Antibody htlv-ii at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$15.18
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$66.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$12.80 with OPTIMA HEALTH vs $66.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $12.80 | ↓ -16% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $13.18 | ↓ -13% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $13.18 | ↓ -13% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $13.31 | ↓ -12% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $13.31 | ↓ -12% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $14.00 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $14.00 | ↓ -8% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $14.00 | ↓ -8% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $17.86 | ↑ +18% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $19.14 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $19.14 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $19.14 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $19.14 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $19.14 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $19.14 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $19.14 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $19.14 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $19.14 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $19.45 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $19.71 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $19.91 | ↑ +31% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $20.10 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $20.10 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $20.10 | ↑ +32% |
| AMBETTER | AMBETTER | $21.12 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $22.39 | ↑ +47% |
| MEDCOST | MEDCOST VHN | $23.10 | ↑ +52% |
| BLUE CROSS | TENNCARE BLUE SELECT | $26.66 | ↑ +76% |
| BLUE CROSS | TENNCARE BLUE CARE | $26.66 | ↑ +76% |
| AMERIGROUP | AMERIGROUP | $29.31 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $31.04 | ↑ +104% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $40.12 | ↑ +164% |
| AETNA | AETNA | $42.11 | ↑ +177% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $49.50 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $49.67 | ↑ +227% |
| CIGNA HEALTHCARE | CIGNA PPO | $54.96 | ↑ +262% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $54.96 | ↑ +262% |
| CIGNA HEALTHCARE | CIGNA HMO | $54.96 | ↑ +262% |
| BLUE CROSS | BLUE CROSS S NETWORK | $66.00 | ↑ +335% |
| BLUE CROSS | BLUE CROSS P NETWORK | $66.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $66.00 | ↑ +335% |
| BLUE CROSS | BLUE CROSS E NETWORK | $66.00 | ↑ +335% |
Visitor-reported prices
Comments
Antibody htlv-ii at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $11.81 | $5.04 – $54.18 |
| Johnson City Medical Center | JOHNSON CITY | $15.60 | $7.00 – $30.52 |
| Ascension Saint Thomas DeKalb | Smithville | $11.81 | $9.82 – $54.18 |
| Ascension Saint Thomas Highlands | Sparta | $11.81 | $9.82 – $54.18 |
| Ascension Saint Thomas River Park | McMinnville | $11.81 | $9.82 – $54.18 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $11.81 | $12.60 – $54.18 |
| Hancock County Hospital | SNEEDVILLE | $15.18 | $9.92 – $31.04 |
| Greeneville Community Hospital | GREENEVILLE | $15.60 | $6.30 – $30.52 |