Hawkins County Memorial Hospital
851 LOCUST ST, ROGERSVILLE, TN · Balladhealth · · NPI 1174553598
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $9.75 | $65.00 | $5.58 – $47.34 | 6 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $47.40 | $316.00 | $8.54 – $336.97 | 17 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $86.10 | $574.00 | $14.36 – $135.94 | 17 |
| Cytopath smear other source CPT 88160 | $43.65 | $291.00 | $5.53 – $57.21 | 17 |
| Cytopath smear other source CPT 88162 | $64.05 | $427.00 | $13.05 – $103.07 | 17 |
| Cytopath smear oth prep screen & interp CPT 88161 | $52.50 | $350.00 | $6.52 – $57.21 | 17 |
| Cytopath tbs c/v manual CPT 88164 | $18.60 | $124.00 | $7.49 – $40.42 | 17 |
| Cytotoxic antibody screening CPT 86808 | $31.80 | $212.00 | $5.08 – $64.70 | 17 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $69.33 | $462.17 | $6.07 – $20.61 | 2 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $141.66 | $944.39 | $0.05 – $0.25 | 3 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $2,570.80 | $17,138.68 | $1.58 – $682.35 | 17 |
| Dark field exam spec collj CPT 87164 | $6.30 | $42.00 | $5.37 – $23.41 | 17 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $1,271.85 | $8,479.00 | $318.22 – $6,402.58 | 17 |
| Dch pulmonary stress test CPT 94621 | $247.50 | $1,650.00 | $53.48 – $738.05 | 17 |
| Dch validity tests CPT 81002 | $4.35 | $29.00 | $1.74 – $7.59 | 17 |
| Deamidated gliadin antibody iga CPT 86258 | $74.55 | $497.00 | $5.77 – $26.27 | 17 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $156.75 | $1,045.00 | $38.75 – $804.03 | 17 |
| Debridement (>20 cm) charge pt CPT 97598 | $76.95 | $513.00 | $41.07 – $1,451.30 | 17 |
| Debridement bone <= 20 sq cm CPT 11044 | $306.75 | $2,045.00 | $232.56 – $3,266.63 | 17 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $27.45 | $183.00 | $50.49 – $1,478.04 | 5 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $294.90 | $1,966.00 | $82.89 – $1,478.04 | 5 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $304.65 | $2,031.00 | $70.65 – $804.03 | 17 |
| Debride nail1-5 11720 CPT 11720 | $16.50 | $110.00 | $12.55 – $116.68 | 17 |
| Debride nail6 or more 11721 CPT 11721 | $24.90 | $166.00 | $26.19 – $116.68 | 17 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $294.75 | $1,965.00 | $189.28 – $1,400.59 | 17 |
| Debride skin bone at fx site CPT 11012 | $362.55 | $2,417.00 | $516.59 – $5,745.12 | 17 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $113.40 | $756.00 | $28.93 – $1,478.04 | 5 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $345.30 | $2,302.00 | $306.96 – $1,400.59 | 17 |
| Debr inf skin add-on 11001 CPT 11001 | $31.20 | $208.00 | $22.03 – $566.23 | 5 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $290.10 | $1,934.00 | $141.57 – $1,461.78 | 17 |
| Decalcification CPT 88311 | $9.00 | $60.00 | $5.58 – $47.08 | 6 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $261.75 | $1,745.00 | $299.68 – $653.30 | 17 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $1,478.40 | $9,856.00 | $434.30 – $6,471.55 | 17 |
| Deep muscle biopsy 20205 CPT 20205 | $1,124.85 | $7,499.00 | $2,587.51 – $5,745.12 | 17 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $86.95 | $579.64 | $10.15 – $15.86 | 2 |
| Delivery of placenta 59414 CPT 59414 | $863.40 | $5,756.00 | $12.00 – $6,402.58 | 17 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $565.65 | $3,771.00 | $3,771.00 – $22,390.47 | 5 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $34.80 | $232.00 | $14.86 – $433.11 | 17 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $3,013.31 | $20,088.72 | $7.22 – $1,572.66 | 17 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $205.50 | $1,370.00 | $66.75 – $263.15 | 17 |
| Dermagraft HCPCS Q4106 | $23.40 | $156.00 | $20.25 – $79.09 | 3 |
| Dermapure 1 square cm HCPCS Q4152 | $140.32 | $935.46 | $89.25 – $246.13 | 16 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $997.95 | $6,653.00 | $6,653.00 – $22,390.47 | 5 |
| Design mlc device for imrt CPT 77338 | $391.95 | $2,613.00 | $131.82 – $740.57 | 17 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $1,256.08 | $8,373.87 | $4.75 – $173.58 | 6 |
