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 |
|---|---|---|---|---|
| Pet CT whole body initial CPT 78816 | $1,614.00 | $10,760.00 | $518.48 – $2,828.23 | 17 |
| Pet fdg brain metoblic eval sb CPT 78608 | $1,529.85 | $10,199.00 | $367.92 – $2,828.23 | 17 |
| Pet image full body CPT 78813 | $1,937.55 | $12,917.00 | $518.48 – $2,828.23 | 17 |
| Pet image ltd area CPT 78811 | $1,601.25 | $10,675.00 | $518.48 – $2,560.63 | 17 |
| Pet image skull-thigh CPT 78812 | $1,761.45 | $11,743.00 | $518.48 – $2,828.23 | 17 |
| Pet image w/ct lmtd CPT 78814 | $1,405.50 | $9,370.00 | $518.48 – $2,828.23 | 17 |
| Pet scan brain perf study CPT 78609 | $1,742.70 | $11,618.00 | $37.61 – $2,017.31 | 6 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $81.45 | $543.00 | $166.70 – $166.70 | 1 |
| Ph body fluid CPT 83986 | $5.25 | $35.00 | $1.79 – $7.80 | 17 |
| Phencyclidine (pcp) CPT 83992 | $13.35 | $89.00 | $10.41 – $59.13 | 6 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $64.44 | $429.58 | $3.08 – $53.10 | 3 |
| Phenobarbital therapeutic drug level CPT 80184 | $19.95 | $133.00 | $7.65 – $33.35 | 17 |
| Phentolaine mesylate inj HCPCS J2760 | $706.65 | $4,710.98 | $25.53 – $916.82 | 17 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $5.38 | $35.87 | $0.30 – $0.79 | 2 |
| Phenytoin total therapeutic drug level CPT 80185 | $23.10 | $154.00 | $6.63 – $28.89 | 17 |
| Phlebotomy therapeutic CPT 99195 | $65.10 | $434.00 | $15.57 – $263.15 | 17 |
| Phosphorus CPT 84100 | $7.95 | $53.00 | $2.37 – $10.33 | 17 |
| Phosphorus 24 hour urine CPT 84105 | $9.15 | $61.00 | $2.89 – $12.60 | 17 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $103.34 | $688.92 | $2.15 – $4.80 | 2 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $174.80 | $1,165.33 | $270.89 – $755.35 | 16 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $234.30 | $1,562.00 | $109.86 – $1,461.78 | 17 |
| Pinworm exam CPT 87172 | $7.20 | $48.00 | $2.14 – $11.56 | 17 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $35.71 | $238.04 | $1.88 – $6.05 | 2 |
| Place cath intracranial art CPT 36228 | $1,818.15 | $12,121.00 | $2,154.00 – $6,730.27 | 5 |
| Place cath xtrnl carotid CPT 36227 | $4,156.80 | $27,712.00 | $6,602.07 – $6,730.27 | 5 |
| Place device/marker, non pro HCPCS C9728 | $582.75 | $3,885.00 | $1,255.79 – $2,737.61 | 17 |
| Place duod/jej tube perc CPT 49441 | $771.30 | $5,142.00 | $508.83 – $3,795.33 | 17 |
| Place gastrostomy tube perc CPT 49440 | $598.05 | $3,987.00 | $508.83 – $3,795.33 | 17 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $241.50 | $1,610.00 | $1,498.45 – $3,266.63 | 17 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $54.90 | $366.00 | $366.00 – $1,917.96 | 5 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $280.35 | $1,869.00 | $642.47 – $1,883.26 | 17 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $1,372.35 | $9,149.00 | $1,896.55 – $4,134.48 | 17 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $4,660.20 | $31,068.00 | $10,473.75 – $22,832.77 | 17 |
| Place needles pelvic for right CPT 55920 | $1,412.85 | $9,419.00 | $4,538.59 – $9,894.14 | 17 |
| Place non-slctv cath thoracic arta CPT 36221 | $2,654.85 | $17,699.00 | $2,864.70 – $6,608.48 | 17 |
| Place slctv cath carotd art uni CPT 36224 | $3,463.65 | $23,091.00 | $5,048.52 – $11,005.77 | 17 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $1,818.15 | $12,121.00 | $2,864.70 – $6,608.48 | 17 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $2,004.00 | $13,360.00 | $5,048.52 – $11,005.77 | 17 |
| Place slctv cath subclavian art CPT 36225 | $2,037.45 | $13,583.00 | $2,864.70 – $6,608.48 | 17 |
| Place slctv cath vertebral art uni CPT 36226 | $4,156.80 | $27,712.00 | $5,048.52 – $11,005.77 | 17 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $108.15 | $721.00 | $37.15 – $287.87 | 17 |
| Plasma volume multiple CPT 78111 | $582.45 | $3,883.00 | $84.49 – $2,560.63 | 17 |
| Platelet aggregation each agent teg CPT 85576 | $37.50 | $250.00 | $12.46 – $54.30 | 17 |
| Platelet automated CPT 85049 | $7.65 | $51.00 | $2.24 – $9.77 | 17 |
| Platelet pheresis each unit HCPCS P9034 | $108.15 | $721.00 | $220.84 – $673.53 | 17 |
| Platelet pheresis irr ea HCPCS P9036 | $181.95 | $1,213.00 | $277.17 – $2,069.10 | 17 |
| Platelets each unit HCPCS P9019 | $108.15 | $721.00 | $27.68 – $193.38 | 17 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $272.10 | $1,814.00 | $401.10 – $1,543.57 | 17 |
