Bilateral n block inj trigeminal 64400 at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$191.82
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.
$834.00
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.
$74.80 with BLUE CROSS vs $834.00 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $74.80 | ↓ -61% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↓ -11% |
| SENTARA HEALTH | SENTARA MEDICARE | $241.86 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $241.86 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $241.86 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $241.86 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $241.86 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $241.86 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $241.86 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $241.86 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $241.86 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $245.73 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $249.12 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $251.53 | ↑ +31% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $253.95 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $253.95 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $253.95 | ↑ +32% |
| AMBETTER | AMBETTER | $266.88 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $282.98 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $291.90 | ↑ +52% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↑ +107% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↑ +137% |
| AETNA | AETNA | $532.09 | ↑ +177% |
| AMERIGROUP | AMERIGROUP | $543.00 | ↑ +183% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $551.99 | ↑ +188% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $568.55 | ↑ +196% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $568.55 | ↑ +196% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $574.07 | ↑ +199% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $574.07 | ↑ +199% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +207% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $625.50 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $627.67 | ↑ +227% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $834.00 | ↑ +335% |
Visitor-reported prices
Comments
Bilateral n block inj trigeminal 64400 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $87.17 | $234.50 – $539.08 |
| Johnson City Medical Center | JOHNSON CITY | $195.45 | $74.80 – $624.42 |
| Hancock County Hospital | SNEEDVILLE | $191.82 | $74.80 – $579.59 |
| Greeneville Community Hospital | GREENEVILLE | $195.45 | $74.80 – $624.42 |
| Bristol Regional Medical Center | BRISTOL | $195.45 | $74.80 – $698.86 |
| Franklin Woods Community Hospital | JOHNSON CITY | $195.45 | $74.80 – $607.56 |
| Holston Valley Medical Center | KINGSPORT | $195.45 | $74.80 – $698.86 |
| 62-0123940 BMH Collierville | Collierville | $79.59 | $256.79 – $540.62 |