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 |
|---|---|---|---|---|
| Renal cyst study s&i CPT 74470 | $153.90 | $1,026.00 | $41.11 – $1,080.73 | 17 |
| Renal function panel CPT 80069 | $14.70 | $98.00 | $4.34 – $18.92 | 17 |
| Renal venogram bil s&i CPT 75833 | $1,357.80 | $9,052.00 | $148.58 – $6,245.05 | 17 |
| Repair blood ves direct neck 35201 CPT 35201 | $1,238.70 | $8,258.00 | $901.82 – $11,005.77 | 17 |
| Repair blood vessel direct hand finger CPT 35207 | $687.60 | $4,584.00 | $967.94 – $6,245.05 | 17 |
| Repair blood vessel dir lower extr CPT 35226 | $698.10 | $4,654.00 | $642.47 – $3,019.90 | 17 |
| Repair blood vessel dir upper extr CPT 35206 | $693.15 | $4,621.00 | $874.00 – $6,245.05 | 17 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $424.20 | $2,828.00 | $274.31 – $804.03 | 17 |
| Repair dental ellis ii fx CPT 41899 | $74.10 | $494.00 | $214.89 – $1,782.00 | 17 |
| Repair extns tendon finger without grft ea CPT 26418 | $354.75 | $2,365.00 | $335.87 – $3,180.38 | 17 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | $685.95 | $4,573.00 | $551.96 – $3,862.21 | 17 |
| Repair of eye wound CPT 65270 | $784.95 | $5,233.00 | $86.97 – $4,702.33 | 17 |
| Repair pm/icd lead dual CPT 33220 | $2,481.00 | $16,540.00 | $376.81 – $7,391.18 | 17 |
| Repair pm/icd lead sgl CPT 33218 | $2,481.00 | $16,540.00 | $370.85 – $7,391.18 | 17 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $257.70 | $1,718.00 | $192.97 – $468.46 | 17 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $316.35 | $2,109.00 | $255.92 – $1,066.72 | 17 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $1,327.65 | $8,851.00 | $220.51 – $6,471.55 | 17 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $692.40 | $4,616.00 | $504.44 – $6,471.55 | 17 |
| Replace aortic valve open axillry 33363 CPT 33363 | $414.00 | $2,760.00 | $2,760.00 – $21,084.61 | 5 |
| Replace aortic valve open femoral 33362 CPT 33362 | $2,262.75 | $15,085.00 | $15,085.00 – $21,084.61 | 5 |
| Replace aortic valve open transaortic 33365 CPT 33365 | $414.00 | $2,760.00 | $2,760.00 – $21,084.61 | 5 |
| Replace duod/jej tube perc CPT 49451 | $346.80 | $2,312.00 | $508.83 – $1,793.89 | 17 |
| Replace g/c tube perc CPT 49450 | $333.00 | $2,220.00 | $508.83 – $1,793.89 | 17 |
| Replace g-j tube perc CPT 49452 | $361.05 | $2,407.00 | $508.83 – $1,793.89 | 17 |
| Replace tunneled cv cath CPT 36578 | $820.95 | $5,473.00 | $1,046.96 – $6,245.05 | 17 |
| Reposg phrnc nrv stim trnsvn CPT 33281 | $1,554.60 | $10,364.00 | $3,171.93 – $6,914.80 | 17 |
| Reposition pm/icd lead CPT 33215 | $1,818.15 | $12,121.00 | $307.21 – $6,245.05 | 17 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $693.60 | $4,624.00 | $4,624.00 – $10,420.99 | 5 |
| Repos lv lead pm/icd CPT 33226 | $1,818.15 | $12,121.00 | $483.32 – $10,232.42 | 17 |
| Repos sq defib eltrd CPT 33273 | $1,432.35 | $9,549.00 | $1,173.62 – $7,391.18 | 17 |
| Reptilase test CPT 85635 | $17.10 | $114.00 | $4.93 – $21.47 | 17 |
| Respirator motion mgmt simul CPT 77293 | $426.45 | $2,843.00 | $169.41 – $570.48 | 6 |
| #resp virpnl dfa-adenovirus CPT 87260 | $11.10 | $74.00 | $7.22 – $31.46 | 17 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $10.35 | $69.00 | $8.22 – $35.82 | 17 |
