Application of paste boot 29580 at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$59.34
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.
$258.00
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.
$42.74 with BLUE CROSS vs $283.21 with AETNA — 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $42.74 | ↓ -28% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $46.00 | ↓ -22% |
| BLUE CROSS | TENNCARE BLUE SELECT | $52.19 | ↓ -12% |
| BLUE CROSS | TENNCARE BLUE CARE | $52.19 | ↓ -12% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $61.77 | ↑ +4% |
| WELLCARE | WELLCARE MEDICARE | $61.77 | ↑ +4% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $61.77 | ↑ +4% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $61.77 | ↑ +4% |
| AETNA | AETNA HEALTHCARE MEDICARE | $61.77 | ↑ +4% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $61.77 | ↑ +4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $61.77 | ↑ +4% |
| SENTARA HEALTH | SENTARA MEDICARE | $61.77 | ↑ +4% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $61.77 | ↑ +4% |
| HUMANA | HUMANA MEDICARE | $62.76 | ↑ +6% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $63.62 | ↑ +7% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $64.24 | ↑ +8% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $64.86 | ↑ +9% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $64.86 | ↑ +9% |
| NHC ADVANTAGE | NHC ADVANTAGE | $64.86 | ↑ +9% |
| AMBETTER | AMBETTER | $68.16 | ↑ +15% |
| SENTARA HEALTH | SENTARA HEALTH | $72.27 | ↑ +22% |
| MEDCOST | MEDCOST VHN | $74.55 | ↑ +26% |
| CIGNA HEALTHCARE | CIGNA HMO | $82.86 | ↑ +40% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $82.86 | ↑ +40% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $98.83 | ↑ +67% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $100.88 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA PPO | $102.88 | ↑ +73% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $121.00 | ↑ +104% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $121.00 | ↑ +104% |
| AETNA | AETNA | $135.89 | ↑ +129% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $159.75 | ↑ +169% |
| BLUE CROSS | BLUE CROSS MEDICARE | $160.30 | ↑ +170% |
| BLUE CROSS | BLUE CROSS S NETWORK | $185.76 | ↑ +213% |
| BLUE CROSS | BLUE CROSS P NETWORK | $185.76 | ↑ +213% |
| BLUE CROSS | BLUE CROSS E NETWORK | $185.76 | ↑ +213% |
| AMERIGROUP | AMERIGROUP | $192.77 | ↑ +225% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $213.00 | ↑ +259% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $213.00 | ↑ +259% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $272.31 | ↑ +359% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $280.48 | ↑ +373% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $283.20 | ↑ +377% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $283.21 | ↑ +377% |
Visitor-reported prices
Comments
Application of paste boot 29580 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $174.64 | $66.96 – $375.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $61.64 | $125.35 – $288.16 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $249.57 | $66.96 – $375.20 |
| Johnson City Medical Center | JOHNSON CITY | $60.30 | $42.74 – $330.57 |
| Ascension Saint Thomas DeKalb | Smithville | $502.43 | $44.99 – $2,225.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $502.43 | $44.99 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $59.34 | $42.74 – $285.93 |
| Greeneville Community Hospital | GREENEVILLE | $60.30 | $37.00 – $330.57 |