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 |
|---|---|---|---|---|
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $48.00 | $320.00 | $75.00 – $190.71 | 2 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $646.80 | $4,312.00 | $527.31 – $2,077.56 | 16 |
| I131 iodide cap, rx HCPCS A9517 | $71.70 | $478.00 | $8.63 – $581.09 | 17 |
| I131 iodide sol, rx HCPCS A9530 | $32.40 | $216.00 | $5.26 – $581.09 | 17 |
| Iaadi respiratory synctial virus CPT 87280 | $20.10 | $134.00 | $6.71 – $29.26 | 17 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $33.15 | $221.00 | $17.55 – $76.50 | 17 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $22.65 | $151.00 | $9.05 – $39.44 | 17 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $13.20 | $88.00 | $13.18 – $98.71 | 17 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | $1,099.35 | $7,329.00 | $1,224.28 – $5,337.86 | 17 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $1,326.15 | $8,841.00 | $360.21 – $6,557.51 | 17 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $1,444.95 | $9,633.00 | $302.83 – $6,471.55 | 17 |
| Idh1 common variants CPT 81120 | $167.55 | $1,117.00 | $96.63 – $421.29 | 17 |
| Idh2 common variants CPT 81121 | $256.35 | $1,709.00 | $147.90 – $644.82 | 17 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $757.65 | $5,051.00 | $202.64 – $5,745.12 | 17 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $108.12 | $720.79 | $15.72 – $116.06 | 3 |
| Igh@/bcl2 translocation alys CPT 81278 | $265.95 | $1,773.00 | $103.66 – $451.94 | 17 |
| Igh gene rearrange amp meth CPT 81261 | $346.65 | $2,311.00 | $99.00 – $431.62 | 17 |
| Igh@ var region somatic mutation analy CPT 81263 | $515.70 | $3,438.00 | $115.92 – $642.05 | 17 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $60.45 | $403.00 | $22.74 – $137.86 | 6 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $52.50 | $350.00 | $38.49 – $708.96 | 17 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $54.90 | $366.00 | $18.41 – $336.97 | 17 |
| Ikbkap gene CPT 81260 | $179.55 | $1,197.00 | $19.66 – $85.70 | 17 |
| Iliac/fem angio cath insert HCPCS G0278 | $63.90 | $426.00 | $12.34 – $6,730.27 | 5 |
| Iliac revasc add-on 37222 CPT 37222 | $1,564.20 | $10,428.00 | $861.52 – $15,872.79 | 5 |
| Img rta detcj/mntr ds staff CPT 92227 | $25.05 | $167.00 | $9.41 – $116.68 | 17 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $12.45 | $83.00 | $25.48 – $170.88 | 16 |
| Immobilizer shldr sling med HCPCS L3660 | $21.75 | $145.00 | $112.95 – $264.77 | 16 |
| Immune complex assay CPT 86332 | $42.75 | $285.00 | $12.19 – $53.13 | 17 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $6,212.60 | $41,417.31 | $18.61 – $2,470.13 | 17 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $36.45 | $243.00 | $10.41 – $45.37 | 17 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $36.45 | $243.00 | $10.41 – $45.37 | 17 |
| Immunoassay tumor qual CPT 86294 | $29.55 | $197.00 | $12.79 – $55.74 | 17 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $21.00 | $140.00 | $5.99 – $26.12 | 17 |
| Immunodiffusion nes CPT 86329 | $22.80 | $152.00 | $7.03 – $30.63 | 17 |
| Immunofixation electrophoresis serum CPT 86334 | $39.15 | $261.00 | $11.17 – $48.70 | 17 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $52.35 | $349.00 | $21.86 – $185.94 | 6 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $93.75 | $625.00 | $18.41 – $336.97 | 17 |
| Immunoglobulin assay CPT 86023 | $21.90 | $146.00 | $6.23 – $27.16 | 17 |
| Immunology procedure CPT 86849 | $28.95 | $193.00 | $13.18 – $16.21 | 6 |
| Impl neurostim electr perc CPT 63650 | $3,136.65 | $20,911.00 | $703.83 – $12,604.88 | 17 |
| In-111 autol wbc diag per dose HCPCS A9570 | $654.30 | $4,362.00 | $515.70 – $2,404.95 | 16 |
| In-111 capromab pendet HCPCS A9507 | $851.70 | $5,678.00 | $1,513.26 – $3,772.03 | 16 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $1,595.25 | $10,635.00 | $399.01 – $5,956.05 | 2 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $592.95 | $3,953.00 | $357.65 – $1,625.45 | 16 |
| In-111 pentetreotide HCPCS A9572 | $1,179.75 | $7,865.00 | $957.31 – $4,362.05 | 16 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $471.15 | $3,141.00 | $85.01 – $3,266.63 | 17 |
| Incision of achilles tendon CPT 27605 | $690.90 | $4,606.00 | $1,458.89 – $3,180.38 | 17 |
| Incision of breast lesion CPT 19020 | $757.65 | $5,051.00 | $224.48 – $3,266.63 | 17 |
| Incision of burn scab initi CPT 16035 | $63.15 | $421.00 | $265.85 – $804.03 | 17 |
| Incision of tongue fold CPT 41010 | $670.95 | $4,473.00 | $1,407.71 – $3,068.81 | 17 |
