Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$3,389.97
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.
$14,739.00
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.
$890.00 with BLUE CROSS vs $14,739.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $890.00 | ↓ -74% |
| BLUE CROSS | TENNCARE BLUE CARE | $890.00 | ↓ -74% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↓ -55% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,774.00 | ↓ -18% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,774.00 | ↓ -18% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,083.00 | ↓ -9% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↓ -5% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $3,257.00 | ↓ -4% |
| SENTARA HEALTH | SENTARA MEDICARE | $4,274.31 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $4,274.31 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $4,274.31 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $4,274.31 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $4,274.31 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $4,274.31 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $4,274.31 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $4,274.31 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $4,274.31 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $4,342.70 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $4,402.54 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $4,445.28 | ↑ +31% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $4,488.03 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $4,488.03 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $4,488.03 | ↑ +32% |
| AMBETTER | AMBETTER | $4,716.48 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $5,000.94 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $5,158.65 | ↑ +52% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $6,899.02 | ↑ +104% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $7,105.99 | ↑ +110% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $7,105.99 | ↑ +110% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $7,174.98 | ↑ +112% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $7,174.98 | ↑ +112% |
| AMERIGROUP | AMERIGROUP | $7,980.52 | ↑ +135% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $8,387.00 | ↑ +147% |
| AETNA | AETNA | $9,403.48 | ↑ +177% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $9,572.00 | ↑ +182% |
| BLUE CROSS | BLUE CROSS E NETWORK | $9,590.00 | ↑ +183% |
| BLUE CROSS | BLUE CROSS S NETWORK | $9,792.00 | ↑ +189% |
| BLUE CROSS | BLUE CROSS P NETWORK | $9,792.00 | ↑ +189% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $11,054.25 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $11,092.57 | ↑ +227% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $12,407.00 | ↑ +266% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $14,739.00 | ↑ +335% |
Visitor-reported prices
Comments
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $9,552.74 | $2,118.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $3,190.29 | $2,155.60 – $7,544.60 |
| 62-1166050 BMH Carroll County | Huntingdon | $5,104.62 | $2,685.00 – $13,046.16 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,559.10 | $2,263.38 – $7,544.60 |
| Johnson City Medical Center | JOHNSON CITY | $3,454.50 | $5,325.51 – $14,760.96 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $9,552.75 | $2,118.00 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $3,389.97 | $7,105.99 – $7,886.35 |
| Greeneville Community Hospital | GREENEVILLE | $3,454.50 | $4,762.23 – $14,760.96 |