Aspirate pleura without imaging 32554 at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$693.68
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.
$3,016.00
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.
$171.00 with UNITED HEALTHCARE vs $2,010.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↓ -75% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↓ -43% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↓ -34% |
| AMERIGROUP | AMERIGROUP | $543.00 | ↓ -22% |
| SENTARA HEALTH | SENTARA MEDICARE | $582.90 | ↓ -16% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $582.90 | ↓ -16% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $582.90 | ↓ -16% |
| AETNA | AETNA HEALTHCARE MEDICARE | $582.90 | ↓ -16% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $582.90 | ↓ -16% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $582.90 | ↓ -16% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $582.90 | ↓ -16% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $582.90 | ↓ -16% |
| WELLCARE | WELLCARE MEDICARE | $582.90 | ↓ -16% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↓ -15% |
| HUMANA | HUMANA MEDICARE | $592.23 | ↓ -15% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $600.39 | ↓ -13% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $606.22 | ↓ -13% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $612.05 | ↓ -12% |
| NHC ADVANTAGE | NHC ADVANTAGE | $612.05 | ↓ -12% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $612.05 | ↓ -12% |
| AMBETTER | AMBETTER | $643.20 | ↓ -7% |
| SENTARA HEALTH | SENTARA HEALTH | $681.99 | ↓ -2% |
| MEDCOST | MEDCOST VHN | $703.50 | ↑ +1% |
| AETNA | AETNA | $1,282.38 | ↑ +85% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,390.68 | ↑ +100% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,407.00 | ↑ +103% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,432.40 | ↑ +106% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,432.40 | ↑ +106% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,446.31 | ↑ +108% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,446.31 | ↑ +108% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,507.50 | ↑ +117% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,512.73 | ↑ +118% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,010.00 | ↑ +190% |
Visitor-reported prices
Comments
Aspirate pleura without imaging 32554 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $910.11 | $532.90 – $1,141.72 |
| CHI Memorial Hospital Hixson | Hixson | $970.29 | $655.60 – $2,294.60 |
| 62-1166050 BMH Carroll County | Huntingdon | $251.62 | $491.16 – $1,129.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,386.60 | $688.38 – $2,294.60 |
| Johnson City Medical Center | JOHNSON CITY | $706.80 | $585.36 – $1,281.58 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $910.11 | $532.90 – $1,217.22 |
| Hancock County Hospital | SNEEDVILLE | $693.68 | $1,307.86 – $1,460.21 |
| Greeneville Community Hospital | GREENEVILLE | $706.80 | $520.33 – $1,390.68 |