Cardiac perf spect sgl/ef/wm rst/strs at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$422.74
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.
$1,838.00
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.
$130.21 with BLUE CROSS vs $1,838.00 with UNITED HEALTHCARE — 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 | $130.21 | ↓ -69% |
| BLUE CROSS | TENNCARE BLUE CARE | $130.21 | ↓ -69% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $232.96 | ↓ -45% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $468.52 | ↑ +11% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $533.02 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $533.02 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $533.02 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $533.02 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $533.02 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $533.02 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $533.02 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $533.02 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $533.02 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $541.55 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $549.01 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $554.34 | ↑ +31% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $559.67 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $559.67 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $559.67 | ↑ +32% |
| AMBETTER | AMBETTER | $588.16 | ↑ +39% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $605.23 | ↑ +43% |
| SENTARA HEALTH | SENTARA HEALTH | $623.63 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $643.30 | ↑ +52% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $821.28 | ↑ +94% |
| CIGNA HEALTHCARE | CIGNA HMO | $821.28 | ↑ +94% |
| CIGNA HEALTHCARE | CIGNA PPO | $821.28 | ↑ +94% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,158.08 | ↑ +174% |
| AETNA | AETNA | $1,172.64 | ↑ +177% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,180.89 | ↑ +179% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,180.89 | ↑ +179% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,252.56 | ↑ +196% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,290.13 | ↑ +205% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,290.13 | ↑ +205% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,302.66 | ↑ +208% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,302.66 | ↑ +208% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,378.50 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,383.28 | ↑ +227% |
| AMERIGROUP | AMERIGROUP | $1,711.97 | ↑ +305% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,838.00 | ↑ +335% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,838.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,838.00 | ↑ +335% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,838.00 | ↑ +335% |
Visitor-reported prices
Comments
Cardiac perf spect sgl/ef/wm rst/strs at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,895.22 | $112.25 – $2,035.50 |
| CHI Memorial Hospital Hixson | Hixson | $1,369.30 | $167.06 – $3,238.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,027.64 | $112.25 – $2,384.12 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,956.80 | $167.06 – $3,238.20 |
| Johnson City Medical Center | JOHNSON CITY | $430.65 | $130.21 – $2,633.64 |
| Ascension Saint Thomas DeKalb | Smithville | $1,895.25 | $112.25 – $2,035.50 |
| Ascension Saint Thomas Highlands | Sparta | $1,895.25 | $112.25 – $2,035.50 |
| Ascension Saint Thomas River Park | McMinnville | $1,895.22 | $167.71 – $2,035.50 |