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 |
|---|---|---|---|---|
| Test stress cardiovascular tracing only CPT 93017 | $223.95 | $1,493.00 | $59.45 – $427.07 | 17 |
| Test urine urobilinogen CPT 84578 | $5.70 | $38.00 | $2.24 – $9.74 | 17 |
| Tetanus immune globulin inj HCPCS J1670 | $677.46 | $4,516.43 | $39.14 – $1,283.02 | 17 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $965.85 | $6,439.00 | $1,459.80 – $6,364.73 | 17 |
| Theophylline therapeutic drug level CPT 80198 | $24.90 | $166.00 | $7.07 – $30.83 | 17 |
| Therapeutic procd strg endur HCPCS G0237 | $79.05 | $527.00 | $9.00 – $57.21 | 17 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $15.75 | $105.00 | $15.83 – $292.92 | 17 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $12.00 | $80.00 | $13.62 – $292.92 | 17 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $72.45 | $483.00 | $42.92 – $346.92 | 17 |
| Ther/proph/diag inj ia CPT 96373 | $53.70 | $358.00 | $16.51 – $420.70 | 17 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $6.08 | $40.55 | $0.89 – $3.20 | 2 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $383.85 | $2,559.00 | $569.14 – $1,433.79 | 17 |
| Thoracotomy with cardiac massage CPT 32160 | $1,912.95 | $12,753.00 | $508.26 – $7,376.96 | 5 |
| Throat x-ray & fluoroscopy CPT 70370 | $63.90 | $426.00 | $42.72 – $172.12 | 17 |
| Thrombectmy crnry perq mechanical CPT 92973 | $1,468.65 | $9,791.00 | $169.95 – $12,352.22 | 5 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $2,648.25 | $17,655.00 | $5,163.81 – $11,257.11 | 17 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $5,352.15 | $35,681.00 | $9,313.66 – $22,832.77 | 17 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $8,112.60 | $54,084.00 | $15,570.45 – $36,257.38 | 17 |
| Thrombin time CPT 85670 | $10.05 | $67.00 | $2.89 – $12.58 | 17 |
| Thromboendarterectomy common femoral CPT 35371 | $1,069.65 | $7,131.00 | $1,385.82 – $5,861.94 | 5 |
| Thromboendarterectomy sfa CPT 35302 | $1,035.00 | $6,900.00 | $5,750.28 – $5,861.94 | 5 |
| Thromboplastin inhibition CPT 85705 | $16.80 | $112.00 | $4.82 – $20.99 | 17 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $11.40 | $76.00 | $3.24 – $14.10 | 17 |
| Thyroglobulin antibody CPT 86800 | $27.75 | $185.00 | $7.96 – $34.68 | 17 |
| Thyroid imaging CPT 78013 | $452.25 | $3,015.00 | $75.02 – $790.69 | 17 |
| Thyroid mets imag whole body CPT 78018 | $452.25 | $3,015.00 | $140.07 – $1,073.92 | 17 |
| Thyroid met uptake CPT 78020 | $418.80 | $2,792.00 | $36.59 – $533.64 | 5 |
| Thyroid (TSH) Test CPT 84443 | $29.40 | $196.00 | $8.40 – $36.62 | 17 |
| Thyroid Ultrasound CPT 76536 | $101.55 | $677.00 | $46.49 – $206.78 | 17 |
| Thyroid uptake measurement CPT 78012 | $452.25 | $3,015.00 | $57.02 – $790.69 | 17 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $2,034.01 | $13,560.04 | $298.49 – $4,633.89 | 17 |
| Thyrotropin releasing hormone CPT 80438 | $88.35 | $589.00 | $25.21 – $109.89 | 17 |
| Thyroxine binding globulin (tbg) CPT 84442 | $25.05 | $167.00 | $7.39 – $32.22 | 17 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $7,850.85 | $52,339.00 | $12,697.12 – $15,872.79 | 5 |
| Tib/per revasc stnt & ather CPT 37235 | $2,004.00 | $13,360.00 | $3,911.11 – $15,872.79 | 5 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $3,739.95 | $24,933.00 | $15,570.45 – $15,872.79 | 5 |
| Tigecycline injection HCPCS J3243 | $229.12 | $1,527.44 | $0.56 – $0.67 | 3 |
| Tilt table study CPT 93660 | $450.75 | $3,005.00 | $76.28 – $738.05 | 17 |
| Tissue culture placenta CPT 88235 | $121.35 | $809.00 | $75.15 – $327.65 | 17 |
| Tissue culture skin/biopsy CPT 88233 | $130.95 | $873.00 | $70.37 – $306.79 | 17 |
| Tissue culture tumor CPT 88239 | $121.50 | $810.00 | $73.76 – $321.59 | 17 |
| Tissue exam koh skin/hair/nails CPT 87220 | $7.20 | $48.00 | $2.14 – $11.56 | 17 |
| Tissue transglutaminase iga CPT 86364 | $74.55 | $497.00 | $5.77 – $25.14 | 17 |
| Tl-201 thallium diag per mci HCPCS A9505 | $44.85 | $299.00 | $17.33 – $58.63 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $142.03 | $946.88 | $4.17 – $7.99 | 2 |
| Tobramycin peak therapeutic drug level CPT 80200 | $28.35 | $189.00 | $8.07 – $35.16 | 17 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $3,541.70 | $23,611.36 | $1.74 – $1,358.06 | 17 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $74.10 | $494.00 | $10.73 – $66.50 | 17 |
| Tomosynthesis breast screen bilateral CPT 77063 | $74.10 | $494.00 | $12.89 – $46.33 | 17 |
| Tone decay hearing test CPT 92563 | $13.20 | $88.00 | $13.27 – $73.87 | 17 |
| Total tau CPT 84394 | $51.15 | $341.00 | $64.46 – $281.05 | 16 |
| Toxoplasma antibody igg CPT 86777 | $25.20 | $168.00 | $7.20 – $31.37 | 17 |
| Toxoplasma antibody igm CPT 86778 | $25.20 | $168.00 | $7.21 – $31.41 | 17 |
| Tp53 gene full gene sequence CPT 81351 | $823.80 | $5,492.00 | $320.93 – $1,399.23 | 17 |
| Tp53 gene known famil vrnt CPT 81353 | $395.40 | $2,636.00 | $154.00 – $671.44 | 17 |
| Tp53 gene trgt sequence alys CPT 81352 | $422.85 | $2,819.00 | $164.76 – $718.33 | 17 |
| Tpmt gene com vrnts CPT 81335 | $224.40 | $1,496.00 | $87.41 – $381.09 | 17 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $269.70 | $1,798.00 | $172.01 – $2,599.59 | 17 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $21.00 | $140.00 | $26.72 – $115.41 | 17 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $12.64 | $84.29 | $0.05 – $0.05 | 1 |
| Transabdom amnioinfus w/us CPT 59070 | $195.75 | $1,305.00 | $243.63 – $839.34 | 17 |
| Transcath biopsy CPT 37200 | $1,384.20 | $9,228.00 | $5,048.52 – $11,005.77 | 17 |
| Transcath closure of asd CPT 93580 | $3,076.95 | $20,513.00 | $923.15 – $36,257.38 | 17 |
| Transcatheter bx s&i CPT 75970 | $347.25 | $2,315.00 | $224.00 – $295.60 | 5 |
| Transcath mv repair addl prosthesis CPT 33419 | $1,818.15 | $12,121.00 | $12,121.00 – $21,084.61 | 5 |
| Transcath mv repair init prosthesis CPT 33418 | $2,262.75 | $15,085.00 | $1,385.82 – $21,084.61 | 5 |
