App high cost ss t/a/l >100sq cm 1st 100sq cm at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$844.79
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.
$3,673.00
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.
$1,065.17 with MANAGED MEDICAIRE vs $3,673.00 with SEVEN CORNERS, INC. — 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 |
|---|---|---|---|
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,065.17 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,065.17 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,065.17 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,065.17 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,065.17 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $1,065.17 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,065.17 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,065.17 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,065.17 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $1,082.21 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,097.13 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,107.78 | ↑ +31% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,118.43 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,118.43 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,118.43 | ↑ +32% |
| AMBETTER | AMBETTER | $1,175.36 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $1,246.25 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $1,285.55 | ↑ +52% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,428.80 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,428.80 | ↑ +69% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,436.14 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,704.27 | ↑ +102% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,722.64 | ↑ +104% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,722.64 | ↑ +104% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,748.35 | ↑ +107% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,071.39 | ↑ +145% |
| AMERIGROUP | AMERIGROUP | $2,232.60 | ↑ +164% |
| AETNA | AETNA | $2,343.37 | ↑ +177% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2,571.10 | ↑ +204% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,644.56 | ↑ +213% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,644.56 | ↑ +213% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,644.56 | ↑ +213% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,667.33 | ↑ +216% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,747.35 | ↑ +225% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,747.35 | ↑ +225% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,754.75 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,764.30 | ↑ +227% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,774.02 | ↑ +228% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,774.03 | ↑ +228% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,673.00 | ↑ +335% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $4,144.89 | $2,800.60 – $9,802.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,604.94 | $2,364.00 – $6,685.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $5,923.27 | $2,940.63 – $9,802.10 |
| Johnson City Medical Center | JOHNSON CITY | $860.70 | $1,489.84 – $4,197.23 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,678.95 | $503.22 – $1,004.50 |
| Greeneville Community Hospital | GREENEVILLE | $860.70 | $828.55 – $4,197.23 |
| Bristol Regional Medical Center | BRISTOL | $860.70 | $1,380.92 – $4,697.60 |
| Franklin Woods Community Hospital | JOHNSON CITY | $860.70 | $1,310.23 – $4,083.91 |