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 |
|---|---|---|---|---|
| Opn ax/subcla art expos CPT 34715 | $67.35 | $449.00 | $449.00 – $5,861.94 | 5 |
| Organic acids total quant ea spec CPT 83918 | $27.75 | $185.00 | $11.66 – $51.45 | 17 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $38.15 | $254.33 | $3.38 – $19.69 | 2 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $59.55 | $397.00 | $315.43 – $739.40 | 16 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $217.50 | $1,450.00 | $562.35 – $1,612.94 | 16 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $270.45 | $1,803.00 | $1,408.13 – $3,300.78 | 16 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $163.50 | $1,090.00 | $866.99 – $2,032.30 | 16 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $56.10 | $374.00 | $296.17 – $694.25 | 16 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $66.30 | $442.00 | $350.93 – $822.61 | 16 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $56.10 | $374.00 | $296.17 – $694.25 | 16 |
| Orthopantogram CPT 70355 | $65.85 | $439.00 | $16.04 – $172.12 | 17 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $68.85 | $459.00 | $364.81 – $855.15 | 16 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $243.75 | $1,625.00 | $1,115.21 – $2,653.43 | 16 |
| Osmolality blood CPT 83930 | $11.70 | $78.00 | $3.31 – $14.41 | 17 |
| Osmolality urine CPT 83935 | $12.00 | $80.00 | $3.41 – $14.87 | 17 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $6.90 | $46.00 | $12.55 – $42.71 | 17 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $7.65 | $51.00 | $12.55 – $42.71 | 17 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $8.55 | $57.00 | $12.55 – $42.71 | 17 |
| Ot evaluation high complexity patient/family CPT 97167 | $79.20 | $528.00 | $43.00 – $362.44 | 17 |
| Ot evaluation low complexity patient/family CPT 97165 | $71.70 | $478.00 | $43.00 – $362.44 | 17 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $75.45 | $503.00 | $43.00 – $362.44 | 17 |
| Oth resp proc, group HCPCS G0239 | $79.05 | $527.00 | $11.49 – $73.87 | 17 |
| Oth resp proc, indiv HCPCS G0238 | $79.05 | $527.00 | $9.33 – $57.21 | 17 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $46.20 | $308.00 | $43.00 – $102.20 | 17 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $36.60 | $244.00 | $29.42 – $94.37 | 17 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $28.95 | $193.00 | $23.19 – $57.51 | 17 |
| Ot re-evaluation patient/family CPT 97168 | $45.90 | $306.00 | $43.00 – $362.44 | 17 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $33.60 | $224.00 | $25.53 – $72.14 | 17 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $22.65 | $151.00 | $19.15 – $50.20 | 17 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $23.70 | $158.00 | $20.22 – $50.20 | 17 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $30.90 | $206.00 | $23.55 – $60.30 | 17 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $32.25 | $215.00 | $17.53 – $67.91 | 17 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $33.60 | $224.00 | $18.90 – $66.90 | 17 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $709.54 | $4,730.29 | $0.14 – $5.04 | 3 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $8.80 | $58.69 | $1.23 – $2.52 | 2 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $14.70 | $98.00 | $68.11 – $606.56 | 17 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $147.57 | $983.79 | $0.25 – $0.48 | 2 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $1,754.38 | $11,695.85 | $4.73 – $1,765.18 | 17 |
| Palb2 gene full gene seq CPT 81307 | $222.30 | $1,482.00 | $141.44 – $1,474.77 | 17 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $88.99 | $593.27 | $16.97 – $172.16 | 2 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $7,885.19 | $52,567.90 | $42.77 – $6,103.39 | 17 |
| Parathormone (pth) intact CPT 83970 | $72.30 | $482.00 | $20.64 – $89.99 | 17 |
| Parathyrd planar w/spect&ct CPT 78072 | $452.25 | $3,015.00 | $70.86 – $1,073.92 | 17 |
| Parathyroid planar imaging CPT 78070 | $452.25 | $3,015.00 | $59.53 – $1,291.39 | 17 |
| Parathyroid planar img w/tomo spect CPT 78071 | $452.25 | $3,015.00 | $161.02 – $790.69 | 17 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $39.15 | $261.00 | $22.64 – $396.83 | 17 |
| Partial removal finger bone CPT 26236 | $692.25 | $4,615.00 | $1,458.89 – $3,180.38 | 17 |
| Partial removal foot fascia CPT 28060 | $1,372.80 | $9,152.00 | $2,968.60 – $6,471.55 | 17 |
| Partial removal of vaginal wall 57106 CPT 57106 | $3,139.50 | $20,930.00 | $487.47 – $6,402.58 | 17 |
| Passy muir valve metal trach HCPCS L8501 | $682.50 | $4,549.97 | $179.42 – $438.48 | 16 |