| Desoxycorticosterone CPT 82633 | $33.15 | $221.00 | $15.49 – $67.54 | 17 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $1,309.80 | $8,732.00 | $8,732.00 – $22,390.47 | 5 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $823.20 | $5,488.00 | $5,488.00 – $22,390.47 | 5 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $83.55 | $557.00 | $73.07 – $396.83 | 17 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $91.95 | $613.00 | $73.07 – $396.83 | 17 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $101.10 | $674.00 | $141.57 – $396.83 | 17 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $83.55 | $557.00 | $73.07 – $396.83 | 17 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $91.95 | $613.00 | $73.07 – $396.83 | 17 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $101.10 | $674.00 | $73.07 – $396.83 | 17 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $83.55 | $557.00 | $73.07 – $396.83 | 17 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $91.95 | $613.00 | $73.07 – $396.83 | 17 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $101.10 | $674.00 | $73.07 – $396.83 | 17 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $111.15 | $741.00 | $73.07 – $396.83 | 17 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,285.95 | $8,573.00 | $1,771.66 – $3,862.21 | 17 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $761.70 | $5,078.00 | $568.55 – $579.59 | 5 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $387.00 | $2,580.00 | $173.28 – $2,366.79 | 17 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $99.60 | $664.00 | $20.40 – $396.83 | 17 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $1,369.20 | $9,128.00 | $206.05 – $4,080.88 | 17 |
| Destroy vulva lesion simple 56501 CPT 56501 | $373.50 | $2,490.00 | $110.05 – $4,080.88 | 17 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $83.55 | $557.00 | $65.11 – $396.83 | 17 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $247.65 | $1,651.00 | $141.57 – $1,577.67 | 17 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $159.90 | $1,066.00 | $141.57 – $1,577.67 | 17 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $780.45 | $5,203.00 | $141.57 – $4,080.88 | 17 |
| Destruction 2-14 lesions 17003 CPT 17003 | $27.60 | $184.00 | $15.31 – $252.28 | 5 |
| Destruction benign lesions < 14 lesions CPT 17110 | $39.15 | $261.00 | $20.40 – $396.83 | 17 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $168.60 | $1,124.00 | $313.45 – $2,121.49 | 5 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $421.20 | $2,808.00 | $735.02 – $3,862.21 | 17 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $111.15 | $741.00 | $141.57 – $804.03 | 17 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $122.25 | $815.00 | $141.57 – $804.03 | 17 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $122.25 | $815.00 | $73.07 – $804.03 | 17 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $134.55 | $897.00 | $141.57 – $804.03 | 17 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $159.90 | $1,066.00 | $29.82 – $804.03 | 17 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $780.45 | $5,203.00 | $173.74 – $4,080.88 | 17 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $159.90 | $1,066.00 | $98.61 – $804.03 | 17 |
| Destruction vag lesions complex 57065 CPT 57065 | $1,140.00 | $7,600.00 | $304.89 – $6,402.58 | 17 |
| Destruction vag lesions simple 57061 CPT 57061 | $1,140.00 | $7,600.00 | $39.24 – $6,402.58 | 17 |
| Detect agnt mult dna direc CPT 87800 | $70.20 | $468.00 | $21.84 – $95.20 | 17 |
| Developmental screen/score/document 96110 CPT 96110 | $40.65 | $271.00 | $43.00 – $887.83 | 5 |
| Devel tst phys/qhp 1st hr CPT 96112 | $67.20 | $448.00 | $43.00 – $871.76 | 17 |
| Device ablt adv novasure HCPCS C1886 | $6,885.23 | $45,901.53 | $331.12 – $331.12 | 1 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $3,578.00 | $23,853.30 | $7,322.96 – $7,322.96 | 1 |
| Device tiss remov myosure reach HCPCS C1782 | $1,223.52 | $8,156.79 | $2,336.98 – $2,336.98 | 1 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $33.75 | $225.00 | $43.00 – $887.83 | 5 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $69.30 | $462.00 | $16.06 – $172.12 | 17 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $7.41 | $49.37 | $0.04 – $2.83 | 16 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $16.75 | $111.68 | $0.16 – $0.62 | 2 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $369.59 | $2,463.92 | $39.15 – $866.94 | 17 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $7.26 | $48.38 | $10.15 – $14.85 | 2 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $7.26 | $48.38 | $14.85 – $14.85 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $7.26 | $48.38 | $3.19 – $14.85 | 3 |
| Dextrose 5 % IV bolus HCPCS J7070 | $7.26 | $48.38 | $10.76 – $14.85 | 2 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $38.85 | $259.00 | $11.12 – $48.46 | 17 |
| Diabetes (HbA1c) Test CPT 83036 | $16.95 | $113.00 | $4.86 – $21.17 | 17 |
| Diab manage trn ind/group HCPCS G0109 | $100.20 | $668.00 | $8.17 – $60.73 | 17 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $138.30 | $922.00 | $15.69 – $509.32 | 17 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.