Cadd pump refill at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$157.55
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.
?
What you pay up front if you don't use insurance.
$685.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$71.11 with OPTIMA HEALTH vs $685.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $71.11 | ↓ -55% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $73.24 | ↓ -54% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $73.24 | ↓ -54% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $73.95 | ↓ -53% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $73.96 | ↓ -53% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $113.98 | ↓ -28% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $134.98 | ↓ -14% |
| BLUE CROSS | TENNCARE BLUE CARE | $136.42 | ↓ -13% |
| BLUE CROSS | TENNCARE BLUE SELECT | $136.42 | ↓ -13% |
| WELLCARE | WELLCARE MEDICARE | $198.65 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $198.65 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $198.65 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $198.65 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $198.65 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $198.65 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $198.65 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $198.65 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $198.65 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $201.83 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $204.61 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $206.60 | ↑ +31% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $208.58 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $208.58 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $208.58 | ↑ +32% |
| AMBETTER | AMBETTER | $219.20 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $232.42 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $239.75 | ↑ +52% |
| AMERIGROUP | AMERIGROUP | $272.01 | ↑ +73% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $317.84 | ↑ +102% |
| CIGNA HEALTHCARE | CIGNA HMO | $381.19 | ↑ +142% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $381.19 | ↑ +142% |
| CIGNA HEALTHCARE | CIGNA PPO | $381.19 | ↑ +142% |
| AETNA | AETNA | $437.03 | ↑ +177% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $513.75 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $515.53 | ↑ +227% |
| BLUE CROSS | BLUE CROSS S NETWORK | $574.08 | ↑ +264% |
| BLUE CROSS | BLUE CROSS P NETWORK | $574.08 | ↑ +264% |
| BLUE CROSS | BLUE CROSS E NETWORK | $574.08 | ↑ +264% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $685.00 | ↑ +335% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $685.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $685.00 | ↑ +335% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $685.00 | ↑ +335% |
Visitor-reported prices
Comments
Cadd pump refill at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $117.81 | $79.60 – $278.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $168.36 | $83.58 – $278.60 |
| Johnson City Medical Center | JOHNSON CITY | $160.65 | $65.53 – $432.69 |
| Greeneville Community Hospital | GREENEVILLE | $160.65 | $45.59 – $432.69 |
| Bristol Regional Medical Center | BRISTOL | $160.65 | $66.62 – $484.27 |
| Franklin Woods Community Hospital | JOHNSON CITY | $160.65 | $71.11 – $421.01 |
| Holston Valley Medical Center | KINGSPORT | $160.65 | $64.68 – $484.27 |
| 62-0123940 BMH Collierville | Collierville | $153.30 | $117.60 – $385.86 |