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 |
|---|---|---|---|---|
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $2,004.00 | $13,360.00 | $5,048.52 – $11,005.77 | 17 |
| Emb without cervical dilation 58100 CPT 58100 | $37.20 | $248.00 | $26.68 – $742.38 | 17 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $87.75 | $585.00 | $26.20 – $263.15 | 17 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $123.75 | $825.00 | $33.04 – $254.50 | 17 |
| Emg cranial nerve bilateral CPT 95868 | $69.15 | $461.00 | $24.66 – $427.07 | 17 |
| Emg needle test 1-extremity CPT 95860 | $68.10 | $454.00 | $13.12 – $263.15 | 17 |
| Emg needle test 4-extremities CPT 95864 | $133.20 | $888.00 | $42.06 – $254.50 | 17 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $85.80 | $572.00 | $7.33 – $427.07 | 17 |
| Encephalitis, california igg/igm CPT 86651 | $12.45 | $83.00 | $6.60 – $28.75 | 17 |
| Encephalitis, st louis igg/igm CPT 86653 | $12.45 | $83.00 | $6.60 – $28.75 | 17 |
| Encephalitis, western equine igg/igm CPT 86654 | $23.10 | $154.00 | $6.60 – $28.75 | 17 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $1,310.55 | $8,737.00 | $2,864.70 – $6,245.05 | 17 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $1,290.30 | $8,602.00 | $2,864.70 – $6,245.05 | 17 |
| Endo cath bile duct s&i CPT 74328 | $86.10 | $574.00 | $103.26 – $295.60 | 5 |
| Endo cath panc duct s&i CPT 74329 | $83.10 | $554.00 | $103.26 – $295.60 | 5 |
| Endocerv curettage w/scope 57456 CPT 57456 | $61.65 | $411.00 | $113.08 – $742.38 | 17 |
| Endocervical curettage 57505 CPT 57505 | $138.30 | $922.00 | $74.66 – $1,821.71 | 17 |
| Endoluminal bx biliary tree CPT 47543 | $841.05 | $5,607.00 | $5,607.00 – $8,228.43 | 5 |
| Endoluminl ivus oct c 1st CPT 92978 | $1,458.00 | $9,720.00 | $171.10 – $295.60 | 5 |
| Endoluminl ivus oct c ea CPT 92979 | $1,434.15 | $9,561.00 | $85.45 – $295.60 | 5 |
| Endoscopy swallow (fees) vid CPT 92612 | $167.10 | $1,114.00 | $43.00 – $402.67 | 17 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $758.70 | $5,058.00 | $202.66 – $3,520.39 | 17 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $1,619.25 | $10,795.00 | $10,795.00 – $22,390.47 | 5 |
| Endovenous laser vein addon 36479 CPT 36479 | $655.20 | $4,368.00 | $3,749.59 – $3,822.40 | 5 |
| Endovenous rf abl vein addl CPT 36476 | $947.25 | $6,315.00 | $3,749.59 – $3,822.40 | 5 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $117.18 | $781.18 | $1.04 – $15.69 | 2 |
| Enterectomy small intestine single 44120 CPT 44120 | $598.05 | $3,987.00 | $3,987.00 – $5,855.44 | 5 |
| Enzyme histochemistry CPT 88319 | $207.75 | $1,385.00 | $7.81 – $1,593.52 | 17 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $72.30 | $482.00 | $482.00 – $1,190.89 | 16 |
| Ep & ablate supravent arrhyt CPT 93653 | $4,032.60 | $26,884.00 | $802.13 – $51,696.98 | 17 |
| Ep & ablate ventric tachy CPT 93654 | $4,032.60 | $26,884.00 | $1,074.13 – $51,696.98 | 17 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $708.15 | $4,721.00 | $703.71 – $4,080.88 | 17 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $182.25 | $1,215.00 | $155.27 – $2,800.70 | 5 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $708.15 | $4,721.00 | $215.06 – $4,080.88 | 17 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $182.25 | $1,215.00 | $119.30 – $2,800.70 | 5 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $306.00 | $2,040.00 | $194.88 – $1,103.05 | 5 |
| Epilepsy gen seq alys panel CPT 81419 | $3,142.35 | $20,949.00 | $1,224.28 – $5,337.86 | 17 |
| Ep induct arrhy by elect pacing CPT 93618 | $513.90 | $3,426.00 | $145.45 – $9,677.64 | 17 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $42.80 | $285.30 | $0.84 – $1.79 | 2 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $42.80 | $285.30 | $87.59 – $87.59 | 1 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $124.98 | $833.17 | $0.85 – $3.71 | 3 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $770.88 | $5,139.22 | $4.72 – $170.43 | 17 |
| Epstein barr early antigen antibody CPT 86663 | $22.95 | $153.00 | $6.56 – $28.60 | 17 |
| Epstein barr nuclear antigen antibody CPT 86664 | $13.80 | $92.00 | $7.65 – $33.33 | 17 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $30.60 | $204.00 | $9.07 – $39.55 | 17 |
| Ercp biliary & pancreas CPT 74330 | $86.10 | $574.00 | $103.26 – $295.60 | 5 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $1,439.88 | $9,599.21 | $45.03 – $1,765.18 | 17 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $207.85 | $1,385.64 | $17.35 – $22.30 | 2 |
| ER Visit (level 1, minor) CPT 99281 | $68.40 | $456.00 | $76.50 – $166.78 | 16 |
| ER Visit (level 2) CPT 99282 | $94.35 | $629.00 | $139.31 – $303.69 | 16 |