| Path clin consltj sf 5-20 CPT 80503 | $22.20 | $148.00 | $23.65 – $135.94 | 17 |
| Pca3/klk3 antigen CPT 81313 | $334.05 | $2,227.00 | $100.08 – $556.01 | 17 |
| Pcv21 vaccine im CPT 90684 | $415.01 | $2,766.72 | $163.95 – $595.50 | 6 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $7,105.68 | $47,371.18 | $27.49 – $2,470.13 | 17 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $648.00 | $4,320.00 | $159.14 – $455.25 | 17 |
| Pelvic CT scan (with contrast) CPT 72193 | $617.10 | $4,114.00 | $150.25 – $455.25 | 17 |
| Pelvic CT scan (without contrast) CPT 72192 | $587.70 | $3,918.00 | $94.85 – $206.78 | 17 |
| Pelvic MRI (with and without contrast) CPT 72197 | $668.55 | $4,457.00 | $267.02 – $690.02 | 17 |
| Pelvic MRI (with contrast) CPT 72196 | $636.75 | $4,245.00 | $217.92 – $690.02 | 17 |
| Pelvic MRI (without contrast) CPT 72195 | $604.95 | $4,033.00 | $169.21 – $471.92 | 17 |
| Pelvic Ultrasound (complete) CPT 76856 | $101.55 | $677.00 | $48.16 – $234.44 | 17 |
| Pelvic Ultrasound (limited) CPT 76857 | $101.55 | $677.00 | $31.46 – $206.78 | 17 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $4,481.22 | $29,874.81 | $3.59 – $1,765.18 | 17 |
| Peng benzathine/procaine inj HCPCS J0558 | $294.81 | $1,965.37 | $3.22 – $151.46 | 17 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $184.92 | $1,232.79 | $4.07 – $151.46 | 17 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $31.11 | $207.39 | $1.05 – $1.39 | 2 |
| Penile injection CPT 54235 | $1,412.85 | $9,419.00 | $69.64 – $494.16 | 17 |
| Penile vascular study CPT 93981 | $273.75 | $1,825.00 | $76.07 – $206.78 | 17 |
| Pentamidine non-comp unit HCPCS J2545 | $28.19 | $187.92 | $99.63 – $154.26 | 6 |
| Perc cryo ablate renal tum CPT 50593 | $1,502.85 | $10,019.00 | $427.00 – $21,024.30 | 17 |
| Perc d-e cor revasc chro add HCPCS C9608 | $4,235.40 | $28,236.00 | $360.48 – $12,352.22 | 5 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $4,926.60 | $32,844.00 | $1,164.06 – $36,257.38 | 17 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $4,307.40 | $28,716.00 | $360.48 – $12,352.22 | 5 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $4,926.60 | $32,844.00 | $1,164.06 – $22,832.77 | 17 |
| Perc d-e cor stent ather br HCPCS C9603 | $4,235.40 | $28,236.00 | $360.48 – $12,352.22 | 5 |
| Perc d-e cor stent ather s HCPCS C9602 | $4,926.60 | $32,844.00 | $1,164.06 – $36,257.38 | 17 |
| Perc drug-el cor stent bran HCPCS C9601 | $4,243.35 | $28,289.00 | $360.48 – $12,352.22 | 5 |
| Perc drug-el cor stent sing HCPCS C9600 | $4,926.60 | $32,844.00 | $1,164.06 – $22,832.77 | 17 |
| Perc rf ablate renal tumor CPT 50592 | $1,772.70 | $11,818.00 | $4,152.52 – $11,957.20 | 17 |
| Percut ablate liver rf CPT 47382 | $1,791.15 | $11,941.00 | $5,484.95 – $11,957.20 | 17 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $913.65 | $6,091.00 | $1,432.40 – $1,460.21 | 5 |
| Pericardiocentesis wwo imaging CPT 33016 | $774.15 | $5,161.00 | $1,428.19 – $3,113.45 | 17 |
| Perineoplasty rpr per nonob CPT 56810 | $1,346.40 | $8,976.00 | $2,936.96 – $6,402.58 | 17 |
| Peripheral vascular rehab CPT 93668 | $513.90 | $3,426.00 | $0.22 – $242.54 | 17 |
| Peritoneogram rs&i CPT 74190 | $153.90 | $1,026.00 | $42.10 – $1,080.73 | 17 |
| Perit-vens shunt pat tst CPT 78291 | $452.25 | $3,015.00 | $100.50 – $790.69 | 17 |
| Perq clsr tcat l atr apndge CPT 33340 | $2,262.75 | $15,085.00 | $15,085.00 – $21,084.61 | 5 |
| Perq dev breast 1st mr guide CPT 19287 | $280.35 | $1,869.00 | $642.47 – $1,883.26 | 17 |
| Perq dev breast 1st strtctc CPT 19283 | $280.35 | $1,869.00 | $642.47 – $1,883.26 | 17 |
| Perq plmt bile duct stent CPT 47538 | $1,975.50 | $13,170.00 | $3,256.87 – $11,957.20 | 17 |
| Perq plmt bile duct stent CPT 47539 | $2,173.20 | $14,488.00 | $3,256.87 – $11,957.20 | 17 |
| Perq plmt bile duct stent CPT 47540 | $2,173.20 | $14,488.00 | $5,484.95 – $11,957.20 | 17 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $1,167.75 | $7,785.00 | $226.68 – $509.32 | 17 |
| Perq transcath closure each CPT 93592 | $1,818.15 | $12,121.00 | $417.83 – $21,084.61 | 5 |
| Perq transcath closure pda CPT 93582 | $3,018.15 | $20,121.00 | $632.84 – $36,257.38 | 17 |
| Perq transcath cls aortic CPT 93591 | $3,392.70 | $22,618.00 | $948.33 – $36,257.38 | 17 |
| Perq transcath cls mitral CPT 93590 | $3,392.70 | $22,618.00 | $1,142.76 – $36,257.38 | 17 |
| Pertussis ag if CPT 87265 | $11.10 | $74.00 | $5.99 – $26.12 | 17 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $7,840.69 | $52,271.27 | $5.11 – $6,103.39 | 17 |
| Pet CT skull-mid thgh initial CPT 78815 | $1,537.20 | $10,248.00 | $518.48 – $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.