X-ray surgical specimen at Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
$276.60
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.
?
What you pay up front if you don't use insurance.
$1,844.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.86 with BLUE CROSS vs $1,844.00 with WELLCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 SELECT | $13.86 | ↓ -95% |
| BLUE CROSS | TENNCARE BLUE CARE | $13.86 | ↓ -95% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $25.89 | ↓ -91% |
| BLUE CROSS | BLUE CROSS E NETWORK | $31.49 | ↓ -89% |
| BLUE CROSS | BLUE CROSS P NETWORK | $32.18 | ↓ -88% |
| BLUE CROSS | BLUE CROSS S NETWORK | $32.18 | ↓ -88% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $51.74 | ↓ -81% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $164.84 | ↓ -40% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $164.84 | ↓ -40% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $165.00 | ↓ -40% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $166.44 | ↓ -40% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $168.04 | ↓ -39% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $212.53 | ↓ -23% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↓ -19% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↓ -16% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↑ +34% |
| SENTARA HEALTH | SENTARA HEALTH | $475.94 | ↑ +72% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $495.75 | ↑ +79% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $495.75 | ↑ +79% |
| AETNA | AETNA HEALTHCARE MEDICARE | $495.75 | ↑ +79% |
| HUMANA | HUMANA MEDICARE | $495.75 | ↑ +79% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $495.75 | ↑ +79% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $495.75 | ↑ +79% |
| SENTARA HEALTH | SENTARA MEDICARE | $495.75 | ↑ +79% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $495.75 | ↑ +79% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $510.62 | ↑ +85% |
| BLUE CROSS | BLUE CROSS MEDICARE | $515.58 | ↑ +86% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $515.58 | ↑ +86% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $520.54 | ↑ +88% |
| NHC ADVANTAGE | NHC ADVANTAGE | $520.54 | ↑ +88% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $520.54 | ↑ +88% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $520.54 | ↑ +88% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $520.54 | ↑ +88% |
| WELLCARE | WELLCARE MEDICARE | $525.49 | ↑ +90% |
| AETNA | AETNA | $787.39 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $877.56 | ↑ +217% |
| AMBETTER | AMBETTER | $1,080.73 | ↑ +291% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,220.57 | ↑ +341% |
| BLUE CROSS | ANTHEM HMO | $1,296.78 | ↑ +369% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,525.54 | ↑ +452% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,608.72 | ↑ +482% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,608.72 | ↑ +482% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,608.72 | ↑ +482% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,659.60 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,844.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,844.00 | ↑ +567% |
Visitor-reported prices
Comments
X-ray surgical specimen at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $142.64 | $11.61 – $770.53 |
| CHI Memorial Hospital Hixson | Hixson | $565.36 | $5.00 – $220.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $345.92 | $11.95 – $1,001.32 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $807.93 | $5.25 – $220.00 |
| Johnson City Medical Center | JOHNSON CITY | $276.60 | $13.86 – $1,111.55 |
| Ascension Saint Thomas DeKalb | Smithville | $149.76 | $11.61 – $770.53 |
| Ascension Saint Thomas Highlands | Sparta | $149.76 | $11.61 – $770.53 |
| Ascension Saint Thomas River Park | McMinnville | $142.64 | $11.61 – $770.53 |