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 |
|---|---|---|---|---|
| Hdr rdncl skn surf brachytx CPT 77768 | $116.70 | $778.00 | $97.18 – $762.85 | 17 |
| Head CT scan (with and without contrast) CPT 70470 | $587.70 | $3,918.00 | $159.14 – $455.25 | 17 |
| Head CT scan (with contrast) CPT 70460 | $559.65 | $3,731.00 | $150.25 – $455.25 | 17 |
| Head CT scan (without contrast) CPT 70450 | $531.75 | $3,545.00 | $94.85 – $455.25 | 17 |
| Hearing loss dup/del analys CPT 81431 | $872.10 | $5,814.00 | $339.79 – $1,481.46 | 17 |
| Hearing loss sequence analys CPT 81430 | $2,085.45 | $13,903.00 | $812.50 – $3,542.50 | 17 |
| Heart infarct image CPT 78466 | $418.80 | $2,792.00 | $86.29 – $790.69 | 17 |
| Helicobacter pylori antibody igm CPT 86677 | $25.50 | $170.00 | $8.43 – $36.73 | 17 |
| Hematocrit CPT 85014 | $4.05 | $27.00 | $1.19 – $6.99 | 17 |
| Hematopoietic nuclear tx CPT 79403 | $418.80 | $2,792.00 | $138.88 – $461.51 | 17 |
| Hemodialysis one evaluation CPT 90935 | $301.05 | $2,007.00 | $81.00 – $1,357.43 | 17 |
| Hemoglobin CPT 85018 | $4.05 | $27.00 | $1.19 – $6.99 | 17 |
| Hemoglobin fetal qualitative CPT 83033 | $10.35 | $69.00 | $4.00 – $17.44 | 17 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $12.30 | $82.00 | $4.10 – $17.88 | 17 |
| Hemoglobin-oxygen affinity CPT 82820 | $17.55 | $117.00 | $6.67 – $29.08 | 17 |
| Hemoglobin plasma CPT 83051 | $12.75 | $85.00 | $3.66 – $15.94 | 17 |
| Hemolysin acid CPT 85475 | $15.00 | $100.00 | $4.44 – $19.34 | 17 |
| Hemolysins and agglutinins incubated CPT 86941 | $20.55 | $137.00 | $5.08 – $26.40 | 17 |
| Hemophilus influenza antibdy CPT 86684 | $26.85 | $179.00 | $7.92 – $34.53 | 17 |
| Heparin assay CPT 85520 | $22.95 | $153.00 | $5.17 – $28.54 | 17 |
| Heparin bolus from bag HCPCS J1644 | $36.68 | $244.55 | $0.13 – $0.37 | 3 |
| Heparin neutralization CPT 85525 | $20.70 | $138.00 | $5.17 – $25.81 | 17 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $2.93 | $19.50 | $0.04 – $0.79 | 3 |
| Hepatitis a antibody igm CPT 86709 | $19.65 | $131.00 | $5.63 – $24.55 | 17 |
| Hepatitis b core antibody igm CPT 86705 | $20.70 | $138.00 | $5.89 – $25.66 | 17 |
| Hepatitis b core antibody total CPT 86704 | $21.15 | $141.00 | $6.03 – $26.27 | 17 |
| Hepatitis b surface ag quan CPT 87467 | $61.50 | $410.00 | $7.53 – $55.20 | 17 |
| Hepatitis b surface antibody CPT 86706 | $18.90 | $126.00 | $5.37 – $23.41 | 17 |
| Hepatitis c antibody CPT 86803 | $25.05 | $167.00 | $7.14 – $31.11 | 17 |
| Hepatitis c rna dir probe CPT 87520 | $16.35 | $109.00 | $14.20 – $68.14 | 17 |
| Hepatitis d quantification CPT 87523 | $75.15 | $501.00 | $21.42 – $93.39 | 17 |
| Hepatobiliary system imaging CPT 78226 | $452.25 | $3,015.00 | $146.68 – $790.69 | 17 |
| Hereditary colon ca dsordrs CPT 81435 | $1,022.55 | $6,817.00 | $397.97 – $2,842.61 | 17 |
