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 |
|---|---|---|---|---|
| Mopath procedure level 6 CPT 81405 | $254.55 | $1,697.00 | $150.68 – $656.94 | 17 |
| Mopath procedure level 7 CPT 81406 | $280.05 | $1,867.00 | $141.44 – $616.68 | 17 |
| Mopath procedure level 8 CPT 81407 | $746.70 | $4,978.00 | $423.14 – $1,844.87 | 17 |
| Mopath procedure level 9 CPT 81408 | $1,296.75 | $8,645.00 | $1,000.00 – $4,360.00 | 17 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $8.56 | $57.06 | $1.11 – $3.84 | 2 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $34.26 | $228.41 | $19.50 – $19.50 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $113.55 | $757.00 | $91.81 – $336.97 | 17 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $117.45 | $783.00 | $28.83 – $708.96 | 17 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $86.40 | $576.00 | $18.41 – $336.97 | 17 |
| Motor &/ sens nrve cndj test CPT 95905 | $55.20 | $368.00 | $22.09 – $883.56 | 17 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $52.05 | $347.00 | $19.51 – $93.55 | 6 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $105.75 | $705.00 | $91.81 – $336.97 | 17 |
| M/phmtrc alysishquant/semiq CPT 88369 | $33.30 | $222.00 | $24.35 – $207.59 | 6 |
| M/phmtrc alys skeletal musc CPT 88355 | $105.60 | $704.00 | $18.41 – $336.97 | 17 |
| Mpl gene analysis common variants CPT 81338 | $192.90 | $1,286.00 | $75.17 – $327.72 | 17 |
| MRA abdomen post contrast CPT 74185 | $636.75 | $4,245.00 | $229.64 – $786.00 | 6 |
| MRA chest w IV cont HCPCS C8909 | $537.15 | $3,581.00 | $217.92 – $725.22 | 17 |
| MRA chest wo IV cont HCPCS C8910 | $636.75 | $4,245.00 | $169.21 – $725.22 | 17 |
| MRA chest wwo IV cont HCPCS C8911 | $668.55 | $4,457.00 | $267.02 – $725.22 | 17 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $636.75 | $4,245.00 | $230.55 – $786.00 | 6 |
| MRA pelvis CPT 72198 | $537.15 | $3,581.00 | $230.55 – $786.00 | 6 |
| MRA pelvis w IV cont HCPCS C8918 | $636.75 | $4,245.00 | $217.92 – $725.22 | 17 |
| MRA pelvis wo IV cont HCPCS C8919 | $537.15 | $3,581.00 | $169.21 – $725.22 | 17 |
| MRA spinal canal CPT 72159 | $537.15 | $3,581.00 | $231.16 – $786.00 | 6 |
| MRA w/cont, abd HCPCS C8900 | $604.95 | $4,033.00 | $217.92 – $725.22 | 17 |
| MRA w/cont, lwr ext HCPCS C8912 | $636.75 | $4,245.00 | $217.92 – $725.22 | 17 |
| Mra, w/dye, spinal canal HCPCS C8931 | $537.15 | $3,581.00 | $217.92 – $725.22 | 17 |
| Mra, w/dye, upper extremity HCPCS C8934 | $537.15 | $3,581.00 | $217.92 – $725.22 | 17 |
| MRA without cont, abd HCPCS C8901 | $636.75 | $4,245.00 | $169.21 – $725.22 | 17 |
| MRA without cont, lwr ext HCPCS C8913 | $537.15 | $3,581.00 | $169.21 – $725.22 | 17 |
| Mra, without dye, spinal canal HCPCS C8932 | $537.15 | $3,581.00 | $169.21 – $725.22 | 17 |
| Mra, without dye, upper extr HCPCS C8935 | $537.15 | $3,581.00 | $169.21 – $725.22 | 17 |
