How many shoppable procedure prices are published for Hawkins County Memorial Hospital?

Hawkins County Memorial Hospital in Rogersville, TN currently has 100 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Hawkins County Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Hawkins County Memorial Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 6 Beds · urban Updated: 2026-03-23

Hawkins County Memorial Hospital

851 Locust Street, Rogersville, TN 37857 · 100 Priced Procedures · 78% Patient Recommendation

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

0.95×vs. Fair Market Price

Typical commercial prices here are 5% below the fair benchmark (0.95×) after accounting for local nurse/doctor wages and patient complexity.

85/100 · Verified

85/100Self-Pay Cash Beats Insurance 68% of the Time

File Completeness61

Price Logic99

Peer Alignment82

Clean Billing84

Real Cash Discount100

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Hawkins County Memorial Hospital prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.95× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#33 of 84 in TN · 38th State Percentile#1,002 of 3,385 in U.S. · 29th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 5% below peer Fair BaseRate (0.95×)
Self-pay cash beats commercial insurance on 68% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 78% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (17.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.95× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.91× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 5,439) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+9% Upper Tail

Q25 0.86× · Q50 0.91× · Q75 0.99×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.9× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.1× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

68% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at Hawkins County Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Trauma team activation HCPCS Code: `G0390`	$965	$2,078	$1,453	1.4×
Colonoscopy with biopsy CPT Code: `45380`	$484	$1,140	$1,256	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$385	$860	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$549	$818	$1,021	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$418	$685	$855	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$669	$572	$511	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$448	$521	$583	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$610	$492	$369	unverified
Blood transfusion CPT Code: `36430`	$119	$420	$498	0.8×
Psychological testing by technician CPT Code: `96138`	$164	$390	$395	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$560	$326	$242	1.3×
MRI, lower back (no contrast) CPT Code: `72148`	$605	$340	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$605	$340	$343	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$560	$336	$448	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$588	$347	$258	unverified
Rabies immune globulin HCPCS Code: `90375`	$4,193	$294	$322	0.9×
Neurobehavioral status check CPT Code: `96116`	$128	$204	$231	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$344	$227	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$532	$229	$303	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$79	$199	$201	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$532	$207	$160	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$45	$169	$166	1.0×
Family therapy session CPT Code: `90847`	$81	$169	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$50	$169	$181	0.9×
CT scan, pelvis CPT Code: `72192`	$588	$151	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$532	$151	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$532	$151	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$532	$151	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$532	$151	$169	0.9×
Group therapy session CPT Code: `90853`	$50	$97	$100	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$102	$114	$134	0.9×
X-ray, shoulder CPT Code: `73030`	$75	$82	$92	0.9×
X-ray, foot CPT Code: `73630`	$75	$82	$92	0.9×
X-ray, lower back CPT Code: `72110`	$69	$99	$112	0.9×
X-ray, hand CPT Code: `73130`	$78	$82	$93	0.9×
X-ray, hip CPT Code: `73502`	$69	$82	$93	0.9×
X-ray, ankle CPT Code: `73610`	$75	$82	$93	0.9×
X-ray, chest (single view) CPT Code: `71045`	$66	$80	$92	0.9×
X-ray, pelvis CPT Code: `72170`	$66	$95	$110	0.9×
X-ray, chest (two views) CPT Code: `71046`	$69	$80	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$69	$80	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$96	$101	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$102	$101	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$102	$101	$132	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$39	$80	$110	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$86	$103	$148	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$42	$85	$123	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$72	$83	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$466	$320	$347	0.9×
Drug screening test HCPCS Code: `G0480`	$103	$114	$116	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$77	$77	$86	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$11	$74	$86	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$36	$74	$87	0.9×
Blood antibody screen CPT Code: `86850`	$20	$47	$46	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$15	$45	$48	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$57	$36	$39	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$13	$45	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$13	$45	$49	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$32	$34	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	$32	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$37	$45	$51	0.9×
Physical therapy (gait training) CPT Code: `97116`	$27	$29	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$34	$35	$40	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$71	$54	$64	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$80	$37	$56	0.7×
Blood test, basic metabolic panel CPT Code: `80048`	$14	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$18	$11	$11	1.0×
Blood test, liver function panel CPT Code: `80076`	$14	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$6	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$11	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$9	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$9	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$26	$16	$16	1.0×
Blood test, lipase CPT Code: `83690`	$12	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$8	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$9	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$7	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$14	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$7	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$11	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$25	$15	$15	1.0×
Culture, bacterial CPT Code: `87070`	$15	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$32	$18	$19	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$23	$13	$14	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$16	$13	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$23	$24	$27	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$32	$33	$38	0.9×
Blood test, vitamin D CPT Code: `82306`	$52	$31	$31	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$7	$4	$4	1.0×
Blood test, magnesium CPT Code: `83735`	$12	$7	$7	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$34	$32	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$31	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$29	$28	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$4	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$74	$12	$35	0.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$24	$14	$14	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$17	$10	$10	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$29	$17	$18	unverified
Culture, blood CPT Code: `87040`	$18	$11	$11	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$32	$20	$20	unverified

Showing top 25 high-impact procedures of 100 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 17.9%

Audit a Bill or Quote at Hawkins County Memorial Hospital (Zero PHI Required)

CMS CCN: 440032

CPT G0390

Select Procedure to Audit:

Fair BaseRate™ $1,453

Medicare Rate $1,362

Self-Pay Cash $965

Insurer Median $2,078

1. Amount on Your Bill or Quote ($) Pre-filled with Hawkins County Memorial Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $1,154 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,154

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (17.9% of gross = $1,154).

Step 2 · Cash vs. Insurance Arbitrage Save $5,469 Paying Cash

Self-Pay Cash Rate ($965) Beats Your Bill

Hawkins County Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $965 (vs. $2,078 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,981 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($6,434) is $4,981 above the denoised Fair BaseRate ($1,453) and 4.7× the $1,362 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (17.9% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite72/100

Would Recommend78%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait112 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Hawkins County Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-03·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (64 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Hawkins County Memorial Hospital.

Price Index: 1.02× regional baseline

Quality: 59/100 CMS composite

Median Household Income$55,278U.S. Census ACS

Local Uninsured Share10.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 85/100 · Verified CMS CCN 440032

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 440032) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-23

Validated Rate Rows4,564 (CMS v3.0.0)

File Integrity DigestVerified · CCN 440032

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy