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 |
|---|---|---|---|---|
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $156.15 | $1,041.00 | $47.08 – $209.96 | 6 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $103.95 | $693.00 | $60.15 – $163.85 | 6 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $51.30 | $342.00 | $114.06 – $394.79 | 17 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $85.50 | $570.00 | $61.38 – $218.55 | 17 |
| Diagnostic Mammogram (one breast) CPT 77065 | $74.10 | $494.00 | $48.06 – $170.50 | 17 |
| Diagnostic radio unlisted proc CPT 76499 | $63.90 | $426.00 | $22.40 – $172.12 | 17 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $3,533.70 | $23,558.00 | $15,570.45 – $15,872.79 | 5 |
| Dialysis one evaluation CPT 90945 | $194.55 | $1,297.00 | $72.41 – $1,259.13 | 17 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $68.03 | $453.55 | $0.92 – $12.94 | 2 |
| Dicyclomine injection HCPCS J0500 | $95.37 | $635.82 | $1.85 – $19.99 | 2 |
| Diffusing capacity CPT 94729 | $100.35 | $669.00 | $31.15 – $83.90 | 5 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $3.66 | $24.37 | $1.62 – $15.93 | 2 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $4,895.82 | $32,638.78 | $333.88 – $11,264.04 | 17 |
| Digoxin total therapeutic drug level CPT 80162 | $23.25 | $155.00 | $6.64 – $28.95 | 17 |
| Dilate biliary duct/ampulla CPT 47542 | $841.05 | $5,607.00 | $5,607.00 – $8,228.43 | 5 |
| Dilate esophagus 1/mult pass CPT 43450 | $384.60 | $2,564.00 | $103.24 – $1,793.89 | 17 |
| Dilate urethra stricture CPT 53600 | $212.25 | $1,415.00 | $38.52 – $494.16 | 17 |
| Dilate urethra stricture CPT 53601 | $54.75 | $365.00 | $31.92 – $263.15 | 17 |
| Dilation of cervical canal 57800 CPT 57800 | $1,346.40 | $8,976.00 | $2,936.96 – $6,402.58 | 17 |
| Dilation of urethra CPT 53661 | $54.75 | $365.00 | $28.54 – $263.15 | 17 |
| Dilator fascial 10fx20cm HCPCS C2627 | $388.60 | $2,590.68 | $299.64 – $299.64 | 1 |
| Dilat xst trc ndurlgc px CPT 50436 | $912.60 | $6,084.00 | $2,112.71 – $6,971.91 | 17 |
| Dilat xst trc new access rcs CPT 50437 | $1,535.25 | $10,235.00 | $2,112.71 – $6,971.91 | 17 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $6.72 | $44.83 | $0.92 – $1.34 | 2 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $90.88 | $605.87 | $5.28 – $130.28 | 6 |
| Disability dlco CPT 94727 | $47.55 | $317.00 | $25.88 – $427.07 | 17 |
| Disaccharidases CPT 82657 | $31.65 | $211.00 | $11.09 – $48.33 | 17 |
| Discography cerv/thor spine CPT 72285 | $1,040.40 | $6,936.00 | $144.44 – $3,862.21 | 17 |
| Dissolve clot heart vessel CPT 92975 | $1,818.15 | $12,121.00 | $362.29 – $6,730.27 | 5 |
| #d/lmeth-l-methamphetamine CPT 80374 | $7.05 | $47.00 | $16.20 – $16.52 | 5 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $414.00 | $2,760.00 | $2,760.00 – $22,390.47 | 5 |
| Dmd dup/delet analysis CPT 81161 | $219.15 | $1,461.00 | $70.07 – $608.22 | 17 |
| Dmpk gene detc abnor allele CPT 81234 | $175.80 | $1,172.00 | $68.50 – $298.66 | 17 |
| Dna antibody native/double stranded CPT 86225 | $24.00 | $160.00 | $6.87 – $29.95 | 17 |
| Dna gardnerella CPT 87510 | $35.10 | $234.00 | $10.03 – $43.71 | 17 |
| Dna probe chlamydia CPT 87490 | $35.10 | $234.00 | $11.38 – $49.60 | 17 |
| Dna probe gc CPT 87590 | $35.10 | $234.00 | $11.55 – $58.60 | 17 |
| Dna trichomonas CPT 87660 | $35.10 | $234.00 | $10.03 – $43.71 | 17 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $24.08 | $160.56 | $7.69 – $14.85 | 3 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $680.68 | $4,537.86 | $1.06 – $63.34 | 6 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $8.58 | $57.20 | $0.71 – $1.46 | 2 |
| Doppler echo complete CPT 93320 | $224.25 | $1,495.00 | $60.67 – $678.58 | 5 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $513.90 | $3,426.00 | $68.02 – $2,515.21 | 5 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $252.45 | $1,683.00 | $53.33 – $427.07 | 17 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $229.50 | $1,530.00 | $32.70 – $263.15 | 17 |
| Dpyd gene common variants CPT 81232 | $224.40 | $1,496.00 | $87.41 – $381.09 | 17 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $66.45 | $443.00 | $36.10 – $1,782.00 | 17 |
| Drainage external ear complex 69005 CPT 69005 | $676.05 | $4,507.00 | $142.67 – $3,266.63 | 17 |
| Drainage external ear simple 69000 CPT 69000 | $56.70 | $378.00 | $32.96 – $1,400.59 | 17 |
| Drainage mouth roof lesion CPT 42000 | $147.45 | $983.00 | $66.06 – $468.46 | 17 |
