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 |
|---|---|---|---|---|
| Sarscov coronavirus ag ia CPT 87426 | $10.20 | $68.00 | $11.55 – $77.02 | 17 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $71.25 | $475.00 | $94.97 – $94.97 | 1 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $34.05 | $227.00 | $53.84 – $53.84 | 1 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $45.30 | $302.00 | $75.90 – $75.90 | 1 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $22.05 | $147.00 | $32.45 – $32.45 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $344.25 | $2,295.00 | $76.07 – $471.92 | 17 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $229.50 | $1,530.00 | $76.07 – $234.44 | 17 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $344.25 | $2,295.00 | $76.07 – $471.92 | 17 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $229.50 | $1,530.00 | $48.16 – $206.78 | 17 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $229.50 | $1,530.00 | $74.94 – $206.78 | 17 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $229.50 | $1,530.00 | $48.16 – $206.78 | 17 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $344.25 | $2,295.00 | $76.07 – $471.92 | 17 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $229.50 | $1,530.00 | $48.16 – $206.78 | 17 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $229.50 | $1,530.00 | $48.16 – $206.78 | 17 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $647.70 | $4,318.00 | $1,044.12 – $3,266.63 | 17 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $5,437.00 | $36,246.65 | $4,775.85 – $4,775.85 | 1 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $25.20 | $168.00 | $9.03 – $39.35 | 17 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $42.30 | $282.00 | $12.04 – $52.49 | 17 |
| Screening Mammogram CPT 77067 | $74.10 | $494.00 | $33.22 – $180.42 | 17 |
| Screening prostate cancer PSA HCPCS G0103 | $32.25 | $215.00 | $9.66 – $42.10 | 17 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $9.15 | $61.00 | $1.53 – $10.90 | 2 |
| Sc ther infusion reset pump CPT 96371 | $37.80 | $252.00 | $64.35 – $402.54 | 17 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $1,818.15 | $12,121.00 | $1,844.05 – $15,872.79 | 5 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $121.65 | $811.00 | $30.93 – $31.53 | 5 |
| Sedimentation rate erythrocyte automated CPT 85652 | $4.80 | $32.00 | $1.35 – $6.99 | 17 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $12.30 | $82.00 | $29.01 – $61.85 | 5 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $9.00 | $60.00 | $31.46 – $61.85 | 5 |
| Semen analysis presence/motility CPT 89321 | $21.15 | $141.00 | $5.77 – $26.27 | 17 |
| Semen analysis w/count CPT 89310 | $9.15 | $61.00 | $4.31 – $18.77 | 17 |
| Sept9 promoter methylation analysis CPT 81327 | $53.25 | $355.00 | $41.84 – $418.56 | 17 |
| Serpina1 gene CPT 81332 | $134.10 | $894.00 | $21.83 – $95.16 | 17 |
| Sertraline (zoloft) - sendout CPT 80332 | $24.90 | $166.00 | $81.26 – $82.83 | 5 |
| Set radiation therapy field CPT 77280 | $265.20 | $1,768.00 | $53.78 – $265.84 | 17 |
| Set radiation therapy field CPT 77285 | $415.65 | $2,771.00 | $131.82 – $740.57 | 17 |
| Set radiation therapy field CPT 77290 | $480.60 | $3,204.00 | $131.82 – $740.57 | 17 |
| Sewho cap design without jnts cf HCPCS L3961 | $730.95 | $4,873.00 | $1,889.33 – $5,419.62 | 16 |
| Sex chromatin identification CPT 88130 | $14.40 | $96.00 | $5.77 – $39.20 | 17 |
| Sf3b1 gene common variants CPT 81347 | $248.10 | $1,654.00 | $96.63 – $421.29 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $39.15 | $261.00 | $26.68 – $396.83 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $43.20 | $288.00 | $36.10 – $396.83 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $47.40 | $316.00 | $43.94 – $804.03 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $52.20 | $348.00 | $59.64 – $804.03 | 17 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $83.55 | $557.00 | $23.55 – $396.83 | 17 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $39.15 | $261.00 | $32.96 – $396.83 | 17 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $43.20 | $288.00 | $39.24 – $396.83 | 17 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $91.95 | $613.00 | $53.36 – $804.03 | 17 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $83.55 | $557.00 | $20.40 – $804.03 | 17 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $91.95 | $613.00 | $29.82 – $396.83 | 17 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $101.10 | $674.00 | $39.24 – $396.83 | 17 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $1,172.70 | $7,818.00 | $2,248.47 – $2,248.47 | 1 |
