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 |
|---|---|---|---|---|
| Ureteral reflux study CPT 78740 | $182.70 | $1,218.00 | $69.65 – $790.69 | 17 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $119.55 | $797.00 | $48.13 – $471.92 | 17 |
| Urethrocystography void s&i CPT 74455 | $119.55 | $797.00 | $51.86 – $471.92 | 17 |
| Uric acid blood CPT 84550 | $7.95 | $53.00 | $2.26 – $9.85 | 17 |
| Uric acid urine CPT 84560 | $8.40 | $56.00 | $2.54 – $11.07 | 17 |
| Urinalysis microscopic only CPT 81015 | $5.40 | $36.00 | $1.53 – $6.65 | 17 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $3.75 | $25.00 | $1.09 – $4.73 | 17 |
| Urinalysis (with microscopy) CPT 81001 | $5.70 | $38.00 | $1.59 – $6.91 | 17 |
| Urinalysis (without microscopy) CPT 81003 | $3.90 | $26.00 | $1.13 – $4.91 | 17 |
| Urine Culture Test CPT 87086 | $13.95 | $93.00 | $4.04 – $17.59 | 17 |
| Urine flow measurement 51736 CPT 51736 | $54.75 | $365.00 | $5.42 – $263.15 | 17 |
| Urine pregnancy test CPT 81025 | $11.10 | $74.00 | $3.45 – $18.77 | 17 |
| Urography, antegrade CPT 74425 | $119.55 | $797.00 | $42.72 – $690.02 | 17 |
| Urography inf drip &/or bolus CPT 74410 | $119.55 | $797.00 | $63.94 – $346.92 | 17 |
| Use 1st target lesion CPT 76982 | $152.10 | $1,014.00 | $56.26 – $206.78 | 17 |
| Vaccine dtap < 7 years im CPT 90700 | $57.05 | $380.30 | $25.50 – $58.33 | 6 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $23.12 | $154.11 | $9.71 – $38.90 | 6 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $326.57 | $2,177.13 | $64.64 – $446.34 | 6 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $359.12 | $2,394.13 | $132.37 – $541.29 | 6 |
| Vaccine rabies im CPT 90675 | $546.67 | $3,644.47 | $53.19 – $697.05 | 17 |
| Vaccine tdap >=7 years im CPT 90715 | $79.54 | $530.25 | $36.11 – $96.10 | 6 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $67.32 | $448.79 | $21.50 – $83.28 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $23.70 | $158.00 | $6.77 – $29.52 | 17 |
| Valvuloplasty aortic CPT 92986 | $4,357.65 | $29,051.00 | $1,264.39 – $12,128.70 | 17 |
| Valvuloplasty mitral CPT 92987 | $4,357.65 | $29,051.00 | $1,305.46 – $22,832.77 | 17 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $313.30 | $2,088.67 | $0.05 – $0.09 | 2 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $58.98 | $393.23 | $0.21 – $0.22 | 2 |
| Vancomycin peak therapeutic drug level CPT 80202 | $23.70 | $158.00 | $6.77 – $29.52 | 17 |
| Varicella zoster antibody igg CPT 86787 | $22.50 | $150.00 | $6.44 – $28.08 | 17 |
| Vasectomy CPT 55250 | $898.95 | $5,993.00 | $111.43 – $4,134.48 | 17 |
| Veeg cont 2-12 hrs CPT 95713 | $505.35 | $3,369.00 | $242.78 – $738.05 | 17 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $945.90 | $6,306.00 | $454.42 – $1,698.47 | 17 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $289.80 | $1,932.00 | $126.54 – $738.05 | 17 |
| Veeg unmon 12-26 hrs CPT 95714 | $505.35 | $3,369.00 | $242.78 – $738.05 | 17 |
| Veeg unmon 2-12 hrs CPT 95711 | $263.55 | $1,757.00 | $126.54 – $528.65 | 17 |
| Vein x-ray adrenal gland CPT 75840 | $1,357.80 | $9,052.00 | $140.43 – $6,245.05 | 17 |
| Vein x-ray adrenal glands CPT 75842 | $2,036.70 | $13,578.00 | $166.11 – $6,730.27 | 6 |
| Vein x-ray eye socket CPT 75880 | $429.15 | $2,861.00 | $31.00 – $1,602.15 | 17 |
| Vein x-ray kidney CPT 75831 | $1,293.15 | $8,621.00 | $128.53 – $6,245.05 | 17 |
| Vein x-ray liver CPT 75891 | $1,293.15 | $8,621.00 | $136.68 – $6,245.05 | 17 |
| Vein x-ray liver w/hemodynam CPT 75885 | $1,357.80 | $9,052.00 | $135.42 – $6,245.05 | 17 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,357.80 | $9,052.00 | $135.42 – $6,245.05 | 17 |
| Vein x-ray liver without hemodyn CPT 75887 | $452.10 | $3,014.00 | $136.68 – $6,245.05 | 17 |
| Vein x-ray skull CPT 75870 | $492.60 | $3,284.00 | $183.65 – $6,245.05 | 17 |
| Vein x-ray skull epidural CPT 75872 | $376.95 | $2,513.00 | $140.43 – $1,602.15 | 17 |
| Vein x-ray spleen/liver CPT 75810 | $1,357.80 | $9,052.00 | $224.00 – $6,245.05 | 17 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $496.20 | $3,308.00 | $101.25 – $103.22 | 5 |
| Venogram ext bil s&i CPT 75822 | $450.60 | $3,004.00 | $48.78 – $3,113.45 | 17 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $429.15 | $2,861.00 | $31.00 – $3,113.45 | 17 |
| Venous mech thrombectomy CPT 37187 | $2,004.00 | $13,360.00 | $2,661.00 – $22,832.77 | 17 |