| Drainage of arm bursa 23931 CPT 23931 | $676.05 | $4,507.00 | $45.52 – $3,266.63 | 17 |
| Drainage of forearm bursa CPT 25031 | $723.45 | $4,823.00 | $221.45 – $3,180.38 | 17 |
| Drainage of kidney lesion CPT 50390 | $369.45 | $2,463.00 | $567.34 – $1,400.59 | 17 |
| Drainage of pelvis lesion 26990 CPT 26990 | $444.30 | $2,962.00 | $2,962.00 – $6,471.55 | 17 |
| Drainage of urethra abscess 53060 CPT 53060 | $877.35 | $5,849.00 | $59.64 – $4,277.92 | 17 |
| Drain blood from under nail 11740 CPT 11740 | $40.95 | $273.00 | $14.13 – $263.15 | 17 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $430.50 | $2,870.00 | $1,044.12 – $3,266.63 | 17 |
| Drain cath image guided visceral pq CPT 49405 | $1,161.30 | $7,742.00 | $1,044.12 – $3,266.63 | 17 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $363.60 | $2,424.00 | $640.43 – $1,396.13 | 17 |
| Drain finger abscess;simple 26010 CPT 26010 | $130.95 | $873.00 | $37.67 – $396.83 | 17 |
| Drain neck/chest lesion 21501 CPT 21501 | $1,309.95 | $8,733.00 | $232.07 – $5,745.12 | 17 |
| Drain shoulder lesion CPT 23030 | $1,309.95 | $8,733.00 | $202.23 – $5,745.12 | 17 |
| Drain thigh/knee lesion 27301 CPT 27301 | $1,309.95 | $8,733.00 | $549.85 – $5,745.12 | 17 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $228.60 | $1,524.00 | $48.28 – $396.83 | 17 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $75.90 | $506.00 | $21.97 – $396.83 | 17 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $102.00 | $680.00 | $115.32 – $804.03 | 17 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $21.15 | $141.00 | $11.29 – $246.13 | 16 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $267.30 | $1,782.00 | $614.08 – $8,832.79 | 5 |
| Drng hand tendon sheath 26020 CPT 26020 | $1,444.95 | $9,633.00 | $344.76 – $6,471.55 | 17 |
| Drng of eyelid abscess 67700 CPT 67700 | $205.50 | $1,370.00 | $85.07 – $627.78 | 17 |
| Drng of finger abscess comp 26011 CPT 26011 | $709.80 | $4,732.00 | $159.67 – $3,266.63 | 17 |
| Drng of hydrocele 55000 CPT 55000 | $313.20 | $2,088.00 | $36.10 – $1,400.59 | 17 |
| Drng of scrotum abscess 55100 CPT 55100 | $356.25 | $2,375.00 | $51.79 – $4,084.53 | 17 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $21.06 | $140.37 | $2.77 – $13.43 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $4.50 | $30.00 | $3.62 – $246.13 | 16 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $217.53 | $1,450.21 | $8.30 – $246.13 | 16 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | $0.15 | $1.00 | $1.00 – $246.13 | 16 |
| Drug admin & hemodynmic meas CPT 93463 | $1,818.15 | $12,121.00 | $73.24 – $74.67 | 5 |
| Drug assay posaconazole CPT 80187 | $21.30 | $142.00 | $13.56 – $59.10 | 17 |
| Drug assay rufinamide CPT 80210 | $34.80 | $232.00 | $13.56 – $59.10 | 17 |
| Drug assay vedolizumab CPT 80280 | $33.45 | $223.00 | $14.22 – $84.08 | 17 |
| Drug assay voriconazole CPT 80285 | $34.80 | $232.00 | $13.56 – $59.10 | 17 |
| Drug asy hydroxychloroquine CPT 80220 | $14.70 | $98.00 | $9.32 – $40.64 | 17 |
| Drug of abuse screen urine CPT 80305 | $19.20 | $128.00 | $6.30 – $27.47 | 17 |
| Drug screening tapentadol CPT 80372 | $14.70 | $98.00 | $16.20 – $16.52 | 5 |
| Drug/substance nos 4-6 CPT 80376 | $17.10 | $114.00 | $16.20 – $16.52 | 5 |
| Drug test def 15-21 classes HCPCS G0482 | $213.00 | $1,420.00 | $83.02 – $433.25 | 17 |
| Drug test def 1-7 classes HCPCS G0480 | $102.60 | $684.00 | $39.97 – $249.46 | 17 |
| Drug test def 22+ classes HCPCS G0483 | $276.30 | $1,842.00 | $107.62 – $538.29 | 17 |
| Drug test def 8-14 classes HCPCS G0481 | $157.80 | $1,052.00 | $61.50 – $341.37 | 17 |
| Drug test prsmv instrmnt CPT 80306 | $25.65 | $171.00 | $8.57 – $37.37 | 17 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $102.45 | $683.00 | $31.07 – $135.47 | 17 |
| Drvvt confirm - quest CPT 85597 | $15.75 | $105.00 | $5.17 – $39.20 | 17 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $831.60 | $5,544.00 | $1,771.66 – $3,862.21 | 17 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $134.55 | $897.00 | $141.57 – $804.03 | 17 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $111.15 | $741.00 | $141.57 – $804.03 | 17 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | $122.25 | $815.00 | $141.57 – $1,461.78 | 17 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | $134.55 | $897.00 | $141.57 – $1,461.78 | 17 |
| Ductogram sgl duct CPT 77053 | $153.90 | $1,026.00 | $68.87 – $471.92 | 17 |
| Duplex scan bilateral study 93985 CPT 93985 | $476.25 | $3,175.00 | $116.51 – $471.92 | 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.