Hancock County Hospital
1519 MAIN ST., SNEEDVILLE, TN · Balladhealth · · NPI 1053340158
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 |
|---|---|---|---|---|
| Knee MRI (with contrast) CPT 73722 | $624.68 | $2,716.00 | $217.92 – $957.14 | 7 |
| Knee MRI (without contrast) CPT 73721 | $603.52 | $2,624.00 | $169.21 – $786.00 | 7 |
| Knee X-ray CPT 73564 | $78.66 | $342.00 | $20.54 – $161.01 | 7 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $37.67 | $163.80 | $0.08 – $0.35 | 2 |
| Lactate dehydrogenase (ldh) CPT 83615 | $10.35 | $45.00 | $4.28 – $12.99 | 7 |
| Lactated ringers intravenous solution HCPCS J7120 | $11.13 | $48.38 | $12.61 – $14.85 | 2 |
| Lactic acid CPT 83605 | $18.40 | $80.00 | $7.57 – $25.26 | 7 |
| Lactoferrin fecal qualitative CPT 83630 | $33.81 | $147.00 | $13.90 – $43.31 | 7 |
| Lactoferrin fecal quant CPT 83631 | $20.70 | $90.00 | $13.90 – $43.31 | 7 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $391.23 | $1,701.00 | $203.94 – $846.10 | 5 |
| Laryngoscopy w/fb removal CPT 31530 | $588.11 | $2,557.00 | $298.66 – $846.10 | 5 |
| Lead capillary CPT 83655 | $20.70 | $90.00 | $8.58 – $26.71 | 7 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $337.87 | $1,469.00 | $76.07 – $326.78 | 6 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $8.91 | $38.75 | $0.07 – $0.48 | 2 |
| Levetiracetam therapeutic drug level CPT 80177 | $23.00 | $100.00 | $9.05 – $28.87 | 7 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $11.13 | $48.38 | $4.47 – $21.00 | 2 |
| Lidocaine therapeutic drug level CPT 80176 | $25.30 | $110.00 | $10.40 – $32.48 | 7 |
| Ligation/major artery/extremity 37618 CPT 37618 | $632.50 | $2,750.00 | $1,293.46 – $3,075.56 | 5 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $310.04 | $1,348.00 | $1,348.00 – $3,822.40 | 6 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $30.43 | $132.29 | $3.99 – $17.68 | 3 |
| Lipase CPT 83690 | $11.73 | $51.00 | $4.88 – $15.16 | 7 |
| Lipoprotein blood high res frac & quant CPT 83701 | $42.55 | $185.00 | $17.58 – $74.34 | 7 |
| Lipoprotein blood quant CPT 83704 | $54.28 | $236.00 | $22.35 – $75.07 | 7 |
| Lipoprotein direct measurement hdl CPT 83718 | $14.26 | $62.00 | $5.80 – $18.04 | 7 |
| Lipoprotein direct measurement ldl CPT 83721 | $16.33 | $71.00 | $6.38 – $23.10 | 7 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $44.16 | $192.00 | $17.53 – $75.07 | 6 |
| Listeria monocytogenes CPT 86723 | $14.72 | $64.00 | $9.34 – $28.87 | 7 |
| Lithium therapeutic drug level CPT 80178 | $11.27 | $49.00 | $4.68 – $14.49 | 7 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $2,242.50 | $9,750.00 | $9,750.00 – $12,352.22 | 5 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $78.20 | $340.00 | $166.05 – $340.00 | 6 |
| Liver Function Test CPT 80076 | $13.57 | $59.00 | $5.79 – $18.04 | 7 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $4.49 | $19.50 | $2.43 – $10.46 | 2 |
| Low cost skin substitute app HCPCS C5271 | $261.97 | $1,139.00 | $215.06 – $2,800.70 | 5 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $576.61 | $2,507.00 | $167.05 – $463.64 | 7 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $549.24 | $2,388.00 | $150.25 – $641.92 | 7 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $521.87 | $2,269.00 | $95.95 – $427.00 | 7 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $656.19 | $2,853.00 | $267.02 – $786.00 | 7 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $624.68 | $2,716.00 | $217.92 – $786.00 | 7 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $593.63 | $2,581.00 | $169.21 – $786.00 | 7 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $64.63 | $281.00 | $22.19 – $161.01 | 7 |
| L/s ratio fetal lung CPT 83661 | $37.72 | $164.00 | $14.13 – $48.36 | 7 |
| Lung function test (mbc/mvv) CPT 94200 | $28.52 | $124.00 | $8.75 – $83.90 | 6 |
| Lymphocyte transformation mitogen CPT 86353 | $82.11 | $357.00 | $34.72 – $108.27 | 7 |
| Lysis of labial adhesions CPT 56441 | $1,118.95 | $4,865.00 | $187.12 – $3,682.55 | 6 |
| Macroscopic exam arthropod CPT 87168 | $6.90 | $30.00 | $3.03 – $11.77 | 7 |
| Macroscopic exam parasite CPT 87169 | $6.90 | $30.00 | $3.03 – $11.77 | 7 |
| Magnesium CPT 83735 | $11.27 | $49.00 | $2.31 – $14.44 | 7 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $18.12 | $78.80 | $0.49 – $0.84 | 2 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $28.52 | $124.00 | $12.40 – $124.00 | 6 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $38.18 | $166.00 | $14.86 – $147.76 | 6 |