| Incisn of toe tndn CPT 28010 | $753.60 | $5,024.00 | $1,458.89 – $3,180.38 | 17 |
| Incisn windpipe CPT 31600 | $1,298.70 | $8,658.00 | $3,008.03 – $6,557.51 | 17 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $355.08 | $2,367.20 | $4.98 – $20.28 | 16 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $30.15 | $201.00 | $35.10 – $153.04 | 16 |
| Infect ag drug suscept pheno predict CPT 87900 | $228.15 | $1,521.00 | $65.18 – $284.16 | 17 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $388.80 | $2,592.00 | $128.73 – $561.24 | 17 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $388.80 | $2,592.00 | $128.73 – $561.24 | 17 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $178.05 | $1,187.00 | $64.37 – $280.63 | 17 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $388.35 | $2,589.00 | $128.73 – $561.24 | 17 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $42.00 | $280.00 | $16.39 – $71.44 | 17 |
| Infect ag ia optc obs influenza CPT 87804 | $20.10 | $134.00 | $8.28 – $36.08 | 17 |
| Infect ag if hep delta agent CPT 87380 | $28.80 | $192.00 | $9.18 – $40.02 | 17 |
| Infect ag if influenza a CPT 87276 | $10.35 | $69.00 | $8.04 – $35.03 | 17 |
| Infect ag if influenza b CPT 87275 | $10.35 | $69.00 | $6.13 – $26.71 | 17 |
| Infect ag if legionella pneumophila CPT 87278 | $20.10 | $134.00 | $7.80 – $34.01 | 17 |
| Infect ag if nos ea CPT 87299 | $20.10 | $134.00 | $8.05 – $35.10 | 17 |
| Infect ag if varicella zoster CPT 87290 | $20.10 | $134.00 | $6.71 – $29.26 | 17 |
| Infect ag na hep b amp CPT 87516 | $61.50 | $410.00 | $17.55 – $76.50 | 17 |
| Infect ag na herpes simplex quant CPT 87530 | $75.15 | $501.00 | $21.42 – $93.39 | 17 |
| Infect ag na hpv high-risk types CPT 87624 | $30.75 | $205.00 | $17.55 – $76.50 | 17 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $148.95 | $993.00 | $47.90 – $210.72 | 17 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $89.85 | $599.00 | $25.66 – $111.86 | 17 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $15.00 | $100.00 | $25.59 – $111.86 | 17 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $374.85 | $2,499.00 | $208.39 – $908.58 | 17 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $855.60 | $5,704.00 | $244.33 – $1,065.28 | 17 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $45.75 | $305.00 | $13.04 – $56.83 | 17 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $12.15 | $81.00 | $11.55 – $90.21 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $20.10 | $134.00 | $5.99 – $26.12 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $20.10 | $134.00 | $6.71 – $29.26 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $20.10 | $134.00 | $6.91 – $30.13 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $21.00 | $140.00 | $5.99 – $26.12 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $25.20 | $168.00 | $7.19 – $31.35 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $17.40 | $116.00 | $5.17 – $22.52 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $17.40 | $116.00 | $5.17 – $22.52 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $42.15 | $281.00 | $11.55 – $52.49 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $20.10 | $134.00 | $5.99 – $26.12 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $20.10 | $134.00 | $5.99 – $26.12 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $20.10 | $134.00 | $5.99 – $26.12 | 17 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $61.50 | $410.00 | $17.55 – $76.50 | 17 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $61.50 | $410.00 | $17.55 – $76.50 | 17 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $61.50 | $410.00 | $18.64 – $81.25 | 17 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $733.80 | $4,892.00 | $208.39 – $908.58 | 17 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $61.50 | $410.00 | $17.55 – $76.50 | 17 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $61.50 | $410.00 | $17.55 – $76.50 | 17 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $61.50 | $410.00 | $20.84 – $90.86 | 17 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $61.50 | $410.00 | $17.55 – $76.50 | 17 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $15.00 | $100.00 | $25.66 – $111.86 | 17 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $47.10 | $314.00 | $68.07 – $310.93 | 17 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $61.50 | $410.00 | $68.07 – $310.93 | 17 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $61.50 | $410.00 | $17.55 – $76.50 | 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.