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 |
|---|---|---|---|---|
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $16.35 | $109.00 | $12.62 – $39.77 | 17 |
| Pt application of modality traction mechanical CPT 97012 | $20.10 | $134.00 | $12.70 – $39.77 | 17 |
| Pten gene dup/delet variant CPT 81323 | $68.85 | $459.00 | $43.80 – $654.00 | 17 |
| Pten gene full sequence CPT 81321 | $472.05 | $3,147.00 | $115.92 – $1,308.00 | 17 |
| Pt evaluation high complexity patient/family CPT 97163 | $81.75 | $545.00 | $43.00 – $330.79 | 17 |
| Pt evaluation low complexity patient/family CPT 97161 | $73.80 | $492.00 | $43.00 – $330.79 | 17 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $77.85 | $519.00 | $43.00 – $330.79 | 17 |
| Pt re-evaluation patient/family CPT 97164 | $48.60 | $324.00 | $43.00 – $330.79 | 17 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $42.30 | $282.00 | $36.28 – $85.04 | 17 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $15.90 | $106.00 | $11.12 – $39.77 | 17 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $27.45 | $183.00 | $15.36 – $60.30 | 17 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $25.35 | $169.00 | $14.60 – $60.95 | 17 |
| Pt wheelchair management each 15 minutes CPT 97542 | $29.55 | $197.00 | $15.85 – $64.46 | 17 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | $7,058.25 | $47,055.00 | $2,704.80 – $11,792.93 | 17 |
| Pulmonary vent imaging CPT 78579 | $452.25 | $3,015.00 | $101.21 – $1,291.39 | 17 |
| Pulse ox continuous overnight monitoring CPT 94762 | $69.15 | $461.00 | $32.70 – $254.50 | 17 |
| Pulse ox multiple CPT 94761 | $31.65 | $211.00 | $19.05 – $211.00 | 2 |
| Pulse ox single CPT 94760 | $21.00 | $140.00 | $9.08 – $140.00 | 2 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $458.92 | $3,059.45 | $215.57 – $505.33 | 16 |
| Punc of shunt for asp or inj CPT 61070 | $280.35 | $1,869.00 | $568.55 – $1,396.13 | 17 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $18.75 | $125.00 | $22.28 – $263.15 | 17 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $253.65 | $1,691.00 | $29.82 – $804.03 | 17 |
| Puncture spinal lumbar diagnostic CPT 62270 | $282.90 | $1,886.00 | $34.53 – $1,396.13 | 17 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $91.20 | $608.00 | $608.00 – $1,103.05 | 5 |
| Pvb thoracic single inj site CPT 64461 | $320.10 | $2,134.00 | $640.43 – $1,396.13 | 17 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $40.52 | $270.14 | $0.49 – $10.65 | 2 |
| Pyruvate CPT 84210 | $19.05 | $127.00 | $7.24 – $31.57 | 17 |
| Pyruvate kinase CPT 84220 | $16.50 | $110.00 | $4.72 – $20.58 | 17 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $452.25 | $3,015.00 | $158.17 – $1,291.39 | 17 |
| Quant diff pulm perf w/imaging CPT 78597 | $452.25 | $3,015.00 | $101.21 – $1,291.39 | 17 |
| Quest t3 uptake CPT 84479 | $10.80 | $72.00 | $3.24 – $15.53 | 17 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $1,243.26 | $8,288.42 | $88.15 – $1,765.18 | 17 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $4,674.59 | $31,163.95 | $92.19 – $1,765.18 | 17 |
| Radiation handling CPT 77790 | $251.40 | $1,676.00 | $16.81 – $172.70 | 5 |
| Radiation physics consult CPT 77336 | $149.70 | $998.00 | $53.78 – $265.84 | 17 |
| Radiation therapy dose plan CPT 77300 | $116.55 | $777.00 | $44.05 – $265.84 | 17 |
| Radiation treatment aid(s) CPT 77332 | $217.05 | $1,447.00 | $29.19 – $265.84 | 17 |
| Radiation treatment aid(s) CPT 77333 | $238.65 | $1,591.00 | $26.34 – $265.84 | 17 |
| Radiation treatment aid(s) CPT 77334 | $262.50 | $1,750.00 | $100.05 – $740.57 | 17 |
| Radiation treatment delivery CPT 77402 | $157.80 | $1,052.00 | $49.71 – $254.45 | 17 |
| Radiation treatment delivery CPT 77412 | $190.95 | $1,273.00 | $76.51 – $1,092.85 | 17 |
| Radiology port images(s) CPT 77417 | $25.65 | $171.00 | $19.57 – $80.38 | 5 |
| Radiotherapy dose plan imrt CPT 77301 | $1,739.10 | $11,594.00 | $476.77 – $2,737.61 | 17 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $72.00 | $480.00 | $60.33 – $19,393.91 | 17 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $452.25 | $3,015.00 | $181.73 – $1,291.39 | 17 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $640.50 | $4,270.00 | $142.32 – $1,291.39 | 17 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $644.40 | $4,296.00 | $543.69 – $2,560.63 | 17 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $452.25 | $3,015.00 | $215.32 – $1,291.39 | 17 |
| Radphm lcl tumor plr sgl day CPT 78800 | $452.25 | $3,015.00 | $111.58 – $1,291.39 | 17 |
| Radphm quant measure sgl area add-on CPT 78835 | $452.25 | $3,015.00 | $70.34 – $533.64 | 5 |