| Herpes simplex 1 ag if CPT 87274 | $20.10 | $134.00 | $5.99 – $26.12 | 17 |
| Herpes simplex 2 ag if CPT 87273 | $20.10 | $134.00 | $5.99 – $26.12 | 17 |
| Herpes simplex type 1 antibody igg CPT 86695 | $23.10 | $154.00 | $6.60 – $28.75 | 17 |
| Herpes simplex type 2 antibody igg CPT 86696 | $17.55 | $117.00 | $9.68 – $42.18 | 17 |
| Herpes simplex virus isolation CPT 87255 | $30.75 | $205.00 | $16.93 – $73.81 | 17 |
| Heterophile antibodies screening CPT 86308 | $9.15 | $61.00 | $2.59 – $13.20 | 17 |
| Heterophile antibodies titer CPT 86309 | $11.40 | $76.00 | $3.24 – $14.10 | 17 |
| Hexa gene CPT 81255 | $227.10 | $1,514.00 | $25.73 – $112.16 | 17 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $17.70 | $118.00 | $92.38 – $216.55 | 16 |
| Hhv-6 dna quant CPT 87533 | $44.85 | $299.00 | $20.88 – $91.04 | 17 |
| Hinge extension/flex wrist/f HCPCS L3900 | $329.55 | $2,197.00 | $1,715.63 – $4,021.58 | 16 |
| Hinge ext/flex wrist finger HCPCS L3901 | $762.00 | $5,080.00 | $1,969.72 – $5,650.07 | 16 |
| Hip X-ray CPT 73502 | $69.30 | $462.00 | $25.32 – $172.12 | 17 |
| Histamine CPT 83088 | $51.75 | $345.00 | $14.77 – $64.38 | 17 |
| Histochemical stains add-on CPT 88314 | $63.30 | $422.00 | $8.54 – $148.84 | 6 |
| Hiv-1 ag ia CPT 87390 | $30.90 | $206.00 | $11.55 – $52.45 | 17 |
| Hiv-2 ag ia CPT 87391 | $30.90 | $206.00 | $10.95 – $47.74 | 17 |
| Hla i & ii typing hr CPT 81378 | $370.50 | $2,470.00 | $172.79 – $753.34 | 17 |
| Hla ii typing 1 loc hr CPT 81382 | $216.45 | $1,443.00 | $50.93 – $269.62 | 17 |
| Hla ii typing ag equiv lr CPT 81375 | $386.55 | $2,577.00 | $110.37 – $481.21 | 17 |
| Hla i low res one antigen equiv ea CPT 81374 | $152.10 | $1,014.00 | $37.17 – $162.04 | 17 |
| Hla i typing 1 locus hr CPT 81380 | $385.95 | $2,573.00 | $88.63 – $386.41 | 17 |
| Hla i typing complete hr CPT 81379 | $359.55 | $2,397.00 | $167.69 – $731.13 | 17 |
| Hla i typing complete lr CPT 81372 | $983.70 | $6,558.00 | $115.92 – $879.83 | 17 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $165.60 | $1,104.00 | $47.12 – $370.38 | 17 |
| Hla i typing low res one locus ea CPT 81373 | $195.00 | $1,300.00 | $50.93 – $277.80 | 17 |
| Hla typing a b or c CPT 86813 | $101.55 | $677.00 | $29.00 – $126.44 | 17 |
| Hla typing dr/dq CPT 86816 | $48.90 | $326.00 | $15.09 – $72.11 | 17 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $1.46 | $9.76 | $0.40 – $3.00 | 2 |
| Home health care supervision CPT 99374 | $49.05 | $327.00 | $48.49 – $84.06 | 5 |
| Home health care supervision CPT 99375 | $61.50 | $410.00 | $44.59 – $84.06 | 5 |
| Home/res vst est high mdm 60 CPT 99350 | $93.60 | $624.00 | $109.46 – $109.46 | 1 |
| Home/res vst est mod mdm 40 CPT 99349 | $63.75 | $425.00 | $75.66 – $75.66 | 1 |
| Home/res vst est sf mdm 20 CPT 99347 | $27.45 | $183.00 | $33.83 – $33.83 | 1 |
| Home/res vst new high mdm 75 CPT 99345 | $116.25 | $775.00 | $135.15 – $135.15 | 1 |
