X-ray exam of middle ear at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$71.40
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.
$476.00
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.
$24.29 with BLUE CROSS vs $1,080.73 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 | $24.29 | ↓ -66% |
| BLUE CROSS | TENNCARE BLUE SELECT | $24.29 | ↓ -66% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $37.74 | ↓ -47% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $48.22 | ↓ -32% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $78.85 | ↑ +10% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $78.85 | ↑ +10% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $78.92 | ↑ +11% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $79.61 | ↑ +11% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $80.38 | ↑ +13% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $84.31 | ↑ +18% |
| BLUE CROSS | BLUE CROSS E NETWORK | $109.73 | ↑ +54% |
| BLUE CROSS | BLUE CROSS P NETWORK | $112.13 | ↑ +57% |
| BLUE CROSS | BLUE CROSS S NETWORK | $112.13 | ↑ +57% |
| SENTARA HEALTH | SENTARA HEALTH | $122.86 | ↑ +72% |
| AETNA | AETNA | $203.25 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↑ +214% |
| MEDCOST | MEDCOST VHN | $226.53 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↑ +226% |
| CIGNA HEALTHCARE | CIGNA HMO | $285.67 | ↑ +300% |
| CIGNA HEALTHCARE | CIGNA PPO | $285.67 | ↑ +300% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $285.67 | ↑ +300% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↑ +418% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $428.40 | ↑ +500% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $476.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $476.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $476.00 | ↑ +567% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $476.00 | ↑ +567% |
| AETNA | AETNA HEALTHCARE MEDICARE | $476.00 | ↑ +567% |
| HUMANA | HUMANA MEDICARE | $476.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $476.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $476.00 | ↑ +567% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $476.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $476.00 | ↑ +567% |
| NHC ADVANTAGE | NHC ADVANTAGE | $476.00 | ↑ +567% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $476.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $476.00 | ↑ +567% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $476.00 | ↑ +567% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $476.00 | ↑ +567% |
| SENTARA HEALTH | SENTARA MEDICARE | $476.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $476.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $476.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $476.00 | ↑ +567% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $476.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS MEDICARE | $515.58 | ↑ +622% |
| WELLCARE | WELLCARE MEDICARE | $525.49 | ↑ +636% |
| AMBETTER | AMBETTER | $1,080.73 | ↑ +1414% |
Visitor-reported prices
Comments
X-ray exam of middle ear at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $70.15 | $24.29 – $305.00 |
| Greeneville Community Hospital | GREENEVILLE | $71.40 | $24.29 – $1,111.55 |
| Bristol Regional Medical Center | BRISTOL | $71.40 | $24.29 – $1,130.02 |
| Holston Valley Medical Center | KINGSPORT | $71.40 | $24.29 – $1,130.02 |
| Parkwest Medical Center | Knoxville | $251.10 | $26.18 – $753.30 |
| Roane County Medical Center | Harriman | $276.21 | $26.18 – $753.30 |
| LeConte Medical Center | Sevierville | $242.73 | $26.18 – $753.30 |
| Fort Loudoun Medical Center | Lenoir City | $276.21 | $26.18 – $753.30 |