| Resp virus 6-11 targets CPT 87632 | $373.80 | $2,492.00 | $109.03 – $475.37 | 17 |
| Resuscitation cardiopulmonary CPT 92950 | $513.90 | $3,426.00 | $78.04 – $1,052.98 | 17 |
| Resuscitation delivery/birthing room CPT 99465 | $130.20 | $868.00 | $12.00 – $1,307.25 | 17 |
| Reticulated platelet assay CPT 85055 | $46.95 | $313.00 | $17.87 – $77.91 | 17 |
| Reticulocyte automated CPT 85045 | $6.90 | $46.00 | $2.00 – $8.70 | 17 |
| Revasc intra lithotrip-ather HCPCS C9766 | $8,623.20 | $57,488.00 | $9,313.66 – $36,257.38 | 17 |
| Revasc intra lithotrip-stent HCPCS C9765 | $8,623.20 | $57,488.00 | $9,313.66 – $36,257.38 | 17 |
| Revasc intravasc lithotripsy HCPCS C9764 | $4,311.45 | $28,743.00 | $5,437.31 – $22,832.77 | 17 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $7,624.35 | $50,829.00 | $15,570.45 – $36,257.38 | 17 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $13,872.30 | $92,482.00 | $15,570.45 – $36,257.38 | 17 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $4,766.55 | $31,777.00 | $9,313.66 – $22,832.77 | 17 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $7,624.35 | $50,829.00 | $15,570.45 – $36,257.38 | 17 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $7,624.35 | $50,829.00 | $15,570.45 – $36,257.38 | 17 |
| Revise vag graft via vagina CPT 57295 | $1,245.00 | $8,300.00 | $2,936.96 – $6,402.58 | 17 |
| Revision of cervix CPT 59320 | $1,582.20 | $10,548.00 | $173.18 – $6,402.58 | 17 |
| Revision of infusion pump CPT 36261 | $1,399.20 | $9,328.00 | $2,155.71 – $7,391.18 | 17 |
| Revision of iris CPT 66761 | $251.55 | $1,677.00 | $499.00 – $1,498.49 | 17 |
| Revision tips CPT 37183 | $2,983.35 | $19,889.00 | $5,163.81 – $11,257.11 | 17 |
| Revsc opn/prq tib/pero stent CPT 37234 | $2,004.00 | $13,360.00 | $3,661.98 – $15,872.79 | 5 |
| Rheumatoid factor qualitative CPT 86430 | $9.90 | $66.00 | $3.07 – $13.39 | 17 |
| Rheumatoid factor quantitative CPT 86431 | $9.90 | $66.00 | $2.84 – $13.20 | 17 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $284.74 | $1,898.26 | $2.55 – $154.26 | 6 |
| Rho d immune globulin inj HCPCS J2790 | $135.94 | $906.28 | $40.32 – $154.26 | 6 |
| Right ventric recording CPT 93603 | $379.35 | $2,529.00 | $59.45 – $9,677.64 | 17 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $7,301.56 | $48,677.08 | $47.70 – $6,103.39 | 17 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $319.20 | $2,128.00 | $87.89 – $1,400.59 | 17 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $1,309.95 | $8,733.00 | $329.21 – $5,745.12 | 17 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $211.95 | $1,413.00 | $118.49 – $3,266.63 | 17 |
| Rmvl icd by tv extr CPT 33244 | $1,818.15 | $12,121.00 | $653.76 – $7,391.18 | 17 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $12,081.60 | $80,544.00 | $20,181.03 – $43,994.64 | 17 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $12,081.60 | $80,544.00 | $28,478.32 – $62,082.73 | 17 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $12,081.60 | $80,544.00 | $20,181.03 – $43,994.64 | 17 |
