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 |
|---|---|---|---|---|
| Speech audiometry complete CPT 92556 | $9.45 | $63.00 | $17.18 – $116.68 | 17 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $310.05 | $2,067.00 | $640.43 – $1,396.13 | 17 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $194.55 | $1,297.00 | $32.89 – $738.05 | 17 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $122.25 | $815.00 | $474.38 – $1,182.66 | 16 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $11.25 | $75.00 | $58.14 – $136.28 | 16 |
| Splint finger fold over sm HCPCS L3924 | $98.70 | $658.00 | $75.00 – $203.28 | 16 |
| Splint finger frog med HCPCS L3927 | $7.05 | $47.00 | $38.01 – $89.10 | 16 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $18.45 | $123.00 | $95.65 – $224.21 | 16 |
| Split blood or products CPT 86985 | $38.55 | $257.00 | $7.32 – $336.97 | 17 |
| Sputum specimen collection CPT 89220 | $47.40 | $316.00 | $8.54 – $336.97 | 17 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $583.95 | $3,893.00 | $477.34 – $19,393.91 | 17 |
| Srs linear based CPT 77372 | $4,102.20 | $27,348.00 | $724.40 – $14,567.50 | 17 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $92.55 | $617.00 | $43.00 – $397.72 | 17 |
| Staph a dna amp probe CPT 87640 | $61.50 | $410.00 | $17.55 – $76.50 | 17 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $46.05 | $307.00 | $43.00 – $871.76 | 17 |
| Stem cells total count CPT 86367 | $66.00 | $440.00 | $26.72 – $169.56 | 17 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $7,137.15 | $47,581.00 | $13,730.88 – $15,872.79 | 5 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $875.70 | $5,838.00 | $165.17 – $165.17 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $3,725.40 | $24,836.00 | $4,422.96 – $15,872.79 | 5 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $2,004.00 | $13,360.00 | $2,436.03 – $15,872.79 | 5 |
| Stent placemt retro carotid CPT 37217 | $5,679.00 | $37,860.00 | $19,679.11 – $20,061.24 | 5 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $4,533.30 | $30,222.00 | $7,910.90 – $15,872.79 | 5 |
| St evaluate speech sound production CPT 92522 | $89.85 | $599.00 | $43.00 – $397.72 | 17 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $185.85 | $1,239.00 | $43.00 – $473.93 | 17 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $83.70 | $558.00 | $41.02 – $188.68 | 17 |
| St evaluation swallow function CPT 92610 | $82.20 | $548.00 | $37.68 – $397.72 | 17 |
| Stimulants synthetic CPT 80371 | $21.60 | $144.00 | $16.20 – $16.52 | 5 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $51.60 | $344.00 | $15.69 – $321.40 | 17 |
| Strapping of elbow or wrist 29260 CPT 29260 | $37.35 | $249.00 | $15.69 – $116.68 | 17 |
| Strapping of hand or finger CPT 29280 | $56.70 | $378.00 | $15.69 – $116.68 | 17 |
| Strapping of knee CPT 29530 | $56.85 | $379.00 | $18.84 – $263.15 | 17 |
| Strapping of toes 29550 CPT 29550 | $51.60 | $344.00 | $15.69 – $116.68 | 17 |
| Strep a ag ia CPT 87430 | $20.10 | $134.00 | $8.41 – $36.65 | 17 |
| Strep b dna amp probe CPT 87653 | $61.50 | $410.00 | $17.55 – $76.50 | 17 |
| Stress test pulmonary CPT 94618 | $91.80 | $612.00 | $10.35 – $263.15 | 17 |
| Stress tte complete CPT 93351 | $448.35 | $2,989.00 | $149.95 – $1,080.73 | 17 |
| Str markers specimen anal CPT 81265 | $396.00 | $2,640.00 | $115.92 – $508.09 | 17 |
| St treatment speech individual CPT 92507 | $77.40 | $516.00 | $32.54 – $397.72 | 17 |
| St treatment swallow dysfunction/oral CPT 92526 | $84.00 | $560.00 | $37.22 – $175.40 | 17 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $122.64 | $817.60 | $0.30 – $1.62 | 2 |
| Sugars multiple quant CPT 84379 | $12.30 | $82.00 | $5.77 – $25.14 | 17 |
| Sugars single quant CPT 84378 | $20.10 | $134.00 | $5.77 – $25.14 | 17 |
| Sulfonylurea screen qn-sendout CPT 80377 | $18.75 | $125.00 | $16.20 – $16.52 | 5 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $54.87 | $365.79 | $33.21 – $66.42 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | $19.20 | $128.00 | $5.58 – $57.21 | 17 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $39.60 | $264.00 | $8.54 – $73.87 | 17 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $45.15 | $301.00 | $16.17 – $103.07 | 17 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $75.45 | $503.00 | $18.41 – $103.07 | 17 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $235.20 | $1,568.00 | $28.83 – $708.96 | 17 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $333.45 | $2,223.00 | $23.66 – $1,593.52 | 17 |