| MRA without fol w/cont, abd HCPCS C8902 | $668.55 | $4,457.00 | $267.02 – $725.22 | 17 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $668.55 | $4,457.00 | $267.02 – $725.22 | 17 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $659.55 | $4,397.00 | $267.02 – $725.22 | 17 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $537.15 | $3,581.00 | $267.02 – $725.22 | 17 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $537.15 | $3,581.00 | $267.02 – $725.22 | 17 |
| MRI breast c- unilateral CPT 77046 | $636.75 | $4,245.00 | $115.28 – $471.92 | 17 |
| MRI breast c-+ w/cad uni CPT 77048 | $702.00 | $4,680.00 | $215.19 – $786.00 | 6 |
| MRI breast without cont bi CPT 77047 | $668.55 | $4,457.00 | $115.28 – $471.92 | 17 |
| MRI breast w IV cont bi CPT 77049 | $737.10 | $4,914.00 | $212.16 – $786.00 | 6 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $636.75 | $4,245.00 | $169.21 – $471.92 | 17 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $668.55 | $4,457.00 | $267.02 – $690.02 | 17 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $664.80 | $4,432.00 | $267.02 – $1,550.48 | 17 |
| MRI chest without contrast CPT 71550 | $604.95 | $4,033.00 | $169.21 – $471.92 | 17 |
| MRI chest without & w/contrast CPT 71552 | $668.55 | $4,457.00 | $267.02 – $690.02 | 17 |
| MRI chest w IV cont CPT 71551 | $636.75 | $4,245.00 | $217.92 – $1,550.48 | 17 |
| MRI fetal ea addl gestation CPT 74713 | $538.20 | $3,588.00 | $120.16 – $786.00 | 6 |
| MRI fetal sngl/1st gestation CPT 74712 | $897.00 | $5,980.00 | $136.77 – $471.92 | 17 |
| MRI guid ndl plc s&i CPT 77021 | $537.15 | $3,581.00 | $296.94 – $786.00 | 6 |
| MRI guid parenchymal tiss ablation CPT 77022 | $537.15 | $3,581.00 | $105.53 – $786.00 | 6 |
| MRI loex nonjt w IV cont CPT 73719 | $971.40 | $6,476.00 | $217.92 – $690.02 | 17 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $679.80 | $4,532.00 | $169.21 – $471.92 | 17 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $668.55 | $4,457.00 | $267.02 – $690.02 | 17 |
| MRI orbit/face/neck without contrast CPT 70540 | $604.95 | $4,033.00 | $169.21 – $471.92 | 17 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $668.55 | $4,457.00 | $267.02 – $690.02 | 17 |
| MRI orbit fac&nck w IV cont CPT 70542 | $636.75 | $4,245.00 | $217.92 – $690.02 | 17 |
| MRI tmj CPT 70336 | $636.75 | $4,245.00 | $169.21 – $471.92 | 17 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $636.75 | $4,245.00 | $169.21 – $471.92 | 17 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $668.55 | $4,457.00 | $267.02 – $690.02 | 17 |
| MRI upper extremity w/dye CPT 73219 | $971.40 | $6,476.00 | $217.92 – $690.02 | 17 |
| MRI without fol w/cont, breast HCPCS C8908 | $668.55 | $4,457.00 | $267.02 – $690.02 | 17 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $636.75 | $4,245.00 | $267.02 – $690.02 | 17 |
| Mr safety determination physician/other qhp CPT 76016 | $39.90 | $266.00 | $36.93 – $172.12 | 16 |
| Mr safety implant elec prepj CPT 76018 | $39.45 | $263.00 | $45.90 – $188.04 | 16 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $5.55 | $37.00 | $37.00 – $37.00 | 3 |
