | ↑ +185% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,101.00 | ↑ +187% |
| MEDCOST | MEDCOST VHN | $1,217.83 | ↑ +217% |
| AMBETTER | AMBETTER | $1,240.72 | ↑ +223% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,401.25 | ↑ +265% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,432.40 | ↑ +273% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,432.40 | ↑ +273% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,433.79 | ↑ +274% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,446.31 | ↑ +277% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,460.21 | ↑ +280% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +281% |
| BLUE CROSS | ANTHEM HMO | $1,488.74 | ↑ +288% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +297% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,751.37 | ↑ +356% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,932.00 | ↑ +403% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,932.00 | ↑ +403% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,932.00 | ↑ +403% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,303.10 | ↑ +500% |
| WELLCARE | WELLCARE MEDICAID | $2,559.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,559.00 | ↑ +567% |
Visitor-reported prices
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Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,476.80 | $532.90 – $1,141.72 |
| CHI Memorial Hospital Hixson | Hixson | $1,386.17 | $936.60 – $3,278.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $702.88 | $491.16 – $1,129.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,980.91 | $983.43 – $3,278.10 |
| Johnson City Medical Center | JOHNSON CITY | $383.85 | $581.88 – $1,281.58 |
| Ascension Saint Thomas DeKalb | Smithville | $633.65 | $244.68 – $1,004.50 |
| Ascension Saint Thomas Highlands | Sparta | $633.65 | $244.68 – $1,004.50 |
| Ascension Saint Thomas River Park | McMinnville | $633.65 | $244.68 – $1,004.50 |