Bln 1.2 mono emrg 15x1.2 at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$4,878.00
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.
$21,208.70
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.
$49.78 with UNITED HEALTHCARE vs $311.13 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 | UHC HERITAGE SELECT | $49.78 | ↓ -99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $61.60 | ↓ -99% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $64.72 | ↓ -99% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $90.23 | ↓ -98% |
| AETNA | AETNA HEALTHCARE MEDICARE | $90.23 | ↓ -98% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $90.23 | ↓ -98% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $90.23 | ↓ -98% |
| WELLCARE | WELLCARE MEDICARE | $90.23 | ↓ -98% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $90.23 | ↓ -98% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $90.23 | ↓ -98% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $90.23 | ↓ -98% |
| SENTARA HEALTH | SENTARA MEDICARE | $90.23 | ↓ -98% |
| HUMANA | HUMANA MEDICARE | $91.67 | ↓ -98% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $92.94 | ↓ -98% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $93.84 | ↓ -98% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $94.74 | ↓ -98% |
| NHC ADVANTAGE | NHC ADVANTAGE | $94.74 | ↓ -98% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $94.74 | ↓ -98% |
| AMBETTER | AMBETTER | $99.56 | ↓ -98% |
| SENTARA HEALTH | SENTARA HEALTH | $105.57 | ↓ -98% |
| MEDCOST | MEDCOST VHN | $108.90 | ↓ -98% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $109.83 | ↓ -98% |
| CIGNA HEALTHCARE | CIGNA HMO | $109.83 | ↓ -98% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $124.45 | ↓ -97% |
| CIGNA HEALTHCARE | CIGNA PPO | $139.70 | ↓ -97% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $155.57 | ↓ -97% |
| AETNA | AETNA | $198.50 | ↓ -96% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $233.35 | ↓ -95% |
| BLUE CROSS | BLUE CROSS MEDICARE | $234.15 | ↓ -95% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $311.13 | ↓ -94% |
Visitor-reported prices
Comments
Bln 1.2 mono emrg 15x1.2 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $777.00 | $0.20 – $0.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,110.38 | $0.21 – $0.70 |
| Johnson City Medical Center | JOHNSON CITY | $3,181.31 | $283.85 – $283.85 |
| Hancock County Hospital | SNEEDVILLE | $4,878.00 | $222.87 – $222.87 |
| Greeneville Community Hospital | GREENEVILLE | $3,181.31 | $0.31 – $0.31 |
| Bristol Regional Medical Center | BRISTOL | $3,181.31 | $0.31 – $0.31 |
| Franklin Woods Community Hospital | JOHNSON CITY | $3,181.31 | $270.06 – $270.06 |
| Holston Valley Medical Center | KINGSPORT | $3,181.31 | $0.31 – $0.31 |