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 polysom <6 yrs 4/> parameters CPT 95782 | $933.60 | $6,224.00 | $403.07 – $1,698.47 | 17 |
| Ghs ppd (tb intradermal) CPT 86580 | $16.73 | $111.51 | $2.85 – $57.21 | 17 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $16.80 | $112.00 | $4.83 – $21.06 | 17 |
| Ghs protein, misc fluid CPT 84160 | $9.00 | $60.00 | $2.81 – $12.23 | 17 |
| Ghs protoporphyrins fract CPT 84202 | $25.20 | $168.00 | $7.18 – $31.28 | 17 |
| Ghs pr without cont pulse ox CPT 94625 | $35.85 | $239.00 | $28.43 – $116.68 | 17 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $21.60 | $144.00 | $6.13 – $26.71 | 17 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $124.95 | $833.00 | $39.72 – $40.50 | 5 |
| Ghs quinidine CPT 80194 | $25.65 | $171.00 | $7.30 – $31.83 | 17 |
| Ghs removal intranasal foreign body CPT 30300 | $59.40 | $396.00 | $28.25 – $263.15 | 17 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $443.25 | $2,955.00 | $342.92 – $3,180.38 | 17 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $22.50 | $150.00 | $7.95 – $34.64 | 17 |
| Ghs reticulocyte count CPT 85044 | $14.70 | $98.00 | $2.16 – $9.40 | 17 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $20.10 | $134.00 | $6.96 – $30.32 | 17 |
| Ghs sedimentation rate CPT 85651 | $6.30 | $42.00 | $2.14 – $9.31 | 17 |
| Ghs semen analysis fert CPT 89320 | $21.15 | $141.00 | $5.77 – $26.84 | 17 |
| Ghs sensitivity (per antimicro) CPT 87184 | $12.15 | $81.00 | $3.74 – $16.31 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $296.55 | $1,977.00 | $175.62 – $804.03 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $247.80 | $1,652.00 | $243.19 – $804.03 | 17 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $181.35 | $1,209.00 | $223.91 – $804.03 | 17 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $283.95 | $1,893.00 | $269.45 – $804.03 | 17 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $136.20 | $908.00 | $150.40 – $396.83 | 17 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $124.20 | $828.00 | $138.76 – $396.83 | 17 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $176.70 | $1,178.00 | $182.03 – $396.83 | 17 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $309.45 | $2,063.00 | $182.03 – $396.83 | 17 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $136.50 | $910.00 | $182.03 – $396.83 | 17 |
| Ghs sleep study unattended CPT 95800 | $184.80 | $1,232.00 | $85.04 – $427.07 | 17 |
| Ghs somatosensory testing lower extremit CPT 95926 | $109.65 | $731.00 | $17.60 – $427.07 | 17 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $272.25 | $1,815.00 | $92.56 – $1,698.47 | 17 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $51.00 | $340.00 | $19.29 – $397.72 | 17 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $107.10 | $714.00 | $43.00 – $212.86 | 17 |
| Ghs st - eval for alt comm CPT 92567 | $17.85 | $119.00 | $17.18 – $73.87 | 17 |
| Ghs strapping shoulder - 29240 CPT 29240 | $51.60 | $344.00 | $31.07 – $263.15 | 17 |
| Ghs st - re-eval for alt comm CPT 92597 | $70.50 | $470.00 | $43.00 – $397.72 | 17 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $323.25 | $2,155.00 | $14.42 – $727.90 | 17 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $77.40 | $516.00 | $63.32 – $420.70 | 17 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $245.85 | $1,639.00 | $72.20 – $1,461.78 | 17 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $222.45 | $1,483.00 | $47.08 – $804.03 | 17 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $242.25 | $1,615.00 | $319.54 – $3,168.78 | 17 |
| Ghs trypsin (fecal) CPT 84488 | $12.75 | $85.00 | $3.65 – $15.91 | 17 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $74.25 | $495.00 | $165.11 – $690.64 | 17 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $377.10 | $2,514.00 | $223.80 – $690.64 | 17 |
| Ghs urine, hydroxproline total CPT 83505 | $42.60 | $284.00 | $12.15 – $52.97 | 17 |
| Ghs urine, porphyrins quant CPT 84120 | $25.80 | $172.00 | $7.36 – $32.07 | 17 |
| Ghs vaginal delivery only CPT 59409 | $464.85 | $3,099.00 | $800.16 – $6,402.58 | 17 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $556.05 | $3,707.00 | $242.78 – $738.05 | 17 |
| Giardia lamblia antibody CPT 86674 | $25.80 | $172.00 | $7.36 – $32.09 | 17 |
| Gi inhouse confirmation CPT 87045 | $16.50 | $110.00 | $4.72 – $20.58 | 17 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $382.35 | $2,549.00 | $361.82 – $1,793.89 | 17 |