| Trans cath replace aortic valve 33366 CPT 33366 | $2,262.75 | $15,085.00 | $15,085.00 – $21,084.61 | 5 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $1,503.90 | $10,026.00 | $2,864.70 – $10,232.42 | 17 |
| Transcutaneous carboxyhb CPT 88740 | $4.80 | $32.00 | $3.55 – $20.43 | 17 |
| Transferrin CPT 84466 | $22.05 | $147.00 | $6.38 – $27.82 | 17 |
| Transfusion blood/blood component(s) CPT 36430 | $119.40 | $796.00 | $35.51 – $872.58 | 17 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $988.65 | $6,591.00 | $402.77 – $2,977.40 | 2 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $583.37 | $3,889.13 | $169.52 – $169.52 | 1 |
| Treat clavicle dislocation 23545 CPT 23545 | $211.95 | $1,413.00 | $187.93 – $690.64 | 17 |
| Treat elbow dislocation CPT 24605 | $723.45 | $4,823.00 | $324.07 – $3,180.38 | 17 |
| Treat elbow fracture CPT 24620 | $723.45 | $4,823.00 | $444.39 – $3,180.38 | 17 |
| Treat finger fracture each CPT 26742 | $63.30 | $422.00 | $245.96 – $3,180.38 | 17 |
| Treat foot dislocation CPT 28570 | $101.55 | $677.00 | $223.80 – $690.64 | 17 |
| Treat fracture of radius CPT 25505 | $205.50 | $1,370.00 | $345.71 – $3,180.38 | 17 |
| Treat fracture of radius CPT 25520 | $723.45 | $4,823.00 | $446.31 – $3,180.38 | 17 |
| Treat fracture of ulna CPT 25535 | $211.95 | $1,413.00 | $223.80 – $690.64 | 17 |
| Treat hip dislocation CPT 27252 | $723.45 | $4,823.00 | $596.62 – $3,180.38 | 17 |
| Treat humerus fracture CPT 24535 | $211.95 | $1,413.00 | $509.55 – $3,180.38 | 17 |
| Treat humerus fracture CPT 24565 | $283.95 | $1,893.00 | $405.54 – $3,180.38 | 17 |
| Treat knee dislocation CPT 27552 | $659.25 | $4,395.00 | $620.72 – $3,180.38 | 17 |
| Treat knee fracture 27530 CPT 27530 | $109.20 | $728.00 | $106.92 – $690.64 | 17 |
| Treat lower leg dislocation CPT 27830 | $211.95 | $1,413.00 | $223.80 – $690.64 | 17 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $834.75 | $5,565.00 | $291.22 – $6,402.58 | 17 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $43.50 | $290.00 | $22.82 – $263.15 | 17 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $39.60 | $264.00 | $11.82 – $83.90 | 5 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $98.55 | $657.00 | $14.53 – $433.11 | 17 |
| Treatment of ankle fracture CPT 27814 | $3,081.15 | $20,541.00 | $6,583.38 – $14,351.76 | 17 |
| Treatment of ankle fracture 27786 CPT 27786 | $241.50 | $1,610.00 | $100.44 – $690.64 | 17 |
| Treatment of fibula fracture 27780 CPT 27780 | $221.40 | $1,476.00 | $193.83 – $690.64 | 17 |
| Treatment of thigh fracture CPT 27501 | $124.05 | $827.00 | $223.80 – $690.64 | 17 |
| Treatment of thigh fracture CPT 27503 | $629.10 | $4,194.00 | $689.96 – $3,180.38 | 17 |
| Treatment of toe fracture 28510 CPT 28510 | $63.30 | $422.00 | $61.51 – $690.64 | 17 |
| Treatment radiation delivery level 2 CPT 77407 | $173.40 | $1,156.00 | $49.71 – $762.85 | 17 |
| Treat midfoot fracture each CPT 28455 | $76.05 | $507.00 | $177.32 – $3,180.38 | 17 |
| Treat sternum fracture CPT 21820 | $124.05 | $827.00 | $110.71 – $690.64 | 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.