| Rapid Strep Test CPT 87880 | $20.10 | $134.00 | $8.27 – $36.04 | 17 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $5,610.71 | $37,404.76 | $96.88 – $2,470.13 | 17 |
| Rbc count only automated CPT 85041 | $5.25 | $35.00 | $1.51 – $6.99 | 17 |
| Rbc deglycerolized each unit HCPCS P9039 | $131.40 | $876.00 | $119.19 – $682.34 | 17 |
| Rbc irradiated each unit HCPCS P9038 | $108.15 | $721.00 | $99.39 – $316.58 | 17 |
| Rbc osmotic fragility CPT 85555 | $11.85 | $79.00 | $3.74 – $16.28 | 17 |
| Rbc serum pretx incubj drugs CPT 86975 | $91.65 | $611.00 | $7.32 – $883.56 | 17 |
| Reconstruction of nail bed CPT 11762 | $780.45 | $5,203.00 | $213.39 – $4,080.88 | 17 |
| Red blood cells each unit HCPCS P9021 | $108.15 | $721.00 | $40.69 – $328.24 | 17 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $411.30 | $2,742.00 | $193.19 – $921.46 | 17 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $108.15 | $721.00 | $152.83 – $543.69 | 17 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $108.15 | $721.00 | $86.51 – $403.10 | 17 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $108.15 | $721.00 | $130.47 – $578.59 | 17 |
| Red blood cells washed each unit HCPCS P9022 | $114.15 | $761.00 | $102.60 – $803.50 | 17 |
| Red cell mass multiple CPT 78121 | $221.70 | $1,478.00 | $95.43 – $1,073.92 | 17 |
| Redo endovas vena cava filtr CPT 37192 | $1,952.55 | $13,017.00 | $2,864.70 – $6,245.05 | 17 |
| Reduction of procidentia 45900 CPT 45900 | $1,226.10 | $8,174.00 | $106.92 – $2,088.46 | 17 |
| Refill/maint pump/resvr syst CPT 96522 | $132.00 | $880.00 | $63.32 – $420.70 | 17 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $528.12 | $3,520.77 | $5.32 – $25.87 | 3 |
| Relocation skin pocket aicd CPT 33223 | $1,818.15 | $12,121.00 | $456.24 – $4,080.88 | 17 |
| Relocation skin pocket pm CPT 33222 | $1,818.15 | $12,121.00 | $381.10 – $4,080.88 | 17 |
| Rem/biv cast full arm/leg CPT 29705 | $28.95 | $193.00 | $33.21 – $553.19 | 17 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $749.97 | $4,999.80 | $2.76 – $682.35 | 17 |
| Rem endovas vena cava filter CPT 37193 | $1,952.55 | $13,017.00 | $2,864.70 – $6,245.05 | 17 |
| Removal biliary drg cath CPT 47537 | $346.65 | $2,311.00 | $508.83 – $1,793.89 | 17 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $245.70 | $1,638.00 | $569.14 – $1,240.72 | 17 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $680.10 | $4,534.00 | $1,046.96 – $3,113.45 | 17 |
| Removal cerumen impacted (both sides) CPT 69210 | $46.65 | $311.00 | $15.69 – $116.68 | 16 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $84.00 | $560.00 | $11.14 – $566.23 | 5 |
| Removal duct glbldr calculi CPT 47544 | $841.05 | $5,607.00 | $5,607.00 – $8,228.43 | 5 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $384.30 | $2,562.00 | $34.53 – $1,793.89 | 17 |
| Removal foreign body foot subcutaneous right CPT 28190 | $308.40 | $2,056.00 | $47.08 – $1,400.59 | 17 |
| Removal implant superficial separate procedure CPT 20670 | $400.20 | $2,668.00 | $47.08 – $3,396.66 | 17 |
| Removal of foot lesion CPT 28080 | $665.25 | $4,435.00 | $285.06 – $3,180.38 | 17 |
| Removal of foreign body CPT 27372 | $934.95 | $6,233.00 | $410.97 – $5,745.12 | 17 |
| Removal of infusion pump CPT 36262 | $1,399.20 | $9,328.00 | $2,155.71 – $7,391.18 | 17 |
| Removal of skin tags each add'l 10 CPT 11201 | $83.55 | $557.00 | $7.85 – $252.28 | 5 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $3,880.65 | $25,871.00 | $9,482.83 – $20,672.57 | 17 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $38.25 | $255.00 | $21.97 – $396.83 | 17 |
| Removal sutr/staple req anes CPT 15851 | $830.25 | $5,535.00 | $53.95 – $4,080.88 | 17 |
| Removal tunnled intprtnl cath CPT 49422 | $996.45 | $6,643.00 | $1,044.12 – $6,245.05 | 17 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $180.30 | $1,202.00 | $65.88 – $883.56 | 17 |
| Remove cva lumen obstruct CPT 75902 | $69.30 | $462.00 | $54.73 – $295.60 | 5 |
| Remove hip foreign body 27086 CPT 27086 | $757.65 | $5,051.00 | $97.57 – $5,745.12 | 17 |
| Remove pilonidal cyst compl CPT 11772 | $1,421.40 | $9,476.00 | $490.92 – $5,745.12 | 17 |
| Remove pilonidal cyst exten CPT 11771 | $1,292.10 | $8,614.00 | $440.15 – $5,745.12 | 17 |
| Remove renal tube w/fluoro CPT 50389 | $547.20 | $3,648.00 | $567.34 – $1,379.15 | 17 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $319.20 | $2,128.00 | $84.09 – $3,266.63 | 17 |
| Remove ureter stent percut CPT 50384 | $9,426.90 | $62,846.00 | $2,112.71 – $10,244.11 | 17 |
| Remove vaginal foreign body 57415 CPT 57415 | $450.45 | $3,003.00 | $2,936.96 – $6,402.58 | 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.