X-ray of mammary ducts at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$161.55
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.
$1,077.00
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.
$90.57 with CIGNA HEALTHCARE vs $1,077.00 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $90.57 | ↓ -44% |
| BLUE CROSS | TENNCARE BLUE SELECT | $101.76 | ↓ -37% |
| BLUE CROSS | TENNCARE BLUE CARE | $101.76 | ↓ -37% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $107.97 | ↓ -33% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $118.21 | ↓ -27% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $164.84 | ↑ +2% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $164.84 | ↑ +2% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $165.00 | ↑ +2% |
| BLUE CROSS | BLUE CROSS E NETWORK | $166.34 | ↑ +3% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $166.44 | ↑ +3% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $168.04 | ↑ +4% |
| BLUE CROSS | BLUE CROSS S NETWORK | $169.97 | ↑ +5% |
| BLUE CROSS | BLUE CROSS P NETWORK | $169.97 | ↑ +5% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $216.48 | ↑ +34% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $216.48 | ↑ +34% |
| AETNA | AETNA HEALTHCARE MEDICARE | $216.48 | ↑ +34% |
| HUMANA | HUMANA MEDICARE | $216.48 | ↑ +34% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $216.48 | ↑ +34% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $216.48 | ↑ +34% |
| SENTARA HEALTH | SENTARA MEDICARE | $216.48 | ↑ +34% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $216.48 | ↑ +34% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $222.97 | ↑ +38% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↑ +39% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $225.14 | ↑ +39% |
| BLUE CROSS | BLUE CROSS MEDICARE | $225.14 | ↑ +39% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $227.30 | ↑ +41% |
| NHC ADVANTAGE | NHC ADVANTAGE | $227.30 | ↑ +41% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $227.30 | ↑ +41% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $227.30 | ↑ +41% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $227.30 | ↑ +41% |
| WELLCARE | WELLCARE MEDICARE | $229.47 | ↑ +42% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↑ +44% |
| SENTARA HEALTH | SENTARA HEALTH | $277.97 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↑ +129% |
| AETNA | AETNA | $459.88 | ↑ +185% |
| AMBETTER | AMBETTER | $471.92 | ↑ +192% |
| MEDCOST | MEDCOST VHN | $512.54 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $532.97 | ↑ +230% |
| BLUE CROSS | ANTHEM HMO | $566.25 | ↑ +251% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $666.14 | ↑ +312% |
| CIGNA HEALTHCARE | CIGNA HMO | $894.80 | ↑ +454% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $894.80 | ↑ +454% |
| CIGNA HEALTHCARE | CIGNA PPO | $894.80 | ↑ +454% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $969.30 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,077.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,077.00 | ↑ +567% |
Visitor-reported prices
Comments
X-ray of mammary ducts at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $186.77 | $61.34 – $372.86 |
| Johnson City Medical Center | JOHNSON CITY | $161.55 | $90.57 – $485.38 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $186.77 | $61.34 – $372.86 |
| Greeneville Community Hospital | GREENEVILLE | $161.55 | $85.11 – $485.38 |
| Bristol Regional Medical Center | BRISTOL | $161.55 | $90.57 – $543.24 |
| Franklin Woods Community Hospital | JOHNSON CITY | $161.55 | $90.57 – $472.27 |
| Holston Valley Medical Center | KINGSPORT | $161.55 | $90.57 – $543.24 |
| 62-0123940 BMH Collierville | Collierville | $212.73 | $81.61 – $442.68 |