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 |
|---|---|---|---|---|
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $9.75 | $65.00 | $2.89 – $12.60 | 17 |
| Albumin serum plasma or whole blood CPT 82040 | $8.70 | $58.00 | $2.48 – $10.79 | 17 |
| Albuterol ipratrop non-comp HCPCS J7620 | $1.09 | $7.25 | $0.20 – $2.23 | 2 |
| Albuterol non-comp con HCPCS J7611 | $1.09 | $7.25 | $0.26 – $15.81 | 16 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $22.20 | $148.00 | $8.64 – $37.65 | 17 |
| Alcohols biomarkers 3/more CPT 80322 | $8.10 | $54.00 | $16.20 – $16.52 | 5 |
| Alkaline phosphatase CPT 84075 | $9.15 | $61.00 | $2.59 – $11.29 | 17 |
| Allergen alpha lactalbumin ige CPT 86008 | $28.50 | $190.00 | $8.97 – $39.09 | 17 |
| Allergen egg white ige CPT 86003 | $9.15 | $61.00 | $2.61 – $13.20 | 17 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $13.80 | $92.00 | $3.99 – $17.37 | 17 |
| Allergy injections; 2 or more 95117 CPT 95117 | $12.90 | $86.00 | $12.41 – $92.61 | 17 |
| Allergy injection; single 95115 CPT 95115 | $6.00 | $40.00 | $10.47 – $92.61 | 17 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $25,702.08 | $171,347.17 | $22.63 – $246.13 | 16 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $304.95 | $2,033.00 | $1.00 – $246.13 | 16 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $186.21 | $1,241.41 | $112.91 – $246.13 | 16 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $346.95 | $2,313.00 | $1.00 – $246.13 | 16 |
| Alloskin HCPCS Q4115 | $1,843.45 | $12,289.64 | $4.81 – $246.13 | 16 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $112.80 | $752.00 | $32.21 – $140.41 | 17 |
| Alpha-fetoprotein amniotic CPT 82106 | $29.40 | $196.00 | $8.50 – $37.06 | 17 |
| Alpha-fetoprotein tumor marker CPT 82105 | $29.40 | $196.00 | $8.39 – $36.56 | 17 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $4,871.66 | $32,477.73 | $22.41 – $204.55 | 17 |
| Alt/sgpt CPT 84460 | $9.30 | $62.00 | $2.65 – $11.55 | 17 |
| Aluminum - quest CPT 82108 | $42.30 | $282.00 | $12.74 – $55.55 | 17 |
| Amantadine (symmetrel)-sendout CPT 80375 | $7.05 | $47.00 | $47.00 – $82.83 | 5 |
| Ambl bp mntr w/software CPT 93784 | $57.15 | $381.00 | $29.45 – $84.86 | 5 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $29.97 | $199.81 | $1.11 – $1.30 | 2 |
| Amino acid screen, urine CPT 82128 | $24.30 | $162.00 | $6.94 – $30.24 | 17 |
| Amino acid single qual CPT 82127 | $24.30 | $162.00 | $7.09 – $30.91 | 17 |
| Aminolevulinic acid delta CPT 82135 | $28.80 | $192.00 | $8.23 – $35.86 | 17 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $33.63 | $224.17 | $1.23 – $18.20 | 2 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $84.86 | $565.71 | $0.76 – $21.08 | 2 |
| Amitriptyline (elavil) -sendout CPT 80335 | $13.20 | $88.00 | $16.20 – $16.52 | 5 |
| Ammonia CPT 82140 | $25.50 | $170.00 | $7.29 – $31.76 | 17 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $202.20 | $1,348.00 | $835.65 – $1,821.71 | 17 |
| Amniocentesis therapeutic CPT 59001 | $143.10 | $954.00 | $276.47 – $839.34 | 17 |
| Amniotic fluid scan CPT 82143 | $12.15 | $81.00 | $4.68 – $20.38 | 17 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $1,518.15 | $10,121.00 | $412.65 – $6,471.55 | 17 |
| Amphetamine confirm urine -sendout CPT 80324 | $11.70 | $78.00 | $16.20 – $16.52 | 5 |
| Amphetamines 5 or more CPT 80326 | $25.80 | $172.00 | $16.20 – $16.52 | 5 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $92.22 | $614.82 | $76.40 – $99.75 | 2 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $408.23 | $2,721.53 | $7.45 – $712.54 | 17 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $32.77 | $218.49 | $0.97 – $2.46 | 2 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $35.61 | $237.40 | $2.45 – $5.84 | 2 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $75.15 | $501.00 | $131.50 – $573.32 | 16 |
| Amputation toe interphalangeal joint CPT 28825 | $835.35 | $5,569.00 | $200.45 – $6,471.55 | 17 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $1,343.25 | $8,955.00 | $291.15 – $6,471.55 | 17 |
| Amylase CPT 82150 | $11.40 | $76.00 | $3.24 – $14.13 | 17 |
| Anabolic steroid 1 or 2 CPT 80327 | $19.05 | $127.00 | $16.20 – $16.52 | 5 |
| Anabolic steroid 3 or more CPT 80328 | $19.05 | $127.00 | $16.20 – $16.52 | 5 |
| Ana ds-dna CPT 86226 | $21.15 | $141.00 | $6.06 – $26.40 | 17 |
| Analgesics non-opioid 3-5 CPT 80330 | $14.70 | $98.00 | $16.20 – $16.52 | 5 |