| Home/res vst new low mdm 30 CPT 99342 | $39.60 | $264.00 | $60.40 – $60.40 | 1 |
| Home/res vst new mod mdm 60 CPT 99344 | $91.35 | $609.00 | $112.36 – $112.36 | 1 |
| Home/res vst new sf mdm 15 CPT 99341 | $28.80 | $192.00 | $43.30 – $43.30 | 1 |
| Home sleep test/type 2 porta HCPCS G0398 | $161.70 | $1,078.00 | $195.90 – $427.07 | 17 |
| Home sleep test/type 4 porta HCPCS G0400 | $161.70 | $1,078.00 | $195.90 – $427.07 | 17 |
| Home visit est patient 99348 CPT 99348 | $41.85 | $279.00 | $50.90 – $50.90 | 1 |
| Homocysteine CPT 83090 | $29.55 | $197.00 | $7.63 – $39.07 | 17 |
| Homogenization tissue CPT 87176 | $10.20 | $68.00 | $2.94 – $12.82 | 17 |
| Homovanillic acid (hva) CPT 83150 | $33.90 | $226.00 | $11.21 – $48.85 | 17 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | $12.60 | $84.00 | $14.84 – $74.11 | 17 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | $32.10 | $214.00 | $37.93 – $200.93 | 17 |
| Hpv low-risk types CPT 87623 | $29.10 | $194.00 | $17.55 – $76.50 | 17 |
| Hpv types 16 & 18 only CPT 87625 | $33.90 | $226.00 | $20.28 – $88.40 | 17 |
| H pylori (c-13) breath CPT 83013 | $117.90 | $786.00 | $33.68 – $146.84 | 17 |
| H pylori drug admin CPT 83014 | $8.40 | $56.00 | $3.93 – $17.13 | 17 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $732.00 | $4,880.00 | $465.74 – $2,842.61 | 17 |
| Hrdtry cardmypy gene panel CPT 81439 | $511.65 | $3,411.00 | $292.45 – $1,275.08 | 17 |
| Htt gene detc abnor alleles CPT 81271 | $175.80 | $1,172.00 | $68.50 – $298.66 | 17 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $202.37 | $1,349.13 | $0.40 – $154.26 | 6 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $117.76 | $785.05 | $0.40 – $0.63 | 2 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $35.02 | $233.46 | $7.99 – $9.86 | 2 |
| Hydration IV infusion each additional hour CPT 96361 | $27.60 | $184.00 | $12.41 – $727.90 | 17 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $79.95 | $533.00 | $36.35 – $420.70 | 17 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $197.56 | $1,317.06 | $3.08 – $37.51 | 2 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $62.63 | $417.52 | $0.74 – $26.93 | 2 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $30.60 | $204.00 | $8.95 – $39.02 | 17 |
| Hymenotomy CPT 56442 | $1,140.00 | $7,600.00 | $42.03 – $6,402.58 | 17 |
| Hyoscyamine sulfate inj HCPCS J1980 | $103.24 | $688.28 | $7.22 – $96.94 | 2 |
| #hypersens-actinomyces ab CPT 86602 | $11.55 | $77.00 | $5.09 – $22.19 | 17 |
| Hysterosalpingography s&i CPT 74740 | $153.90 | $1,026.00 | $42.72 – $471.92 | 17 |
| I-123 iobenguane diag HCPCS A9582 | $1,109.70 | $7,398.00 | $498.00 – $5,052.15 | 16 |
| I-123 ioflupane diag HCPCS A9584 | $1,135.80 | $7,572.00 | $1,387.74 – $3,025.27 | 16 |
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.