| Shoulder MRI (with and without contrast) CPT 73223 | $668.55 | $4,457.00 | $267.02 – $690.02 | 17 |
| Shoulder MRI (with contrast) CPT 73222 | $971.40 | $6,476.00 | $217.92 – $1,550.48 | 17 |
| Shoulder MRI (without contrast) CPT 73221 | $636.75 | $4,245.00 | $169.21 – $471.92 | 17 |
| Shoulder X-ray CPT 73030 | $76.35 | $509.00 | $18.91 – $172.12 | 17 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $69.30 | $462.00 | $25.93 – $206.78 | 17 |
| Sialidase enzyme assay CPT 87905 | $21.30 | $142.00 | $6.11 – $26.64 | 17 |
| Sialography s&i CPT 70390 | $155.40 | $1,036.00 | $58.56 – $471.92 | 17 |
| Sickling rbc CPT 85660 | $9.60 | $64.00 | $2.76 – $12.01 | 17 |
| Sigmoidoscopy w/resection CPT 45349 | $1,159.80 | $7,732.00 | $2,518.29 – $5,489.86 | 17 |
| Simple cystometrogram 51725 CPT 51725 | $118.20 | $788.00 | $13.97 – $567.90 | 17 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $197.06 | $1,313.70 | $44.48 – $217.11 | 6 |
| Sinus CT scan (with and without contrast) CPT 70488 | $587.70 | $3,918.00 | $159.14 – $455.25 | 17 |
| Sinus CT scan (with contrast) CPT 70487 | $559.65 | $3,731.00 | $150.25 – $455.25 | 17 |
| Sinus CT scan (without contrast) CPT 70486 | $531.75 | $3,545.00 | $94.85 – $206.78 | 17 |
| Sinus/juglr venogram s&i CPT 75860 | $452.10 | $3,014.00 | $136.68 – $6,245.05 | 17 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $13.35 | $89.00 | $16.20 – $16.52 | 5 |
| Skel musc relaxant 3 or more CPT 80370 | $13.35 | $89.00 | $16.20 – $16.52 | 5 |
| Skin Biopsy CPT 11102 | $39.15 | $261.00 | $80.13 – $804.03 | 17 |
| Sleep study attended CPT 95807 | $520.05 | $3,467.00 | $181.48 – $1,088.78 | 17 |
| Sleep Study (Polysomnography) CPT 95810 | $548.85 | $3,659.00 | $181.48 – $1,698.47 | 17 |
| Sleep study unattended CPT 95806 | $260.70 | $1,738.00 | $85.04 – $427.07 | 17 |
| Sleeve fing rolyan med HCPCS L3933 | $45.00 | $300.00 | $234.30 – $549.22 | 16 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $31.95 | $213.00 | $43.00 – $405.05 | 5 |
| Slp eval non-spch gen comm dev CPT 92605 | $90.45 | $603.00 | $43.00 – $405.05 | 5 |
| Slp pure tone screening CPT 92551 | $5.55 | $37.00 | $5.96 – $47.34 | 5 |
| Slp stdy unatnd w/anal CPT 95801 | $161.70 | $1,078.00 | $42.89 – $217.53 | 17 |
| Slp ther svc non-spch gen CPT 92606 | $79.20 | $528.00 | $39.72 – $40.50 | 5 |
| Sm-153 lexidron ther HCPCS A9604 | $2,932.80 | $19,552.00 | $3,159.80 – $19,393.91 | 17 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $9.15 | $61.00 | $2.70 – $11.75 | 17 |
| Smear gram stain CPT 87205 | $7.35 | $49.00 | $2.14 – $11.56 | 17 |
| Smear nasal eosinophil CPT 89190 | $7.95 | $53.00 | $2.90 – $12.62 | 17 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $10.35 | $69.00 | $3.00 – $13.06 | 17 |
| Smear wet mount CPT 87210 | $7.20 | $48.00 | $2.91 – $12.69 | 17 |
| Smn1 gene full gene sequence CPT 81336 | $236.70 | $1,578.00 | $150.68 – $656.94 | 17 |
| Snrpn/ube3a gene CPT 81331 | $74.25 | $495.00 | $25.54 – $111.33 | 17 |
| So airplane w/wo joint cf HCPCS L3674 | $588.75 | $3,925.00 | $1,329.23 – $4,029.48 | 16 |
| So cap design without jnts cf HCPCS L3671 | $190.20 | $1,268.00 | $989.70 – $2,319.94 | 16 |
| Sodium 24 hour urine CPT 84300 | $8.70 | $58.00 | $2.53 – $11.03 | 17 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $7.26 | $48.38 | $7.99 – $14.85 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $7.26 | $48.38 | $7.38 – $14.85 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $7.26 | $48.38 | $7.08 – $14.85 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $77.77 | $518.44 | $3.56 – $9.01 | 2 |
| Sodium serum/plasma/whole blood CPT 84295 | $8.55 | $57.00 | $2.41 – $10.49 | 17 |
| Somatosensory testing CPT 95927 | $85.80 | $572.00 | $17.54 – $427.07 | 17 |
| Special physics consult CPT 77370 | $175.05 | $1,167.00 | $53.78 – $265.84 | 17 |
| Special radiation dosimetry CPT 77331 | $116.55 | $777.00 | $16.81 – $265.84 | 17 |
| Special radiation treatment CPT 77470 | $560.40 | $3,736.00 | $67.15 – $1,092.85 | 17 |
| Special teletx port plan CPT 77321 | $285.90 | $1,906.00 | $83.68 – $740.57 | 17 |
| Specific gravity body fluid CPT 84315 | $4.20 | $28.00 | $1.64 – $7.15 | 17 |
| Specimen fat stain CPT 89125 | $7.50 | $50.00 | $2.94 – $12.82 | 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.