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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $30.90 | $206.00 | $17.55 – $76.50 | 17 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $34.80 | $232.00 | $38.39 – $167.36 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $402.60 | $2,684.00 | $208.39 – $908.58 | 17 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $224.10 | $1,494.00 | $64.15 – $279.67 | 17 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $372.75 | $2,485.00 | $131.50 – $573.32 | 17 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $75.15 | $501.00 | $21.42 – $93.39 | 17 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $75.15 | $501.00 | $21.42 – $93.39 | 17 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $75.15 | $501.00 | $21.42 – $93.39 | 17 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $148.95 | $993.00 | $42.55 – $185.52 | 17 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $124.20 | $828.00 | $71.32 – $310.93 | 17 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,297.97 | $8,653.11 | $30.75 – $1,358.06 | 17 |
| Influenza dna amp prob addl CPT 87503 | $36.45 | $243.00 | $14.61 – $68.14 | 17 |
| Infuse radioactive materials CPT 77750 | $418.80 | $2,792.00 | $43.72 – $762.85 | 17 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $53.55 | $357.00 | $49.40 – $433.11 | 17 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $64.95 | $433.00 | $83.68 – $83.68 | 1 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $82.95 | $553.00 | $103.31 – $103.31 | 1 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $48.00 | $320.00 | $63.00 – $63.00 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | $234.75 | $1,565.00 | $49.40 – $433.11 | 17 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $76.50 | $510.00 | $62.29 – $80.97 | 2 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $169.05 | $1,127.00 | $490.48 – $500.00 | 5 |
| Inj dupuytren cord w/enzyme CPT 20527 | $126.15 | $841.00 | $105.61 – $607.11 | 17 |
| Inj dx for sinogram CPT 20501 | $202.65 | $1,351.00 | $490.48 – $500.00 | 5 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $312.90 | $2,086.00 | $312.49 – $1,396.13 | 17 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $169.05 | $1,127.00 | $490.48 – $500.00 | 5 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $165.90 | $1,106.00 | $56.91 – $607.11 | 17 |
| Injection during cath supravalvular aortography CPT 93567 | $67.35 | $449.00 | $126.86 – $500.00 | 5 |
| Injection epidural blood patch or clot CPT 62273 | $352.95 | $2,353.00 | $172.83 – $1,396.13 | 17 |
| Injection for arthrography wrist (both sides) CPT 25246 | $60.75 | $405.00 | $37.67 – $500.00 | 5 |
| Injection for bladder x-ray CPT 51600 | $66.90 | $446.00 | $446.00 – $500.00 | 5 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $197.40 | $1,316.00 | $490.48 – $500.00 | 5 |
| Injection for spleen x-ray CPT 38200 | $91.20 | $608.00 | $490.48 – $500.00 | 5 |
| Injection for ureter x-ray CPT 50690 | $264.30 | $1,762.00 | $490.48 – $500.00 | 5 |
| Injection, fulvestrant HCPCS J9395 | $1,293.80 | $8,625.36 | $8.52 – $162.59 | 6 |
| Injection into brain canal CPT 61055 | $320.10 | $2,134.00 | $278.49 – $607.11 | 17 |
| Injection of sinus tract CPT 20500 | $265.95 | $1,773.00 | $79.53 – $3,068.81 | 17 |
| Injection,onabotulinumtoxina HCPCS J0585 | $701.93 | $4,679.55 | $2.69 – $682.35 | 17 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $482.85 | $3,219.00 | $362.70 – $790.69 | 17 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $471.15 | $3,141.00 | $632.66 – $1,396.13 | 17 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $187.95 | $1,253.00 | $79.02 – $2,083.10 | 17 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $293.70 | $1,958.00 | $57.16 – $1,396.13 | 17 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $352.80 | $2,352.00 | $211.82 – $1,749.36 | 17 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $787.50 | $5,250.00 | $1,082.03 – $1,103.05 | 5 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $828.90 | $5,526.00 | $802.46 – $1,749.36 | 17 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $129.90 | $866.00 | $79.67 – $1,103.05 | 5 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $552.30 | $3,682.00 | $154.89 – $1,749.36 | 17 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $152.25 | $1,015.00 | $253.60 – $1,396.13 | 17 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $447.90 | $2,986.00 | $640.43 – $1,396.13 | 17 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $235.35 | $1,569.00 | $23.55 – $607.11 | 17 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $245.85 | $1,639.00 | $56.91 – $607.11 | 17 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $235.35 | $1,569.00 | $56.91 – $607.11 | 17 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $27.75 | $185.00 | $17.41 – $92.61 | 17 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $43.65 | $291.00 | $12.41 – $74.67 | 5 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $59.70 | $398.00 | $17.41 – $420.70 | 17 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $31.95 | $213.00 | $17.41 – $142.41 | 17 |