| Glove finger flexion right lg xl HCPCS L3912 | $19.80 | $132.00 | $104.96 – $246.03 | 16 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $404.98 | $2,699.89 | $36.59 – $359.40 | 17 |
| Glucagon plasma - sendout CPT 82943 | $25.05 | $167.00 | $7.15 – $31.15 | 17 |
| Glucose 1 hr post dose CPT 82950 | $8.40 | $56.00 | $2.38 – $10.36 | 17 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $7.05 | $47.00 | $3.03 – $13.19 | 17 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $4.05 | $27.00 | $1.64 – $7.15 | 17 |
| Glucose blood quantitative CPT 82947 | $6.90 | $46.00 | $1.97 – $8.57 | 17 |
| Glucose body fluid CPT 82945 | $6.90 | $46.00 | $1.97 – $8.57 | 17 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $33.90 | $226.00 | $27.98 – $116.68 | 17 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $17.70 | $118.00 | $6.44 – $28.06 | 17 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $6.90 | $46.00 | $1.96 – $8.55 | 17 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $32.55 | $217.00 | $9.29 – $40.50 | 17 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $32.40 | $216.00 | $9.26 – $40.37 | 17 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $872.59 | $5,817.26 | $86.68 – $1,694.95 | 17 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $48.15 | $321.00 | $17.94 – $246.13 | 16 |
| Graft axiofill 1000mg HCPCS J3590 | $94.66 | $631.06 | $193.74 – $1,375.71 | 16 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $6,208.60 | $41,390.66 | $1.00 – $246.13 | 16 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $26,222.04 | $174,813.58 | $15.79 – $246.13 | 16 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $138.90 | $926.00 | $151.04 – $151.04 | 1 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $316.20 | $2,108.00 | $60.39 – $246.13 | 16 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $1,520.10 | $10,134.00 | $1.00 – $246.13 | 16 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $18,695.80 | $124,638.68 | $112.91 – $246.13 | 16 |
| Great toe with reduction 28495 CPT 28495 | $79.80 | $532.00 | $83.52 – $690.64 | 17 |
| Growth stimulation gene 2 CPT 83006 | $38.40 | $256.00 | $14.97 – $164.81 | 17 |
| G-tube reposition CPT 43761 | $202.20 | $1,348.00 | $226.68 – $509.32 | 17 |
| Gu dilat ureter/urethra s&i CPT 74485 | $796.20 | $5,308.00 | $103.26 – $4,134.48 | 17 |
| Guided cath fluid drainage 10030 CPT 10030 | $517.35 | $3,449.00 | $642.47 – $1,577.67 | 17 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $15,323.15 | $102,154.35 | $7.06 – $23.00 | 2 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $214.65 | $1,431.00 | $28.24 – $28.24 | 1 |
| Guid loc target vol rad tx CPT 77387 | $92.55 | $617.00 | $32.13 – $191.41 | 6 |
| Gw stiffened micro access kit HCPCS C1894 | $3,322.87 | $22,152.46 | $0.31 – $1.00 | 2 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $24.45 | $163.03 | $7.74 – $28.29 | 2 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $15.02 | $100.10 | $1.41 – $2.73 | 2 |
| Hand X-ray CPT 73130 | $80.10 | $534.00 | $17.78 – $172.12 | 17 |
| Haptoglobin quantitative CPT 83010 | $22.05 | $147.00 | $6.29 – $27.42 | 17 |
| Hba1/hba2 full gene sequence CPT 81259 | $769.95 | $5,133.00 | $300.00 – $1,308.00 | 17 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $110.40 | $736.00 | $101.20 – $441.23 | 17 |
| Hba1/hba2 gene fam vrnt CPT 81258 | $481.65 | $3,211.00 | $187.63 – $818.05 | 17 |
| Hbb full gene sequence CPT 81364 | $281.10 | $1,874.00 | $162.29 – $707.58 | 17 |
| Hbot, full body chamber, 30m HCPCS G0277 | $122.55 | $817.00 | $42.56 – $555.99 | 17 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $263.10 | $1,754.00 | $42.10 – $346.92 | 17 |
| Hcg free betachain test CPT 84704 | $26.25 | $175.00 | $7.65 – $33.33 | 17 |
| Hcg qualitative CPT 84703 | $13.20 | $88.00 | $3.76 – $16.39 | 17 |
| Hcg quantitative CPT 84702 | $26.25 | $175.00 | $7.53 – $32.81 | 17 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $35.70 | $238.00 | $40.68 – $141.31 | 2 |
| Hc nm fusion spect CT unlisted CPT 78999 | $418.80 | $2,792.00 | $54.45 – $790.69 | 17 |
| Hc nm kidney imaging with flow CPT 78701 | $418.80 | $2,792.00 | $116.96 – $790.69 | 17 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $288.75 | $1,925.00 | $187.66 – $1,377.53 | 17 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $317.70 | $2,118.00 | $341.82 – $1,982.37 | 17 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $349.50 | $2,330.00 | $348.11 – $1,982.37 | 17 |
| Hdr rdncl skn surf brachytx CPT 77767 | $106.20 | $708.00 | $97.18 – $762.85 | 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.