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 |
|---|---|---|---|---|
| Duplex scan unilateral study 93986 CPT 93986 | $317.55 | $2,117.00 | $56.04 – $206.78 | 17 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $229.50 | $1,530.00 | $48.16 – $206.78 | 17 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $229.50 | $1,530.00 | $53.33 – $427.07 | 17 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $344.25 | $2,295.00 | $76.07 – $471.92 | 17 |
| Dxa bone density axl vrt fx CPT 77085 | $63.90 | $426.00 | $34.67 – $206.78 | 17 |
| Dx bronchoscope/brush 31623 CPT 31623 | $710.40 | $4,736.00 | $1,614.86 – $3,520.39 | 17 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $784.20 | $5,228.00 | $247.32 – $3,520.39 | 17 |
| Dx bronchoscope/wash 31622 CPT 31622 | $531.15 | $3,541.00 | $307.68 – $3,520.39 | 17 |
| Dx gastr intub w/asp specs CPT 43755 | $69.45 | $463.00 | $116.74 – $509.32 | 17 |
| Ear irrigation 69209 CPT 69209 | $48.30 | $322.00 | $53.52 – $116.68 | 16 |
| Ecg 12 lead tracing only CPT 93005 | $70.95 | $473.00 | $13.38 – $116.68 | 17 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $247.50 | $1,650.00 | $5.07 – $116.68 | 17 |
| Ecg external < 48 hours recording CPT 93225 | $247.50 | $1,650.00 | $32.70 – $263.15 | 17 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $247.50 | $1,650.00 | $32.70 – $116.68 | 17 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $161.85 | $1,079.00 | $13.70 – $83.33 | 17 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $161.85 | $1,079.00 | $13.70 – $83.33 | 17 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $448.35 | $2,989.00 | $170.76 – $1,080.73 | 17 |
| Echocardiography doppler color flow mapping CPT 93325 | $112.20 | $748.00 | $51.38 – $157.59 | 5 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $473.85 | $3,159.00 | $278.35 – $1,550.48 | 17 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $175.35 | $1,169.00 | $68.54 – $666.30 | 17 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $289.50 | $1,930.00 | $278.35 – $690.02 | 17 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $103.50 | $690.00 | $35.42 – $678.58 | 5 |
| Echo exam of fetal heart CPT 76825 | $144.00 | $960.00 | $64.60 – $1,080.73 | 17 |
| Echo exam of fetal heart CPT 76827 | $101.55 | $677.00 | $31.46 – $206.78 | 17 |
| Echo exam of fetal heart CPT 76828 | $101.55 | $677.00 | $5.38 – $206.78 | 17 |
| Echo exam uterus 76831- CPT 76831 | $99.00 | $660.00 | $49.56 – $471.92 | 17 |
| Echograp trans r pros study CPT 76873 | $93.90 | $626.00 | $48.16 – $234.44 | 17 |
| Echo guidance radiotherapy CPT 76965 | $167.55 | $1,117.00 | $67.52 – $156.53 | 5 |
| Echo guide for amniocentesis CPT 76946 | $101.55 | $677.00 | $37.66 – $156.53 | 5 |
| Echo guide for artery repair CPT 76936 | $166.35 | $1,109.00 | $53.33 – $427.07 | 17 |
| Echo stress CPT 93350 | $448.35 | $2,989.00 | $82.81 – $1,080.73 | 17 |
| Echo tee guidance CPT 93355 | $324.75 | $2,165.00 | $221.50 – $678.58 | 5 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $448.35 | $2,989.00 | $125.41 – $1,080.73 | 17 |
| Echo transesophageal CPT 93315 | $293.10 | $1,954.00 | $140.31 – $1,080.73 | 17 |
| Echo transthoracic CPT 93303 | $448.35 | $2,989.00 | $135.09 – $1,080.73 | 17 |
| Echo transthoracic CPT 93304 | $209.55 | $1,397.00 | $67.99 – $1,080.73 | 17 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $413.40 | $2,756.00 | $2,756.00 – $11,503.04 | 5 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $413.40 | $2,756.00 | $2,756.00 – $11,503.04 | 5 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $826.95 | $5,513.00 | $5,513.00 – $11,503.04 | 5 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $257.10 | $1,714.00 | $1,714.00 – $11,503.04 | 5 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | $463.05 | $3,087.00 | $3,087.00 – $11,503.04 | 5 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | $463.05 | $3,087.00 | $3,087.00 – $11,503.04 | 5 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | $463.05 | $3,087.00 | $3,087.00 – $11,503.04 | 5 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | $463.05 | $3,087.00 | $3,087.00 – $11,503.04 | 5 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $463.05 | $3,087.00 | $3,087.00 – $11,503.04 | 5 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $463.05 | $3,087.00 | $3,087.00 – $11,503.04 | 5 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | $296.40 | $1,976.00 | $1,976.00 – $11,503.04 | 5 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $296.40 | $1,976.00 | $1,976.00 – $11,503.04 | 5 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | $296.40 | $1,976.00 | $1,976.00 – $11,503.04 | 5 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | $296.40 | $1,976.00 | $1,976.00 – $11,503.04 | 5 