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 |
|---|---|---|---|---|
| Flexible Sigmoidoscopy CPT 45330 | $393.75 | $2,625.00 | $43.94 – $1,839.32 | 17 |
| Flow cytometry marker each additional CPT 88185 | $61.80 | $412.00 | $8.54 – $51.25 | 6 |
| Flow cytometry one marker technical component CPT 88184 | $101.10 | $674.00 | $8.54 – $708.96 | 17 |
| Flt3 gene CPT 81245 | $213.00 | $1,420.00 | $82.76 – $360.81 | 17 |
| Flt3 gene analysis CPT 81246 | $106.50 | $710.00 | $41.50 – $180.94 | 17 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $7.26 | $48.38 | $3.98 – $48.38 | 2 |
| Fluidotherapy charges pt CPT 97022 | $22.05 | $147.00 | $13.63 – $39.77 | 17 |
| Fluid pressure muscle 20950 CPT 20950 | $319.20 | $2,128.00 | $45.52 – $1,400.59 | 17 |
| Fluorescent antibody titer dna CPT 86256 | $21.15 | $141.00 | $6.03 – $26.27 | 17 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $69.30 | $462.00 | $37.11 – $295.60 | 5 |
| Fluoroguide needle placement CPT 77002 | $69.30 | $462.00 | $40.58 – $295.60 | 5 |
| Fluoro polarize fetal lung CPT 83663 | $29.25 | $195.00 | $9.46 – $41.22 | 17 |
| Fluoroscopy up to 1 hour CPT 76000 | $69.30 | $462.00 | $42.72 – $471.92 | 17 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $56.40 | $375.99 | $2.77 – $3.50 | 2 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $327.04 | $2,180.27 | $12.85 – $18.45 | 2 |
| Fmri brain by phys/psych CPT 70555 | $591.00 | $3,940.00 | $122.73 – $471.92 | 17 |
| Fmri brain by tech CPT 70554 | $537.15 | $3,581.00 | $169.21 – $471.92 | 17 |
| Fna bx w/ct gdn 1st les CPT 10009 | $747.90 | $4,986.00 | $642.47 – $1,400.59 | 16 |
| Fna bx w/mr gdn 1st les CPT 10011 | $304.05 | $2,027.00 | $642.47 – $1,400.59 | 16 |
| Folic acid CPT 82746 | $25.80 | $172.00 | $7.35 – $32.05 | 17 |
| Follow-up angiography CPT 75898 | $492.60 | $3,284.00 | $34.41 – $6,245.05 | 17 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,917.15 | $12,781.02 | $3.81 – $271.18 | 17 |
| Fondaparinux sodium HCPCS J1652 | $49.59 | $330.62 | $1.27 – $9.11 | 2 |
| Fo nontorsion joint cf HCPCS L3935 | $96.15 | $641.00 | $248.47 – $712.81 | 16 |
| Foot arch support remov prem HCPCS L3030 | $36.75 | $245.00 | $94.31 – $271.30 | 16 |
| Foot insert plastazote or eq HCPCS L3002 | $78.15 | $521.00 | $199.55 – $575.17 | 16 |
| Foot longitud/metatarsal sup HCPCS L3020 | $65.70 | $438.00 | $245.15 – $618.51 | 16 |
| Foot X-ray CPT 73630 | $76.35 | $509.00 | $17.78 – $172.12 | 17 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $474.30 | $3,162.00 | $1,070.75 – $3,246.02 | 16 |
| Forearm/arm cuffs free motio HCPCS L3720 | $360.30 | $2,402.00 | $813.40 – $2,465.84 | 16 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $106.50 | $710.00 | $74.82 – $567.90 | 17 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $482.62 | $3,217.47 | $0.16 – $0.85 | 3 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $117.38 | $782.54 | $0.87 – $2.92 | 16 |
| Fracture assessment via dxa CPT 77086 | $63.90 | $426.00 | $22.57 – $172.12 | 17 |
| _fragile x methylation-sendout CPT 81244 | $96.75 | $645.00 | $22.45 – $97.86 | 17 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $59.40 | $396.00 | $36.38 – $193.38 | 17 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $108.15 | $721.00 | $20.34 – $193.38 | 17 |
| Fresh frozen plasma thawing ea un CPT 86927 | $47.40 | $316.00 | $7.47 – $336.97 | 17 |
| Frozen blood thaw CPT 86931 | $93.75 | $625.00 | $23.54 – $336.97 | 17 |
| Fructosamine glycated protein CPT 82985 | $26.40 | $176.00 | $8.38 – $36.54 | 17 |
| Ftl cgen abnor four anal CPT 81511 | $197.10 | $1,314.00 | $76.75 – $334.63 | 17 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $638.10 | $4,254.00 | $599.61 – $4,080.88 | 17 |
| Fundus photography with i&r 92250 CPT 92250 | $54.75 | $365.00 | $6.12 – $263.15 | 17 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $15.11 | $100.75 | $0.03 – $0.04 | 2 |
| Fxn gene detc abnor alleles CPT 81284 | $107.70 | $718.00 | $68.50 – $298.66 | 17 |
| Fxn gene full gene sequence CPT 81286 | $216.00 | $1,440.00 | $137.42 – $599.13 | 17 |
| G6pc gene CPT 81250 | $157.80 | $1,052.00 | $29.25 – $127.51 | 17 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $27.30 | $182.00 | $30.36 – $165.00 | 2 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $36.45 | $243.00 | $33.37 – $108.19 | 16 |
