Venogram ext bil s&i at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$450.60
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.
$3,004.00
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.
$48.78 with BLUE CROSS vs $3,113.45 with AMBETTER — 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 | $48.78 | ↓ -89% |
| BLUE CROSS | TENNCARE BLUE SELECT | $48.78 | ↓ -89% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $123.14 | ↓ -73% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $130.23 | ↓ -71% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↓ -50% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↓ -48% |
| BLUE CROSS | BLUE CROSS E NETWORK | $299.14 | ↓ -34% |
| BLUE CROSS | BLUE CROSS S NETWORK | $305.68 | ↓ -32% |
| BLUE CROSS | BLUE CROSS P NETWORK | $305.68 | ↓ -32% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $329.74 | ↓ -27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↓ -18% |
| SENTARA HEALTH | SENTARA HEALTH | $775.33 | ↑ +72% |
| AETNA | AETNA | $1,282.71 | ↑ +185% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,428.19 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,428.19 | ↑ +217% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,428.19 | ↑ +217% |
| HUMANA | HUMANA MEDICARE | $1,428.19 | ↑ +217% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,428.19 | ↑ +217% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,428.19 | ↑ +217% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,428.19 | ↑ +217% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,428.19 | ↑ +217% |
| MEDCOST | MEDCOST VHN | $1,429.60 | ↑ +217% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,471.04 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,485.32 | ↑ +230% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,485.32 | ↑ +230% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,499.60 | ↑ +233% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,499.60 | ↑ +233% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,499.60 | ↑ +233% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,499.60 | ↑ +233% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,499.60 | ↑ +233% |
| WELLCARE | WELLCARE MEDICARE | $1,513.88 | ↑ +236% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,600.60 | ↑ +255% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,600.60 | ↑ +255% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,602.15 | ↑ +256% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,616.14 | ↑ +259% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,631.68 | ↑ +262% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,495.94 | ↑ +454% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,495.94 | ↑ +454% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,495.94 | ↑ +454% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,703.60 | ↑ +500% |
| BLUE CROSS | ANTHEM EXCHANGE | $3,004.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,004.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $3,004.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,004.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $3,004.00 | ↑ +567% |
| AMBETTER | AMBETTER | $3,113.45 | ↑ +591% |
Visitor-reported prices
Comments
Venogram ext bil s&i at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,338.96 | $42.05 – $2,609.81 |
| CHI Memorial Hospital Hixson | Hixson | $574.84 | $62.58 – $1,359.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $586.73 | $42.05 – $2,836.96 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $821.47 | $62.58 – $1,359.40 |
| Johnson City Medical Center | JOHNSON CITY | $450.60 | $48.78 – $3,202.23 |
| Ascension Saint Thomas DeKalb | Smithville | $1,338.96 | $42.05 – $2,609.81 |
| Ascension Saint Thomas Highlands | Sparta | $1,338.96 | $42.05 – $2,609.81 |
| Ascension Saint Thomas River Park | McMinnville | $1,338.96 | $62.83 – $2,609.81 |