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 |
|---|---|---|---|---|
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $73.20 | $488.00 | $21.97 – $263.15 | 17 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $73.20 | $488.00 | $23.55 – $883.56 | 17 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $72.90 | $486.00 | $28.25 – $263.15 | 17 |
| Ghs cricothyroidotomy CPT 31605 | $235.35 | $1,569.00 | $214.89 – $3,168.78 | 17 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $26.10 | $174.00 | $7.61 – $33.16 | 17 |
| Ghs dislocation elbow closed treatment CPT 24600 | $245.85 | $1,639.00 | $223.80 – $690.64 | 17 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $221.40 | $1,476.00 | $822.88 – $1,793.89 | 17 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $55.35 | $369.00 | $23.55 – $553.19 | 17 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $310.05 | $2,067.00 | $640.43 – $1,396.13 | 17 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $263.55 | $1,757.00 | $126.54 – $528.65 | 17 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $111.15 | $741.00 | $50.23 – $804.03 | 17 |
| Ghs excision ingrown nail CPT 11765 | $69.15 | $461.00 | $21.97 – $804.03 | 17 |
| Ghs eye exam CPT 92002 | $58.35 | $389.00 | $47.56 – $263.32 | 16 |
| Ghs fb removal foot - deep - left CPT 28192 | $418.95 | $2,793.00 | $268.45 – $3,266.63 | 17 |
| Ghs fb removal from muscle - complicated CPT 20525 | $811.65 | $5,411.00 | $220.05 – $5,745.12 | 17 |
| Ghs fb removal - incisional CPT 10121 | $717.30 | $4,782.00 | $157.00 – $3,266.63 | 17 |
| Ghs fb removal - non-incisional CPT 20520 | $211.95 | $1,413.00 | $48.65 – $3,266.63 | 17 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $12.30 | $82.00 | $3.49 – $15.22 | 17 |
| Ghs fish cytogen CPT 88271 | $36.00 | $240.00 | $10.71 – $50.97 | 17 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $70.20 | $468.00 | $25.60 – $111.59 | 17 |
| Ghs flow volume loop CPT 94375 | $92.25 | $615.00 | $17.31 – $427.07 | 17 |
| Ghs gastric intub aspiration lavage CPT 43753 | $64.20 | $428.00 | $20.04 – $427.07 | 16 |
| Ghs hcv amplificaiton CPT 87521 | $61.50 | $410.00 | $17.55 – $76.50 | 17 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $26.25 | $175.00 | $7.75 – $33.77 | 17 |
| Ghs hgb stability-thal CPT 83068 | $14.40 | $96.00 | $4.64 – $20.64 | 17 |
| Ghs histoplasma antigen CPT 87385 | $20.10 | $134.00 | $6.63 – $28.89 | 17 |
| Ghs HIV antibody CPT 86703 | $24.00 | $160.00 | $6.86 – $29.89 | 17 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $881.70 | $5,878.00 | $242.12 – $2,366.79 | 17 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $541.35 | $3,609.00 | $150.37 – $1,577.67 | 17 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $122.70 | $818.00 | $40.81 – $1,400.59 | 17 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $245.85 | $1,639.00 | $37.67 – $2,088.46 | 17 |
| Ghs inf midline insertion CPT 36140 | $1,818.15 | $12,121.00 | $161.01 – $971.54 | 5 |
| Ghs inhibitor screen CPT 85335 | $22.50 | $150.00 | $5.17 – $28.06 | 17 |
| Ghs init tx 1st degree burn CPT 16000 | $65.25 | $435.00 | $51.94 – $396.83 | 17 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $538.05 | $3,587.00 | $80.04 – $2,083.10 | 17 |
| Ghs inj tendon origin/insertion CPT 20551 | $56.85 | $379.00 | $56.91 – $607.11 | 17 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $511.65 | $3,411.00 | $1,082.03 – $1,103.05 | 5 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $879.75 | $5,865.00 | $802.46 – $1,749.36 | 17 |
| Ghs insertion of needle - bone CPT 36680 | $63.00 | $420.00 | $105.48 – $883.56 | 17 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $311.10 | $2,074.00 | $211.63 – $804.03 | 17 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $322.50 | $2,150.00 | $263.66 – $1,461.78 | 17 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $136.50 | $910.00 | $314.56 – $4,080.88 | 17 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $256.35 | $1,709.00 | $118.91 – $494.16 | 17 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $27.00 | $180.00 | $42.48 – $92.61 | 17 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,512.60 | $10,084.00 | $299.68 – $653.30 | 17 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $255.60 | $1,704.00 | $106.86 – $883.56 | 17 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $100.05 | $667.00 | $58.07 – $804.03 | 17 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $112.05 | $747.00 | $61.21 – $804.03 | 17 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $127.95 | $853.00 | $65.92 – $804.03 | 17 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $174.90 | $1,166.00 | $171.16 – $804.03 | 17 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $150.90 | $1,006.00 | $173.66 – $804.03 | 17 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $247.80 | $1,652.00 | $193.92 – $804.03 | 17 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $296.55 | $1,977.00 | $177.75 – $804.03 | 17 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $251.40 | $1,676.00 | $191.54 – $1,461.78 | 17 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $272.55 | $1,817.00 | $234.84 – $804.03 | 17 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $309.45 | $2,063.00 | $229.02 – $1,461.78 | 17 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $299.85 | $1,999.00 | $298.29 – $804.03 | 17 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $136.50 | $910.00 | $287.99 – $1,461.78 | 17 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $329.85 | $2,199.00 | $368.82 – $804.03 | 17 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $819.45 | $5,463.00 | $344.42 – $4,080.88 | 17 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $362.70 | $2,418.00 | $368.82 – $804.03 | 17 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $15.15 | $101.00 | $4.30 – $18.75 | 17 |
| Ghs mbp CPT 83873 | $30.15 | $201.00 | $8.60 – $37.50 | 17 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $121.65 | $811.00 | $30.93 – $31.53 | 5 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $91.80 | $612.00 | $30.93 – $31.53 | 5 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $75.15 | $501.00 | $30.93 – $31.53 | 5 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $39.00 | $260.00 | $30.93 – $31.53 | 5 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $56.85 | $379.00 | $30.93 – $31.53 | 5 |
| Ghs musc test done w/n test comp CPT 95886 | $42.00 | $280.00 | $36.32 – $193.87 | 5 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $37.80 | $252.00 | $34.48 – $193.87 | 5 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $45.00 | $300.00 | $22.09 – $193.87 | 5 |
| Ghs myocardial strain img spckl track CPT 93356 | $513.90 | $3,426.00 | $37.47 – $678.58 | 5 |
| Ghs nailbed repair/nail removal CPT 11760 | $63.75 | $425.00 | $94.18 – $1,461.78 | 17 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $366.75 | $2,445.00 | $56.50 – $2,083.10 | 17 |
| Ghs nerve blk intercostal, single level CPT 64420 | $298.50 | $1,990.00 | $40.81 – $1,396.13 | 17 |
| Ghs nerve block axillary nerve CPT 64417 | $156.45 | $1,043.00 | $92.94 – $1,749.36 | 17 |
| Ghs nerve block brachial plexus CPT 64415 | $187.95 | $1,253.00 | $81.67 – $2,083.10 | 17 |
| Ghs nerve block interscaline CPT 64510 | $828.60 | $5,524.00 | $802.46 – $2,083.10 | 17 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $828.60 | $5,524.00 | $802.46 – $1,749.36 | 17 |
| Ghs nerve block sciatic nerve CPT 64445 | $298.50 | $1,990.00 | $92.25 – $1,396.13 | 17 |
| Ghs ng placement w fluoro guidance CPT 43752 | $241.50 | $1,610.00 | $405.30 – $883.56 | 17 |
| Ghs o2 saturation CPT 82810 | $15.30 | $102.00 | $4.89 – $21.30 | 17 |
| Ghs o2 uptake rest & indirect CPT 94690 | $41.10 | $274.00 | $15.62 – $116.68 | 17 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $19.35 | $129.00 | $12.41 – $92.61 | 17 |
| Ghs opcc repair cvp without subq port CPT 36575 | $397.80 | $2,652.00 | $569.14 – $1,240.72 | 17 |
| Ghs opcc repair cvp w subq port CPT 36576 | $5,898.00 | $39,320.00 | $1,046.96 – $3,113.45 | 17 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $5.85 | $39.00 | $11.97 – $42.71 | 17 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $6.45 | $43.00 | $12.55 – $42.71 | 17 |
| Ghs ot dds rom CPT 95851 | $16.80 | $112.00 | $19.36 – $52.41 | 16 |
| Ghs ot prosthetic training/15 min CPT 97761 | $31.95 | $213.00 | $27.14 – $83.12 | 17 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $28.35 | $189.00 | $26.90 – $123.37 | 17 |
| Ghs ot work hardening-additional hours CPT 97546 | $49.95 | $333.00 | $39.72 – $40.50 | 5 |
| Ghs pacing - transcutaneous CPT 92953 | $513.90 | $3,426.00 | $0.88 – $1,307.25 | 17 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $746.55 | $4,977.00 | $1,082.03 – $1,103.05 | 5 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $142.95 | $953.00 | $80.70 – $1,103.05 | 5 |
| Ghs peritonsillar abscess i andd CPT 42700 | $211.95 | $1,413.00 | $135.79 – $468.46 | 17 |
| Ghs phenylketonurid CPT 84030 | $9.60 | $64.00 | $2.75 – $11.99 | 17 |
| Ghs picc line insert < 5 CPT 36568 | $514.50 | $3,430.00 | $1,428.19 – $3,113.45 | 17 |
| Ghs plngl fx pm cl CPT 26725 | $87.00 | $580.00 | $187.23 – $690.64 | 17 |
| Ghs plt ct-manual CPT 85032 | $7.50 | $50.00 | $2.16 – $9.40 | 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.