| Analgesics non-opioid 6/more CPT 80331 | $33.60 | $224.00 | $16.20 – $16.52 | 5 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $14.70 | $98.00 | $16.20 – $16.52 | 5 |
| Anal/urinary muscle study CPT 51784 | $30.45 | $203.00 | $14.43 – $254.50 | 17 |
| Anal/urinary muscle study CPT 51785 | $118.20 | $788.00 | $14.69 – $494.16 | 17 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $61.80 | $412.00 | $52.80 – $195.54 | 17 |
| Analysis gene f2 20210g>a variant CPT 81240 | $86.10 | $574.00 | $32.85 – $143.20 | 17 |
| Analysis gene f5 leiden variant CPT 81241 | $106.95 | $713.00 | $36.69 – $159.95 | 17 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $19.35 | $129.00 | $18.58 – $195.54 | 17 |
| Analysis tumor CPT 88358 | $47.40 | $316.00 | $18.41 – $336.97 | 17 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $59.85 | $399.00 | $39.10 – $195.54 | 17 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $61.50 | $410.00 | $17.55 – $76.50 | 17 |
| Anca screen with reflex to titer -quest CPT 86021 | $25.35 | $169.00 | $7.53 – $32.81 | 17 |
| An cholangiogram percutaneous compl CPT 47531 | $1,027.20 | $6,848.00 | $2,467.30 – $7,081.52 | 17 |
| Androstanediol CPT 82154 | $50.40 | $336.00 | $14.42 – $62.85 | 17 |
| An fluoro guide for cvp CPT 77001 | $69.30 | $462.00 | $52.56 – $295.60 | 5 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $2,618.55 | $17,457.00 | $9,313.66 – $9,494.51 | 5 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $2,483.55 | $16,557.00 | $3,594.39 – $9,494.51 | 5 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $2,483.55 | $16,557.00 | $2,990.98 – $9,494.51 | 5 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $2,004.00 | $13,360.00 | $1,148.30 – $15,872.79 | 5 |
| Angiotensin ii CPT 82163 | $22.05 | $147.00 | $10.26 – $44.73 | 17 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $2,483.55 | $16,557.00 | $5,117.13 – $9,494.51 | 5 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $1,059.15 | $7,061.00 | $7,061.00 – $9,494.51 | 5 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $2,648.25 | $17,655.00 | $5,163.81 – $11,257.11 | 17 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $1,059.15 | $7,061.00 | $7,061.00 – $9,494.51 | 5 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $2,648.25 | $17,655.00 | $5,163.81 – $11,257.11 | 17 |
| Ankle X-ray CPT 73610 | $76.35 | $509.00 | $17.78 – $172.12 | 17 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $61.80 | $412.00 | $43.06 – $48.65 | 2 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $64.95 | $433.00 | $46.97 – $68.27 | 2 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $70.35 | $469.00 | $47.66 – $53.15 | 2 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $73.20 | $488.00 | $57.70 – $64.87 | 2 |
| Anodyne therapy charges pt CPT 97026 | $17.70 | $118.00 | $5.70 – $39.77 | 17 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $22.50 | $150.00 | $6.44 – $28.08 | 17 |
| Antibody elution rbc reference CPT 86860 | $47.40 | $316.00 | $12.44 – $336.97 | 17 |
| Antibody htlv/hiv confirm test CPT 86689 | $33.90 | $226.00 | $9.68 – $42.18 | 17 |
| Antibody htlv-i CPT 86687 | $14.70 | $98.00 | $4.55 – $19.82 | 17 |
| Antibody htlv-ii CPT 86688 | $15.60 | $104.00 | $7.00 – $30.52 | 17 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $31.05 | $207.00 | $9.19 – $40.05 | 17 |
| Antibody id rbc panel CPT 86870 | $93.75 | $625.00 | $12.44 – $708.96 | 17 |
| Antibody influenza virus CPT 86710 | $23.70 | $158.00 | $6.78 – $29.54 | 17 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $22.50 | $150.00 | $6.44 – $28.06 | 17 |
| Antibody screen rbc CPT 86850 | $19.80 | $132.00 | $5.08 – $103.07 | 17 |
| Antibody tetanus CPT 86774 | $25.95 | $173.00 | $7.40 – $32.26 | 17 |
| Antidepressant not specified CPT 80338 | $13.20 | $88.00 | $16.20 – $16.52 | 5 |
| Antidepressants class 3-5 CPT 80333 | $12.75 | $85.00 | $16.20 – $16.52 | 5 |
| Antidepressants class 6/more CPT 80334 | $29.70 | $198.00 | $16.20 – $16.52 | 5 |
| Antidepressant tricyclic 3-5 CPT 80336 | $13.20 | $88.00 | $16.20 – $16.52 | 5 |
| Antiepileptics nos 4-6 CPT 80340 | $11.10 | $74.00 | $16.20 – $16.52 | 5 |
| Antiepileptics nos 7/more CPT 80341 | $11.10 | $74.00 | $16.20 – $16.52 | 5 |
| Anti-inhibitor HCPCS J7198 | $10,171.61 | $67,810.72 | $0.81 – $6,802.38 | 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.