| Inject sacroiliac joint CPT 27096 | $342.15 | $2,281.00 | $162.34 – $644.94 | 5 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $138.45 | $923.00 | $253.60 – $1,396.13 | 17 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $323.40 | $2,156.00 | $253.60 – $1,749.36 | 17 |
| Inj for ext venography CPT 36005 | $552.45 | $3,683.00 | $953.04 – $971.54 | 5 |
| Inj for mammo ductogram CPT 19030 | $242.10 | $1,614.00 | $490.48 – $500.00 | 5 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $1,818.15 | $12,121.00 | $134.44 – $500.00 | 5 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $1,818.15 | $12,121.00 | $56.67 – $500.00 | 5 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $1,818.15 | $12,121.00 | $58.99 – $500.00 | 5 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $1,818.15 | $12,121.00 | $44.03 – $500.00 | 5 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $1,818.15 | $12,121.00 | $150.05 – $500.00 | 5 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $83.55 | $557.00 | $14.13 – $396.83 | 17 |
| Inj intralesional > 7 lsns CPT 11901 | $83.55 | $557.00 | $23.55 – $396.83 | 17 |
| Inj ivig privigen 500 mg HCPCS J1459 | $6,506.50 | $43,376.67 | $17.20 – $1,765.18 | 17 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $2.93 | $19.50 | $5.99 – $5.99 | 1 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $296.62 | $1,977.49 | $0.83 – $170.43 | 17 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $702.45 | $4,683.00 | $567.34 – $1,379.15 | 17 |
| Inj peritoneal venous shunt CPT 49427 | $54.90 | $366.00 | $366.00 – $500.00 | 5 |
| Inj proc ankle arthr CPT 27648 | $155.25 | $1,035.00 | $490.48 – $500.00 | 5 |
| Inj proc elbow arthro CPT 24220 | $61.65 | $411.00 | $411.00 – $500.00 | 5 |
| Inj proc for lymphang CPT 38790 | $661.50 | $4,410.00 | $490.48 – $500.00 | 5 |
| Inj proc lumbr disk ea lvl CPT 62290 | $298.20 | $1,988.00 | $490.48 – $500.00 | 5 |
| Inj proc myelogram lumbar CPT 62284 | $368.55 | $2,457.00 | $490.48 – $500.00 | 5 |
| Inj proc sialogram CPT 42550 | $109.80 | $732.00 | $490.48 – $500.00 | 5 |
| Inj retro urethrocysto CPT 51610 | $66.90 | $446.00 | $446.00 – $500.00 | 5 |
| Inj scleros sol mult veins CPT 36471 | $158.55 | $1,057.00 | $39.67 – $880.47 | 17 |
| Inj scleros sol sgl vein CPT 36470 | $267.00 | $1,780.00 | $368.82 – $880.47 | 17 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $86.30 | $575.34 | $0.24 – $16.53 | 2 |
| Inj testosterone cypionate HCPCS J1071 | $51.35 | $342.36 | $0.05 – $0.05 | 1 |
| Inj w/fluor eval cv device CPT 36598 | $241.50 | $1,610.00 | $192.98 – $490.95 | 17 |
| Ins cath ren art 1st bi CPT 36252 | $1,818.15 | $12,121.00 | $2,864.70 – $6,608.48 | 17 |
| Ins cath ren art 1st uni CPT 36251 | $1,559.10 | $10,394.00 | $2,864.70 – $6,608.48 | 17 |
| Ins cath ren art 2nd+ bi CPT 36254 | $1,818.15 | $12,121.00 | $2,864.70 – $6,608.48 | 17 |
| Ins cath ren art 2nd+ uni CPT 36253 | $1,594.50 | $10,630.00 | $5,048.52 – $11,005.77 | 17 |
| Ins cerv dilator (sep proc) CPT 59200 | $311.70 | $2,078.00 | $276.47 – $839.34 | 17 |
| Insert and remove bone pin CPT 20650 | $506.70 | $3,378.00 | $130.45 – $6,471.55 | 17 |
| Insert cath pleura with image CPT 32557 | $517.35 | $3,449.00 | $1,428.19 – $3,113.45 | 17 |
| Insert cath pleura without image CPT 32556 | $1,059.30 | $7,062.00 | $1,432.40 – $3,795.33 | 17 |
| Insert drug delivery implant CPT 11981 | $55.35 | $369.00 | $65.88 – $263.15 | 17 |
| Insert hepatic shunt (tips) CPT 37182 | $3,418.65 | $22,791.00 | $15,570.45 – $36,257.38 | 17 |
| Insert intrauterine device iud CPT 58300 | $223.65 | $1,491.00 | $26.10 – $315.62 | 5 |
| Insertion catheter bladder non indwelling CPT 51701 | $34.95 | $233.00 | $118.91 – $263.15 | 17 |
| Insertion catheter bladder temporary simple CPT 51702 | $43.20 | $288.00 | $118.91 – $263.15 | 17 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $1,377.90 | $9,186.00 | $1,432.40 – $7,081.52 | 17 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $2,593.50 | $17,290.00 | $11,221.98 – $11,439.89 | 5 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $1,952.70 | $13,018.00 | $5,048.52 – $11,005.77 | 17 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $539.10 | $3,594.00 | $285.81 – $6,245.05 | 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.