| Venous m-thrombectomy add-on CPT 37188 | $1,564.20 | $10,428.00 | $2,295.58 – $6,245.05 | 17 |
| Venous sampling s&i CPT 75893 | $1,357.80 | $9,052.00 | $149.83 – $11,005.77 | 17 |
| Ventilator each subsequent day CPT 94003 | $405.60 | $2,704.00 | $59.04 – $1,692.12 | 17 |
| Ventilator initial day CPT 94002 | $198.90 | $1,326.00 | $81.31 – $1,692.12 | 17 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $384.45 | $2,563.00 | $169.55 – $2,083.10 | 17 |
| Version cephalic external CPT 59412 | $863.40 | $5,756.00 | $12.00 – $6,402.58 | 17 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $99.30 | $662.03 | $4.50 – $9.33 | 2 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $65.19 | $434.63 | $14.47 – $29.45 | 2 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $184.96 | $1,233.04 | $5.69 – $53.35 | 3 |
| Viper venom prothrombin time CPT 85612 | $16.65 | $111.00 | $5.17 – $38.13 | 17 |
| Virus isolation addl studies ea CPT 87253 | $34.20 | $228.00 | $10.10 – $44.04 | 17 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $65.55 | $437.00 | $38.68 – $263.32 | 16 |
| Visual audiometry (vra) CPT 92579 | $30.00 | $200.00 | $25.54 – $427.07 | 17 |
| Vital capacity test CPT 94150 | $28.35 | $189.00 | $2.97 – $254.50 | 17 |
| Vitamin b-12 CPT 82607 | $26.40 | $176.00 | $7.54 – $32.87 | 17 |
| Vitamin D Test CPT 82306 | $52.05 | $347.00 | $14.80 – $64.53 | 17 |
| Vkorc1 gene CPT 81355 | $115.50 | $770.00 | $44.10 – $192.28 | 17 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $31.50 | $210.00 | $16.94 – $121.22 | 5 |
| Vol reduction of blood/prod CPT 86960 | $47.40 | $316.00 | $7.47 – $336.97 | 17 |
| Volume measurement urine timed CPT 81050 | $5.40 | $36.00 | $1.82 – $7.94 | 17 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $130.03 | $866.87 | $0.93 – $3.20 | 3 |
| Warde 1003990 aldosterone CPT 82088 | $68.70 | $458.00 | $20.38 – $88.84 | 17 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $48.60 | $324.00 | $13.90 – $60.60 | 17 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $22.65 | $151.00 | $6.45 – $28.12 | 17 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $44.10 | $294.00 | $12.63 – $55.05 | 17 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $27.15 | $181.00 | $7.75 – $33.79 | 17 |
| Warde 1015200 kappa light chain free CPT 83521 | $38.40 | $256.00 | $8.64 – $37.65 | 17 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $13.95 | $93.00 | $4.01 – $17.48 | 17 |
| Warde 3008005 oligoclonal bands CPT 83916 | $35.25 | $235.00 | $13.70 – $59.71 | 17 |
| Warde 3016000 west nile virus antibody CPT 86788 | $26.10 | $174.00 | $8.43 – $36.73 | 17 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $25.20 | $168.00 | $7.20 – $31.37 | 17 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $11.70 | $78.00 | $6.13 – $26.71 | 17 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $15.60 | $104.00 | $4.45 – $19.40 | 17 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $31.50 | $210.00 | $8.99 – $39.20 | 17 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $183.00 | $1,220.00 | $71.32 – $310.93 | 17 |
| Warde 3400852 arsenic CPT 82175 | $33.30 | $222.00 | $9.49 – $41.35 | 17 |
| Warde 3708165 mercury urine CPT 83825 | $28.50 | $190.00 | $8.13 – $35.45 | 17 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $23.70 | $158.00 | $9.20 – $40.11 | 17 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $28.20 | $188.00 | $5.77 – $26.27 | 17 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $12.30 | $82.00 | $4.05 – $17.66 | 17 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $67.50 | $450.00 | $19.31 – $84.19 | 17 |
| Warde aldolase CPT 82085 | $16.95 | $113.00 | $4.86 – $21.17 | 17 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $28.50 | $190.00 | $8.44 – $36.78 | 17 |
| Warde amiodarone therapeutic drug level CPT 80151 | $24.00 | $160.00 | $9.32 – $40.64 | 17 |
| Warde analysis gene hfe common variants CPT 81256 | $114.45 | $763.00 | $32.68 – $142.48 | 17 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $287.10 | $1,914.00 | $81.98 – $357.43 | 17 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $19.20 | $128.00 | $81.26 – $82.83 | 5 |
| Warde anti-mullerian hormone CPT 82166 | $67.50 | $450.00 | $14.13 – $84.19 | 17 |
| Warde apolipoprotein b CPT 82172 | $27.15 | $181.00 | $10.55 – $45.98 | 17 |
| Warde bile acids CPT 82239 | $28.95 | $193.00 | $8.56 – $37.32 | 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.