| Rmvl icd pulse gen only CPT 33241 | $1,435.50 | $9,570.00 | $215.37 – $10,232.42 | 17 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | $296.40 | $1,976.00 | $1,976.00 – $11,503.04 | 5 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $242.10 | $1,614.00 | $569.14 – $1,433.79 | 17 |
| Rmvl perm pm pulse gen CPT 33233 | $1,339.05 | $8,927.00 | $222.45 – $16,367.55 | 17 |
| Rmvl perq right heart vad CPT 33997 | $414.00 | $2,760.00 | $2,760.00 – $10,420.99 | 5 |
| Rmvl phrnc nrv stim pg only CPT 33280 | $1,554.60 | $10,364.00 | $3,171.93 – $6,914.80 | 17 |
| Rmvl phrnc nrv stim sys CPT 33278 | $1,554.60 | $10,364.00 | $3,171.93 – $6,914.80 | 17 |
| Rmvl phrnc nrv stim transvns CPT 33279 | $1,554.60 | $10,364.00 | $3,171.93 – $6,914.80 | 17 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $4,025.10 | $26,834.00 | $11,221.98 – $38,096.90 | 17 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $3,737.25 | $24,915.00 | $7,508.05 – $16,367.55 | 17 |
| Rmvl pq iabp CPT 33968 | $784.95 | $5,233.00 | $5,233.00 – $10,420.99 | 5 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $784.95 | $5,233.00 | $5,233.00 – $10,420.99 | 5 |
| Rmvl sq defib electrode CPT 33272 | $1,432.35 | $9,549.00 | $1,173.62 – $7,391.18 | 17 |
| Rmvl subq card rhythm mntr CPT 33286 | $513.90 | $3,426.00 | $289.67 – $2,157.80 | 17 |
| Rmvl tv pm lead dual CPT 33235 | $1,361.10 | $9,074.00 | $487.04 – $7,391.18 | 17 |
| Rmvl tv pm lead sgl CPT 33234 | $1,818.15 | $12,121.00 | $413.73 – $7,391.18 | 17 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | $5,332.95 | $35,553.00 | $8,840.76 – $22,038.67 | 17 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | $13,975.20 | $93,168.00 | $27,476.53 – $61,032.16 | 17 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $69.03 | $460.23 | $0.07 – $0.09 | 2 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $778.20 | $5,188.00 | $1,428.19 – $3,113.45 | 17 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $474.90 | $3,166.00 | $138.65 – $1,291.39 | 17 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $513.30 | $3,422.00 | $366.36 – $2,560.63 | 17 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $582.30 | $3,882.00 | $718.20 – $2,828.23 | 17 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $496.20 | $3,308.00 | $1,428.19 – $3,113.45 | 17 |
| Rpl tun cvc wo subq port CPT 36581 | $910.35 | $6,069.00 | $2,864.70 – $6,245.05 | 17 |
| Rpr cgen av fistula thrx&abd CPT 35182 | $523.80 | $3,492.00 | $1,385.82 – $12,358.02 | 5 |
| Rsv assay w/optic CPT 87807 | $20.55 | $137.00 | $6.55 – $28.56 | 17 |
| Rubella antibody igg CPT 86762 | $25.20 | $168.00 | $7.20 – $31.37 | 17 |
| Rubeola antibody igg CPT 86765 | $22.50 | $150.00 | $6.44 – $28.08 | 17 |
| Runx1 gene targeted seq alys CPT 81334 | $422.85 | $2,819.00 | $164.76 – $718.33 | 17 |
| Russell viper venom diluted CPT 85613 | $16.65 | $111.00 | $4.79 – $20.88 | 17 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $810.00 | $5,400.00 | $458.54 – $1,999.23 | 17 |
| Salivary glnd img serial img CPT 78231 | $158.55 | $1,057.00 | $103.91 – $790.69 | 17 |
| Salmonella antibody CPT 86768 | $23.10 | $154.00 | $6.60 – $28.75 | 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.