| Gabapentin non-blood CPT 80355 | $17.70 | $118.00 | $16.20 – $16.52 | 5 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $58.56 | $390.37 | $63.25 – $63.25 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $84.35 | $562.30 | $13.50 – $25.92 | 2 |
| Galectin-3 CPT 82777 | $23.55 | $157.00 | $8.90 – $96.47 | 17 |
| Gammaglobulin iga CPT 82784 | $16.20 | $108.00 | $4.65 – $20.27 | 17 |
| Gammaglobulin ige CPT 82785 | $28.80 | $192.00 | $8.23 – $35.88 | 17 |
| Gamma glutamyltransferase CPT 82977 | $12.60 | $84.00 | $2.31 – $15.70 | 17 |
| Gamunex-c/gammaked HCPCS J1561 | $5,339.28 | $35,595.20 | $18.46 – $1,765.18 | 17 |
| Gardner vag dna quant CPT 87512 | $73.05 | $487.00 | $20.88 – $91.04 | 17 |
| Gastric emptying imag study CPT 78265 | $418.80 | $2,792.00 | $166.33 – $790.69 | 17 |
| Gastric emptying imag study CPT 78266 | $418.80 | $2,792.00 | $220.68 – $1,073.92 | 17 |
| Gastrin test CPT 82938 | $30.90 | $206.00 | $8.85 – $38.56 | 17 |
| Gastroesophageal reflux study CPT 78262 | $452.25 | $3,015.00 | $121.84 – $790.69 | 17 |
| Gated heart multiple CPT 78473 | $452.25 | $3,015.00 | $148.79 – $790.69 | 17 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $27.60 | $184.00 | $56.49 – $56.49 | 1 |
| Gba gene CPT 81251 | $167.10 | $1,114.00 | $23.63 – $103.01 | 17 |
| General health panel CPT 80050 | $49.20 | $328.00 | $10.60 – $87.34 | 6 |
| Genetic tstg severe inh cond CPT 81443 | $3,142.35 | $20,949.00 | $1,224.28 – $5,337.86 | 17 |
| Genome re-evaluation CPT 81427 | $2,999.85 | $19,999.00 | $1,168.83 – $5,096.08 | 17 |
| Genome sequence analysis CPT 81425 | $6,456.60 | $43,044.00 | $2,515.60 – $10,968.02 | 17 |
| Genome sequence analysis CPT 81426 | $3,477.60 | $23,184.00 | $1,354.98 – $5,907.69 | 17 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $62.16 | $414.42 | $3.20 – $3.89 | 2 |
| Gentamicin peak therapeutic drug level CPT 80170 | $28.80 | $192.00 | $8.19 – $35.71 | 17 |
| G-esoph reflx tst w/electrod CPT 91035 | $227.25 | $1,515.00 | $508.83 – $1,698.47 | 17 |
| Ghs abscess perianal iandd CPT 46050 | $211.95 | $1,413.00 | $75.15 – $2,088.46 | 17 |
| Ghs abscess postoperative iandd complex CPT 10180 | $756.90 | $5,046.00 | $131.08 – $5,745.12 | 17 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $13.35 | $89.00 | $4.91 – $21.39 | 17 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $28.20 | $188.00 | $8.56 – $37.30 | 17 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $565.05 | $3,767.00 | $50.93 – $222.93 | 17 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $54.75 | $365.00 | $23.35 – $263.15 | 17 |
| Ghs antibodies (torch) igm CPT 86694 | $25.20 | $168.00 | $7.20 – $31.37 | 17 |
| Ghs bladder cath - complex-foley CPT 51703 | $79.80 | $532.00 | $116.74 – $254.50 | 17 |
| Ghs bleeding time (ivy) CPT 85002 | $7.95 | $53.00 | $2.41 – $10.51 | 17 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $313.50 | $2,090.00 | $98.99 – $1,396.13 | 17 |
| Ghs central line insert < age 5, failed CPT 36555 | $574.35 | $3,829.00 | $331.53 – $6,245.05 | 17 |
| Ghs change cysto/gastrost CPT 43762 | $52.05 | $347.00 | $226.68 – $509.32 | 17 |
| Ghs chemo >8 hrs CPT 96416 | $279.90 | $1,866.00 | $103.89 – $727.90 | 17 |
| Ghs chemo IV push, ea addtl CPT 96411 | $106.95 | $713.00 | $36.35 – $142.41 | 17 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $61.50 | $410.00 | $17.55 – $76.50 | 17 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $129.90 | $866.00 | $70.63 – $690.64 | 17 |
| Ghs closed reduction ankle dislocation CPT 27840 | $211.95 | $1,413.00 | $223.80 – $690.64 | 17 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $211.95 | $1,413.00 | $404.42 – $3,180.38 | 17 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $265.35 | $1,769.00 | $223.80 – $690.64 | 17 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $578.40 | $3,856.00 | $448.54 – $3,180.38 | 17 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $191.10 | $1,274.00 | $223.80 – $690.64 | 17 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $578.40 | $3,856.00 | $357.33 – $3,180.38 | 17 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $283.95 | $1,893.00 | $492.23 – $3,180.38 | 17 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $205.50 | $1,370.00 | $223.80 – $690.64 | 17 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $79.20 | $528.00 | $178.74 – $690.64 | 17 |
| Ghs community re-entry 15 minutes CPT 97537 | $29.25 | $195.00 | $18.90 – $66.45 | 17 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $144.15 | $961.00 | $25.11 – $883.56 | 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.