| Mr safety implt pos&/immoblj CPT 76019 | $25.65 | $171.00 | $29.70 – $116.68 | 16 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $11.10 | $74.00 | $8.90 – $57.21 | 16 |
| Mr sfty med physics xm cstmz CPT 76017 | $104.10 | $694.00 | $120.86 – $471.92 | 16 |
| Mr spectroscopy CPT 76390 | $537.15 | $3,581.00 | $78.96 – $340.27 | 17 |
| Msh2 gene dup/delete variant CPT 81297 | $119.10 | $794.00 | $75.86 – $464.99 | 17 |
| Msh2 gene full seq CPT 81295 | $2,311.95 | $15,413.00 | $75.86 – $832.11 | 17 |
| Msh2 gene known variants CPT 81296 | $166.20 | $1,108.00 | $64.77 – $736.25 | 17 |
| Msh6 gene dup/delete variant CPT 81300 | $127.20 | $848.00 | $47.12 – $518.84 | 17 |
| Msh6 gene full seq CPT 81298 | $2,599.35 | $17,329.00 | $143.92 – $1,399.23 | 17 |
| Msh6 gene known variants CPT 81299 | $207.00 | $1,380.00 | $47.12 – $671.44 | 17 |
| Mthfr gene analy common variants CPT 81291 | $76.35 | $509.00 | $29.78 – $142.44 | 17 |
| M.tuberculo dna dir probe CPT 87555 | $18.75 | $125.00 | $11.55 – $58.60 | 17 |
| Mucin synovial fluid CPT 83872 | $10.20 | $68.00 | $2.93 – $12.77 | 17 |
| Mucopolysaccharides CPT 83864 | $34.95 | $233.00 | $14.10 – $62.13 | 17 |
| Multiple sleep latency test CPT 95805 | $338.40 | $2,256.00 | $183.93 – $1,698.47 | 17 |
| Mumps antibody igg CPT 86735 | $22.80 | $152.00 | $6.53 – $28.45 | 17 |
| Muscle test cran nerv unilat CPT 95867 | $71.55 | $477.00 | $16.72 – $427.07 | 17 |
| Muscle test hemidiaphragm CPT 95866 | $71.55 | $477.00 | $7.38 – $254.50 | 17 |
| Muscle test larynx CPT 95865 | $55.20 | $368.00 | $23.37 – $263.15 | 17 |
| Mycobacteria dna dir probe CPT 87550 | $18.75 | $125.00 | $10.03 – $43.71 | 17 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $0.59 | $3.96 | $0.28 – $1.30 | 2 |
| Mycoplasma antibody igm CPT 86738 | $23.10 | $154.00 | $6.62 – $28.86 | 17 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $225.00 | $1,500.00 | $87.70 – $382.37 | 17 |
| Myelogphy 2/> spine regions CPT 72270 | $223.65 | $1,491.00 | $165.73 – $1,550.48 | 17 |
| Myelography l-s spine CPT 72265 | $203.55 | $1,357.00 | $130.66 – $1,550.48 | 17 |
| Myelography neck spine CPT 72240 | $205.50 | $1,370.00 | $129.41 – $1,550.48 | 17 |
| Myelography thoracic spine CPT 72255 | $205.50 | $1,370.00 | $121.89 – $1,550.48 | 17 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $406.65 | $2,711.00 | $711.23 – $1,550.48 | 17 |
| Myelography via inj w/s&i cervical CPT 62302 | $406.65 | $2,711.00 | $711.23 – $1,550.48 | 17 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $406.65 | $2,711.00 | $711.23 – $1,550.48 | 17 |
| Myelography via inj w/s&i thoracic CPT 62303 | $406.65 | $2,711.00 | $711.23 – $1,550.48 | 17 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $19.95 | $133.00 | $5.77 – $25.14 | 17 |
| Myocrd img pet 1std rst/strs CPT 78491 | $1,187.10 | $7,914.00 | $337.49 – $2,828.23 | 17 |
| Myocrd img pet 1 std w/ct CPT 78429 | $582.30 | $3,882.00 | $76.84 – $2,828.23 | 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.