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $296.40 | $1,976.00 | $1,976.00 – $11,503.04 | 5 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $296.40 | $1,976.00 | $1,976.00 – $11,503.04 | 5 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | $370.50 | $2,470.00 | $2,470.00 – $11,503.04 | 5 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | $370.50 | $2,470.00 | $2,470.00 – $11,503.04 | 5 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | $370.50 | $2,470.00 | $2,470.00 – $11,503.04 | 5 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | $370.50 | $2,470.00 | $2,470.00 – $11,503.04 | 5 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $370.50 | $2,470.00 | $2,470.00 – $11,503.04 | 5 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $370.50 | $2,470.00 | $2,470.00 – $11,503.04 | 5 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $350.70 | $2,338.00 | $49.46 – $681.23 | 17 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $184.80 | $1,232.00 | $14.86 – $738.05 | 17 |
| Eeg during surgery CPT 95955 | $184.80 | $1,232.00 | $8.53 – $538.39 | 5 |
| Eeg monitoring/giving drugs CPT 95954 | $232.95 | $1,553.00 | $17.46 – $738.05 | 17 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $205.50 | $1,370.00 | $46.86 – $528.65 | 17 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $386.85 | $2,579.00 | $49.46 – $681.23 | 17 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $282.45 | $1,883.00 | $63.99 – $528.65 | 17 |
| Eeg recording awake and asleep CPT 95819 | $213.45 | $1,423.00 | $46.86 – $528.65 | 17 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $318.75 | $2,125.00 | $126.54 – $528.65 | 17 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $263.55 | $1,757.00 | $126.54 – $528.65 | 17 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $505.35 | $3,369.00 | $242.78 – $738.05 | 17 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $241.05 | $1,607.00 | $242.78 – $738.05 | 17 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $289.80 | $1,932.00 | $126.54 – $528.65 | 17 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $505.35 | $3,369.00 | $242.78 – $738.05 | 17 |
| E equine encephalitis igg CPT 86652 | $12.45 | $83.00 | $6.60 – $28.75 | 17 |
| Egd control bleeding any CPT 43255 | $806.40 | $5,376.00 | $1,424.82 – $3,795.33 | 17 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $806.40 | $5,376.00 | $1,424.82 – $3,795.33 | 17 |
| Egd remove foreign body CPT 43247 | $384.60 | $2,564.00 | $298.53 – $1,793.89 | 17 |
| Egd varices ligation CPT 43244 | $806.40 | $5,376.00 | $1,424.82 – $3,795.33 | 17 |
| Egfr gene com variants CPT 81235 | $205.20 | $1,368.00 | $115.92 – $707.58 | 17 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $61.50 | $410.00 | $17.55 – $76.50 | 17 |
| EKG for initial prevent exam g0403 HCPCS G0403 | $161.85 | $1,079.00 | $14.23 – $37.60 | 5 |
| EKG interpret & report preve g0405 HCPCS G0405 | $161.85 | $1,079.00 | $7.95 – $37.60 | 5 |
| Elec stim unattend for press HCPCS G0281 | $23.85 | $159.00 | $10.28 – $269.71 | 17 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $147.00 | $980.00 | $123.77 – $607.47 | 17 |
| Electrical stimulation/unattended 97014 CPT 97014 | $15.90 | $106.00 | $14.95 – $40.50 | 5 |
| Electrode stimulation brain CPT 95961 | $282.60 | $1,884.00 | $45.82 – $1,698.47 | 17 |
| Electrolyte panel CPT 80051 | $12.00 | $80.00 | $3.51 – $15.28 | 17 |
| Electron microscopy diagnostic CPT 88348 | $720.00 | $4,800.00 | $37.50 – $1,593.52 | 17 |
| Electrophysiologic study CPT 93624 | $1,142.25 | $7,615.00 | $71.90 – $15,426.63 | 17 |
| Electrophysiology evaluation CPT 93619 | $1,142.25 | $7,615.00 | $291.30 – $15,426.63 | 17 |
| Electrophysiology evaluation CPT 93620 | $1,142.25 | $7,615.00 | $329.44 – $15,426.63 | 17 |
| Electrophysiology evaluation CPT 93621 | $2,690.85 | $17,939.00 | $616.56 – $9,855.98 | 5 |
| Electrophysiology evaluation CPT 93622 | $513.90 | $3,426.00 | $618.94 – $9,855.98 | 5 |
| Electrophysiology evaluation CPT 93641 | $513.90 | $3,426.00 | $266.28 – $9,855.98 | 5 |
| Electrophysiology evaluation CPT 93642 | $513.90 | $3,426.00 | $75.13 – $9,677.64 | 17 |
| Electrophys map 3d add-on CPT 93613 | $513.90 | $3,426.00 | $285.53 – $9,855.98 | 5 |
| Embolization s&i CPT 75894 | $659.10 | $4,394.00 | $224.00 – $295.60 | 5 |
| Embo or occlude vascular arterial s&i CPT 37242 | $4,518.90 | $30,126.00 | $15,570.45 – $36,257.38 | 17 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $4,518.90 | $30,126.00 | $10,473.75 – $22,832.77 | 17 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $4,518.90 | $30,126.00 | $10,473.75 – $22,832.77 | 17 |
| Embo or occlude vascular venous s&i CPT 37241 | $4,518.90 | $30,126.00 | $10,473.75 – $22,832.77 | 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.