Use 1st target lesion at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$152.10
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.
$1,014.00
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.
$56.26 with UNITED HEALTHCARE vs $1,014.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $56.26 | ↓ -63% |
| BLUE CROSS | TENNCARE BLUE CARE | $57.11 | ↓ -62% |
| BLUE CROSS | TENNCARE BLUE SELECT | $57.11 | ↓ -62% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $94.85 | ↓ -38% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $94.85 | ↓ -38% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $94.85 | ↓ -38% |
| HUMANA | HUMANA MEDICARE | $94.85 | ↓ -38% |
| AETNA | AETNA HEALTHCARE MEDICARE | $94.85 | ↓ -38% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $94.85 | ↓ -38% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $94.85 | ↓ -38% |
| SENTARA HEALTH | SENTARA MEDICARE | $94.85 | ↓ -38% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $97.70 | ↓ -36% |
| BLUE CROSS | BLUE CROSS MEDICARE | $98.65 | ↓ -35% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $98.65 | ↓ -35% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $99.59 | ↓ -35% |
| NHC ADVANTAGE | NHC ADVANTAGE | $99.59 | ↓ -35% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $99.59 | ↓ -35% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $99.59 | ↓ -35% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $99.59 | ↓ -35% |
| WELLCARE | WELLCARE MEDICARE | $100.54 | ↓ -34% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $122.52 | ↓ -19% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $154.59 | ↑ +2% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $154.59 | ↑ +2% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $154.74 | ↑ +2% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $156.09 | ↑ +3% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $157.59 | ↑ +4% |
| BLUE CROSS | BLUE CROSS E NETWORK | $193.89 | ↑ +27% |
| BLUE CROSS | BLUE CROSS P NETWORK | $198.13 | ↑ +30% |
| BLUE CROSS | BLUE CROSS S NETWORK | $198.13 | ↑ +30% |
| AMBETTER | AMBETTER | $206.78 | ↑ +36% |
| BLUE CROSS | ANTHEM EXCHANGE | $233.53 | ↑ +54% |
| BLUE CROSS | ANTHEM HMO | $248.11 | ↑ +63% |
| SENTARA HEALTH | SENTARA HEALTH | $261.71 | ↑ +72% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $291.88 | ↑ +92% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $417.00 | ↑ +174% |
| CIGNA HEALTHCARE | CIGNA HMO | $422.84 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $422.84 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $422.84 | ↑ +178% |
| AETNA | AETNA | $432.98 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $435.00 | ↑ +186% |
| MEDCOST | MEDCOST VHN | $482.56 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $687.00 | ↑ +352% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $709.80 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $912.60 | ↑ +500% |
| WELLCARE | WELLCARE MEDICAID | $1,014.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,014.00 | ↑ +567% |
Visitor-reported prices
Comments
Use 1st target lesion at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $369.77 | $49.23 – $179.33 |
| Ascension Saint Thomas River Park | McMinnville | $369.77 | $71.50 – $179.33 |
| Greeneville Community Hospital | GREENEVILLE | $152.10 | $40.50 – $212.67 |
| Bristol Regional Medical Center | BRISTOL | $152.10 | $57.11 – $238.03 |
| Holston Valley Medical Center | KINGSPORT | $152.10 | $57.11 – $238.03 |
| 62-0123940 BMH Collierville | Collierville | $82.53 | $49.23 – $194.76 |
| Fort Loudoun Medical Center | Lenoir City | $108.90 | $52.46 – $297.00 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $49.23 – $179.33 |