| Mastoids complete CPT 70130 | $67.85 | $295.00 | $22.40 – $161.01 | 7 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $2,814.69 | $12,237.78 | $31.66 – $35.15 | 2 |
| M.avium-intra dna dir prob CPT 87560 | $18.40 | $80.00 | $11.55 – $59.91 | 7 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $24.84 | $108.00 | $10.24 – $31.76 | 7 |
| Mayo aathr protein s free CPT 85306 | $25.30 | $110.00 | $5.17 – $33.92 | 7 |
| Mayo activated protein c resistance assay CPT 85307 | $25.30 | $110.00 | $6.98 – $33.92 | 7 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $32.66 | $142.00 | $14.21 – $85.17 | 6 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $8.05 | $35.00 | $16.20 – $16.52 | 5 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $8.05 | $35.00 | $16.20 – $16.52 | 5 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $24.61 | $107.00 | $10.48 – $32.48 | 7 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $21.85 | $95.00 | $16.20 – $16.52 | 5 |
| Mayo alpha 1 antitrypsin CPT 82103 | $23.23 | $101.00 | $9.52 – $29.59 | 7 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $40.48 | $176.00 | $10.68 – $33.20 | 7 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $11.27 | $49.00 | $16.20 – $16.52 | 5 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $11.27 | $49.00 | $16.20 – $16.52 | 5 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $208.61 | $907.00 | $50.92 – $267.78 | 7 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $157.55 | $685.00 | $50.92 – $202.10 | 7 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $172.50 | $750.00 | $68.50 – $301.70 | 6 |
| Mayo androstenedione CPT 82157 | $50.14 | $218.00 | $15.51 – $64.24 | 7 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $25.07 | $109.00 | $10.34 – $32.48 | 7 |
| Mayo antithrombin iii antigen CPT 85301 | $18.63 | $81.00 | $5.17 – $23.82 | 7 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $25.07 | $109.00 | $10.67 – $33.20 | 7 |
| Mayo avwpr vw factor activity CPT 85397 | $39.56 | $172.00 | $16.25 – $67.85 | 7 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $60.49 | $263.00 | $17.55 – $77.23 | 6 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $8.51 | $37.00 | $16.20 – $16.52 | 5 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $17.48 | $76.00 | $7.21 – $22.38 | 7 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $248.86 | $1,082.00 | $98.80 – $319.03 | 7 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $276.46 | $1,202.00 | $109.72 – $472.77 | 7 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $22.31 | $97.00 | $9.14 – $28.15 | 7 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $13.80 | $60.00 | $16.20 – $16.52 | 5 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $23.00 | $100.00 | $9.34 – $28.87 | 7 |
| Mayo brcmg brucella antibody igm CPT 86622 | $8.51 | $37.00 | $6.33 – $19.49 | 7 |
| Mayo c1 esterase inhibitor CPT 83883 | $22.31 | $97.00 | $9.63 – $30.31 | 7 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $6.90 | $30.00 | $16.20 – $16.52 | 5 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $28.06 | $122.00 | $11.87 – $37.53 | 7 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $46.00 | $200.00 | $18.96 – $59.19 | 7 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $209.76 | $912.00 | $47.12 – $269.22 | 7 |
| Mayo ceruloplasmin CPT 82390 | $18.63 | $81.00 | $6.38 – $23.82 | 7 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $13.11 | $57.00 | $10.01 – $31.04 | 7 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $22.08 | $96.00 | $9.13 – $28.15 | 7 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $20.24 | $88.00 | $8.38 – $25.98 | 7 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $21.85 | $95.00 | $8.99 – $28.15 | 7 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $199.87 | $869.00 | $82.51 – $256.95 | 7 |
| Mayo chromium CPT 82495 | $33.58 | $146.00 | $14.21 – $44.75 | 7 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $20.47 | $89.00 | $16.20 – $16.52 | 5 |
| Mayo coccidioides antibody CPT 86635 | $19.55 | $85.00 | $8.13 – $25.26 | 7 |
| Mayo cocou cortisone urine CPT 82542 | $16.56 | $72.00 | $12.79 – $53.41 | 7 |
| Mayo cortisol free CPT 82530 | $13.11 | $57.00 | $11.84 – $36.81 | 7 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $11.73 | $51.00 | $13.18 – $51.00 | 6 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $10.81 | $47.00 | $8.59 – $26.71 | 7 |
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.