| Susceptibility agar dilution per agent CPT 87181 | $8.40 | $56.00 | $2.38 – $11.56 | 17 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $3.75 | $25.00 | $2.38 – $11.56 | 17 |
| Susceptibility mic per plate CPT 87186 | $15.30 | $102.00 | $4.33 – $18.86 | 17 |
| Suscept studies macrobroth dilution ea CPT 87188 | $7.20 | $48.00 | $3.32 – $14.48 | 17 |
| Svc venogram s&i CPT 75827 | $429.15 | $2,861.00 | $123.77 – $3,113.45 | 17 |
| Sweat collection by iontophoresis CPT 89230 | $23.40 | $156.00 | $6.21 – $103.07 | 17 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $7.65 | $51.00 | $2.20 – $13.20 | 17 |
| T3 (triiodothyronine) free CPT 84481 | $29.55 | $197.00 | $8.47 – $36.93 | 17 |
| T3 (triiodothyronine) total CPT 84480 | $24.90 | $166.00 | $7.09 – $30.91 | 17 |
| T4 (thyroxine) free CPT 84439 | $15.75 | $105.00 | $4.51 – $19.66 | 17 |
| T4 (thyroxine) total CPT 84436 | $12.15 | $81.00 | $3.44 – $15.53 | 17 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $0.56 | $3.70 | $1.14 – $8.07 | 16 |
| Tacrolimus therapeutic drug level CPT 80197 | $24.00 | $160.00 | $6.87 – $29.93 | 17 |
| Target gsa panel hmtlmph neop CPT 81450 | $832.20 | $5,548.00 | $44.92 – $1,655.78 | 17 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,746.70 | $24,978.00 | $1,459.80 – $6,364.73 | 17 |
| Target gsa panel organ neop CPT 81445 | $373.65 | $2,491.00 | $44.92 – $1,303.44 | 17 |
| Tavr perq femoral CPT 33361 | $2,262.75 | $15,085.00 | $15,085.00 – $21,084.61 | 5 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $576.74 | $3,844.95 | $0.25 – $271.18 | 17 |
| Tbp gene detc abnor alleles CPT 81344 | $107.70 | $718.00 | $68.50 – $298.66 | 17 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $108.45 | $723.00 | $30.99 – $135.12 | 17 |
| Tc-99m disofenin HCPCS A9510 | $36.45 | $243.00 | $62.42 – $125.66 | 2 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $902.70 | $6,018.00 | $520.16 – $2,036.40 | 16 |
| Tc-99m exametazime diag HCPCS A9521 | $512.70 | $3,418.00 | $401.17 – $2,022.41 | 16 |
| Tc-99m labeled rbc HCPCS A9560 | $209.85 | $1,399.00 | $106.48 – $167.68 | 2 |
| Tc-99m maa HCPCS A9540 | $34.50 | $230.00 | $6.84 – $53.86 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $37.05 | $247.00 | $63.59 – $99.30 | 2 |
| Tc-99m medronate HCPCS A9503 | $19.05 | $127.00 | $23.34 – $31.34 | 2 |
| Tc-99m mertiatide HCPCS A9562 | $256.05 | $1,707.00 | $836.76 – $836.76 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $19.05 | $127.00 | $26.46 – $78.99 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | $46.05 | $307.00 | $15.29 – $56.25 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $3.75 | $25.00 | $2.25 – $3.04 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $121.65 | $811.00 | $23.40 – $114.98 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $46.95 | $313.00 | $77.49 – $193.58 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $157.35 | $1,049.00 | $156.49 – $1,438.65 | 16 |
| Tc-99m sulfur colloid HCPCS A9541 | $45.75 | $305.00 | $20.63 – $276.00 | 2 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $154.35 | $1,029.00 | $51.61 – $153.08 | 2 |
| Tcd emboli detect w/inj CPT 93893 | $300.45 | $2,003.00 | $48.16 – $206.78 | 17 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $82.20 | $548.00 | $23.49 – $102.42 | 17 |
| T cells absolute cd 4 count CPT 86361 | $46.80 | $312.00 | $13.39 – $58.38 | 17 |
| T cells total count CPT 86359 | $66.00 | $440.00 | $18.87 – $82.25 | 17 |
| Telehealth original site facility fee HCPCS Q3014 | $22.95 | $153.00 | $13.36 – $69.43 | 17 |
| Telethx isodose plan cplx CPT 77307 | $174.30 | $1,162.00 | $56.56 – $740.57 | 17 |
| Telethx isodose plan simple CPT 77306 | $107.70 | $718.00 | $56.56 – $740.57 | 17 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $2,052.78 | $13,685.18 | $20.32 – $866.94 | 17 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $7,670.27 | $51,135.13 | $31.49 – $6,802.38 | 17 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $43.99 | $293.29 | $2.15 – $13.01 | 2 |
| Test for chlorohydrocarbons CPT 82441 | $6.45 | $43.00 | $3.01 – $14.23 | 17 |
| Test for porphobilinogen CPT 84106 | $7.35 | $49.00 | $2.91 – $12.69 | 17 |
| Test for urine cystines CPT 82615 | $8.85 | $59.00 | $4.78 – $20.82 | 17 |
| Testicular imaging w/vasc flow CPT 78761 | $452.25 | $3,015.00 | $104.90 – $790.69 | 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.