Valvuloplasty mitral at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$4,357.65
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.
$29,051.00
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.
$1,305.46 with BLUE CROSS vs $29,051.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $1,305.46 | ↓ -70% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,305.46 | ↓ -70% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,574.76 | ↓ -64% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,853.00 | ↓ -35% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $7,198.00 | ↑ +65% |
| SENTARA HEALTH | SENTARA HEALTH | $7,498.06 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $7,525.00 | ↑ +73% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $9,628.00 | ↑ +121% |
| SENTARA HEALTH | SENTARA MEDICARE | $10,473.75 | ↑ +140% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $10,473.75 | ↑ +140% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $10,473.75 | ↑ +140% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $10,473.75 | ↑ +140% |
| AETNA | AETNA HEALTHCARE MEDICARE | $10,473.75 | ↑ +140% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $10,473.75 | ↑ +140% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $10,473.75 | ↑ +140% |
| HUMANA | HUMANA MEDICARE | $10,473.75 | ↑ +140% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $10,787.96 | ↑ +148% |
| BLUE CROSS | BLUE CROSS MEDICARE | $10,892.70 | ↑ +150% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $10,892.70 | ↑ +150% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $10,997.44 | ↑ +152% |
| NHC ADVANTAGE | NHC ADVANTAGE | $10,997.44 | ↑ +152% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $10,997.44 | ↑ +152% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $10,997.44 | ↑ +152% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $10,997.44 | ↑ +152% |
| WELLCARE | WELLCARE MEDICARE | $11,102.17 | ↑ +155% |
| CIGNA HEALTHCARE | CIGNA PPO | $12,114.27 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $12,114.27 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $12,114.27 | ↑ +178% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $12,116.94 | ↑ +178% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $12,116.94 | ↑ +178% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $12,128.70 | ↑ +178% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $12,234.58 | ↑ +181% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $12,352.22 | ↑ +183% |
| AETNA | AETNA | $12,404.78 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $13,479.66 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $13,825.37 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $21,607.00 | ↑ +396% |
| BLUE CROSS | BLUE CROSS S NETWORK | $22,094.00 | ↑ +407% |
| BLUE CROSS | BLUE CROSS P NETWORK | $22,094.00 | ↑ +407% |
| AMBETTER | AMBETTER | $22,832.77 | ↑ +424% |
| BLUE CROSS | ANTHEM EXCHANGE | $25,786.93 | ↑ +492% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $26,145.90 | ↑ +500% |
| BLUE CROSS | ANTHEM HMO | $27,397.08 | ↑ +529% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $29,051.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $29,051.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $29,051.00 | ↑ +567% |
Visitor-reported prices
Comments
Valvuloplasty mitral at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $24,000.75 | $1,125.40 – $48,001.50 |
| Greeneville Community Hospital | GREENEVILLE | $4,357.65 | $1,305.46 – $23,483.78 |
| Bristol Regional Medical Center | BRISTOL | $4,357.65 | $1,305.46 – $26,283.39 |
| Holston Valley Medical Center | KINGSPORT | $4,357.65 | $1,305.46 – $26,283.39 |
| 62-0123940 BMH Collierville | Collierville | $2,722.65 | $1,907.10 – $20,769.12 |
| Parkwest Medical Center | Knoxville | $2,931.60 | $1,455.42 – $10,997.44 |
| Fort Sanders Regional Medical Center | Knoxville | $3,224.76 | $4,397.40 – $10,997.44 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $1,125.40 – $16,047.00 |