| Platelets irradiated ea unit HCPCS P9032 | $53.85 | $359.00 | $64.14 – $856.67 | 17 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $108.15 | $721.00 | $65.47 – $433.68 | 17 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $108.15 | $721.00 | $69.93 – $433.68 | 17 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $144.45 | $963.00 | $191.65 – $546.07 | 17 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $134.55 | $897.00 | $307.52 – $1,097.52 | 17 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $146.25 | $975.00 | $269.14 – $1,115.27 | 17 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $185.55 | $1,237.00 | $338.86 – $1,483.73 | 17 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $591.15 | $3,941.00 | $312.33 – $1,324.20 | 17 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $1,252.50 | $8,350.00 | $3,248.41 – $7,081.52 | 17 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $6,318.45 | $42,123.00 | $9,313.66 – $9,494.51 | 5 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $1,105.80 | $7,372.00 | $3,198.13 – $6,971.91 | 17 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $1,216.65 | $8,111.00 | $3,198.13 – $6,971.91 | 17 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $565.65 | $3,771.00 | $3,771.00 – $22,390.47 | 5 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $315.30 | $2,102.00 | $642.47 – $1,577.67 | 17 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $91.20 | $608.00 | $608.00 – $1,606.74 | 5 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $414.00 | $2,760.00 | $2,760.00 – $22,390.47 | 5 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $70.20 | $468.00 | $468.00 – $1,917.96 | 5 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $70.20 | $468.00 | $468.00 – $1,917.96 | 5 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $93.90 | $626.00 | $626.00 – $1,917.96 | 5 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $92.40 | $616.00 | $25.88 – $738.05 | 17 |
| Plmt biliary drainage cath CPT 47534 | $1,823.55 | $12,157.00 | $3,248.41 – $7,081.52 | 17 |
| Plmt nephroureteral catheter CPT 50433 | $2,296.05 | $15,307.00 | $3,198.13 – $6,971.91 | 17 |
| Plmt ureteral stent prq CPT 50694 | $1,105.80 | $7,372.00 | $3,198.13 – $6,971.91 | 17 |
| Pm device progr eval dual CPT 93280 | $513.90 | $3,426.00 | $17.24 – $73.82 | 17 |
| Pm device progr eval multi CPT 93281 | $513.90 | $3,426.00 | $17.24 – $73.82 | 17 |
| Pmp22 gene dup/delet CPT 81324 | $96.75 | $645.00 | $115.92 – $1,406.10 | 17 |
| Pmp22 gene full sequence CPT 81325 | $96.75 | $645.00 | $115.92 – $1,406.10 | 17 |
| Pms2 gene dup/delet variants CPT 81319 | $174.15 | $1,161.00 | $47.12 – $443.63 | 17 |
| Pms2 gene full seq analysis CPT 81317 | $1,002.60 | $6,684.00 | $338.25 – $1,474.77 | 17 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $33.90 | $226.00 | $13.04 – $56.83 | 17 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $972.45 | $6,483.00 | $403.07 – $1,698.47 | 17 |
| Polysom any age 1-3> param CPT 95808 | $512.85 | $3,419.00 | $181.48 – $1,698.47 | 17 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $555.60 | $3,704.00 | $243.55 – $1,698.47 | 17 |
| Postpartum Care Only CPT 59430 | $72.00 | $480.00 | $108.17 – $318.52 | 5 |
| Potassium 24 hour urine CPT 84133 | $7.50 | $50.00 | $2.37 – $10.31 | 17 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $11.25 | $74.99 | $0.19 – $0.30 | 2 |
| Potassium serum/plasma/whole blood CPT 84132 | $8.10 | $54.00 | $2.31 – $10.38 | 17 |
| Ppp2r2b gen detc abnor allel CPT 81343 | $107.70 | $718.00 | $68.50 – $298.66 | 17 |
| Pq biliary strict dil s&i CPT 74363 | $183.60 | $1,224.00 | $133.70 – $295.60 | 5 |
| Pq dr cath chg w cont s&i CPT 75984 | $69.30 | $462.00 | $63.94 – $295.60 | 5 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $3,454.50 | $23,030.00 | $6,583.38 – $14,351.76 | 17 |
| Pq thr inj ext pse CPT 36002 | $241.50 | $1,610.00 | $569.14 – $1,602.15 | 17 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $753.90 | $5,026.00 | $5,026.00 – $7,243.97 | 5 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $1,421.70 | $9,478.00 | $2,968.60 – $7,112.89 | 17 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $1,316.40 | $8,776.00 | $2,968.60 – $7,112.89 | 17 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $153.93 | $1,026.18 | $29.21 – $155.64 | 6 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $962.40 | $6,416.00 | $311.77 – $6,471.55 | 17 |
| Pr application of long arm splint CPT 29105 | $107.85 | $719.00 | $53.41 – $321.40 | 17 |
| Pr application splint static short arm CPT 29125 | $77.25 | $515.00 | $18.84 – $263.15 | 17 |
| Pr biopsy skin punch single lesion CPT 11104 | $75.45 | $503.00 | $88.23 – $804.03 | 17 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $913.65 | $6,091.00 | $1,432.40 – $1,460.21 | 5 |
| Prcrd drg 6+yr without anomly CPT 33017 | $913.65 | $6,091.00 | $1,432.40 – $1,460.21 | 5 |
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.