| ER Visit (level 3) CPT 99283 | $204.75 | $1,365.00 | $247.67 – $539.91 | 16 |
| ER Visit (level 4) CPT 99284 | $300.30 | $2,002.00 | $378.57 – $825.29 | 16 |
| ER Visit (level 5, high severity) CPT 99285 | $456.15 | $3,041.00 | $540.31 – $1,177.88 | 16 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $146.69 | $977.91 | $9.67 – $113.73 | 3 |
| Esophageal dilat s&i CPT 74360 | $85.80 | $572.00 | $103.26 – $295.60 | 5 |
| Esophagus motility study CPT 91010 | $227.25 | $1,515.00 | $330.30 – $738.05 | 17 |
| Esoph egd dilation <30 mm CPT 43249 | $581.40 | $3,876.00 | $254.57 – $3,795.33 | 17 |
| Established Patient Office Visit (level 1) CPT 99211 | $18.90 | $126.00 | $16.29 – $26.90 | 2 |
| Established Patient Office Visit (level 2) CPT 99212 | $22.35 | $149.00 | $30.65 – $36.06 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $36.30 | $242.00 | $36.06 – $43.80 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | $41.70 | $278.00 | $47.56 – $56.41 | 2 |
| Established Patient Office Visit (level 5) CPT 99215 | $46.20 | $308.00 | $65.21 – $88.39 | 2 |
| Estradiol total CPT 82670 | $49.05 | $327.00 | $13.97 – $60.91 | 17 |
| Estrogens total-sendout CPT 82672 | $38.10 | $254.00 | $10.85 – $47.31 | 17 |
| Ethylene glycol -sendout CPT 82693 | $25.05 | $167.00 | $7.45 – $32.48 | 17 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $253.73 | $1,691.56 | $1.65 – $15.59 | 2 |
| Euglobulin lysis CPT 85360 | $17.85 | $119.00 | $4.21 – $18.33 | 17 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $124.05 | $827.00 | $43.00 – $397.72 | 17 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $112.80 | $752.00 | $45.62 – $213.88 | 17 |
| Evaluation heart device CPT 93640 | $513.90 | $3,426.00 | $250.02 – $9,855.98 | 5 |
| Evaluation of speech fluency 92521 CPT 92521 | $110.10 | $734.00 | $43.00 – $397.72 | 17 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $795.75 | $5,305.00 | $5,305.00 – $22,390.47 | 5 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $1,619.25 | $10,795.00 | $10,795.00 – $22,390.47 | 5 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $1,619.25 | $10,795.00 | $10,795.00 – $22,390.47 | 5 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $1,619.25 | $10,795.00 | $10,795.00 – $22,390.47 | 5 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $795.75 | $5,305.00 | $5,305.00 – $22,390.47 | 5 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $1,619.25 | $10,795.00 | $10,795.00 – $22,390.47 | 5 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $1,619.25 | $10,795.00 | $10,795.00 – $22,390.47 | 5 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $1,619.25 | $10,795.00 | $10,795.00 – $22,390.47 | 5 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $1,619.25 | $10,795.00 | $10,795.00 – $22,390.47 | 5 |
| Event monitor CPT 93270 | $247.50 | $1,650.00 | $32.70 – $73.82 | 17 |
| Evoked auditory tst complete CPT 92588 | $25.80 | $172.00 | $14.82 – $738.05 | 17 |
| Evoked oa emissions ltd CPT 92587 | $23.70 | $158.00 | $10.64 – $427.07 | 17 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $66.30 | $442.00 | $13.78 – $47.34 | 5 |
| Evoked potentials upper limbs CPT 95925 | $365.55 | $2,437.00 | $17.51 – $427.07 | 17 |
| Evoked potential visual not glaucoma CPT 95930 | $107.70 | $718.00 | $8.98 – $427.07 | 17 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $676.50 | $4,510.00 | $1,526.89 – $4,629.26 | 16 |
| Ewho w/joint(s) cf HCPCS L3764 | $163.20 | $1,088.00 | $864.81 – $2,027.19 | 16 |
| Exam of vagina w/scope 57420 CPT 57420 | $61.65 | $411.00 | $113.08 – $742.38 | 17 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $180.45 | $1,203.00 | $215.09 – $3,266.63 | 17 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $1,174.65 | $7,831.00 | $261.22 – $5,745.12 | 17 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $355.35 | $2,369.00 | $164.43 – $3,266.63 | 17 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $176.40 | $1,176.00 | $26.68 – $1,400.59 | 17 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $135.60 | $904.00 | $34.53 – $1,400.59 | 17 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $149.10 | $994.00 | $56.50 – $1,400.59 | 17 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $355.35 | $2,369.00 | $176.30 – $3,266.63 | 17 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $38.55 | $257.00 | $42.37 – $1,400.59 | 17 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $323.25 | $2,155.00 | $152.04 – $3,266.63 | 17 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $390.90 | $2,606.00 | $233.24 – $5,745.12 | 17 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $183.75 | $1,225.00 | $37.67 – $804.03 | 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.