Thrombectomy/inf pq dialysis circuit w/stent plcmnt at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$8,112.60
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.
$54,084.00
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.
$890.00 with BLUE CROSS vs $54,084.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $890.00 | ↓ -89% |
| BLUE CROSS | TENNCARE BLUE CARE | $890.00 | ↓ -89% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↓ -81% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↓ -61% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,239.00 | ↓ -48% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,239.00 | ↓ -48% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,239.00 | ↓ -48% |
| BLUE CROSS | BLUE CROSS E NETWORK | $9,347.00 | ↑ +15% |
| BLUE CROSS | BLUE CROSS S NETWORK | $9,558.00 | ↑ +18% |
| BLUE CROSS | BLUE CROSS P NETWORK | $9,558.00 | ↑ +18% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $11,895.00 | ↑ +47% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $12,568.00 | ↑ +55% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $13,136.00 | ↑ +62% |
| SENTARA HEALTH | SENTARA HEALTH | $13,959.08 | ↑ +72% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $15,570.45 | ↑ +92% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $15,570.45 | ↑ +92% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $15,585.57 | ↑ +92% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $15,721.62 | ↑ +94% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $15,872.79 | ↑ +96% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $16,631.83 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $16,631.83 | ↑ +105% |
| AETNA | AETNA HEALTHCARE MEDICARE | $16,631.83 | ↑ +105% |
| HUMANA | HUMANA MEDICARE | $16,631.83 | ↑ +105% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $16,631.83 | ↑ +105% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $16,631.83 | ↑ +105% |
| SENTARA HEALTH | SENTARA MEDICARE | $16,631.83 | ↑ +105% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $16,631.83 | ↑ +105% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $17,130.78 | ↑ +111% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $17,297.10 | ↑ +113% |
| BLUE CROSS | BLUE CROSS MEDICARE | $17,297.10 | ↑ +113% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $17,463.42 | ↑ +115% |
| NHC ADVANTAGE | NHC ADVANTAGE | $17,463.42 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $17,463.42 | ↑ +115% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $17,463.42 | ↑ +115% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $17,463.42 | ↑ +115% |
| WELLCARE | WELLCARE MEDICARE | $17,629.74 | ↑ +117% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $21,337.00 | ↑ +163% |
| AETNA | AETNA | $23,093.87 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $25,738.58 | ↑ +217% |
| AMBETTER | AMBETTER | $36,257.38 | ↑ +347% |
| BLUE CROSS | ANTHEM EXCHANGE | $40,948.47 | ↑ +405% |
| BLUE CROSS | ANTHEM HMO | $43,505.31 | ↑ +436% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $48,675.60 | ↑ +500% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $51,179.95 | ↑ +531% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $54,084.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $54,084.00 | ↑ +567% |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit w/stent plcmnt at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $18,673.44 | $2,118.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $24,605.30 | $16,625.20 – $58,188.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $7,065.83 | $4,693.00 – $32,793.28 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $35,162.30 | $17,456.46 – $58,188.20 |
| Johnson City Medical Center | JOHNSON CITY | $8,112.60 | $13,931.04 – $37,291.16 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $18,673.44 | $2,118.00 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $8,112.60 | $13,608.12 – $37,291.16 |
| Bristol Regional Medical Center | BRISTOL | $8,112.60 | $14,162.67 – $41,736.81 |