Cath imag ivus pv 8.5fx90 .035 at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$1,729.37
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.
$7,518.98
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.
$1,078.58 with UNITED HEALTHCARE vs $6,741.15 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 | $1,078.58 | ↓ -38% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,334.75 | ↓ -23% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,402.16 | ↓ -19% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,954.93 | ↑ +13% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,954.93 | ↑ +13% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,954.93 | ↑ +13% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,954.93 | ↑ +13% |
| WELLCARE | WELLCARE MEDICARE | $1,954.93 | ↑ +13% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,954.93 | ↑ +13% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,954.93 | ↑ +13% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,954.93 | ↑ +13% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,954.93 | ↑ +13% |
| HUMANA | HUMANA MEDICARE | $1,986.21 | ↑ +15% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,013.58 | ↑ +16% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,033.13 | ↑ +18% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,052.68 | ↑ +19% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,052.68 | ↑ +19% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,052.68 | ↑ +19% |
| AMBETTER | AMBETTER | $2,157.17 | ↑ +25% |
| SENTARA HEALTH | SENTARA HEALTH | $2,287.27 | ↑ +32% |
| MEDCOST | MEDCOST VHN | $2,359.40 | ↑ +36% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,379.63 | ↑ +38% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,379.63 | ↑ +38% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,696.46 | ↑ +56% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,026.78 | ↑ +75% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $3,370.58 | ↑ +95% |
| AETNA | AETNA | $4,300.85 | ↑ +149% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,055.86 | ↑ +192% |
| BLUE CROSS | BLUE CROSS MEDICARE | $5,073.39 | ↑ +193% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $6,741.15 | ↑ +290% |
Visitor-reported prices
Comments
Cath imag ivus pv 8.5fx90 .035 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $1,127.85 | $2,939.92 – $2,939.92 |
| Hancock County Hospital | SNEEDVILLE | $1,729.37 | $2,308.33 – $2,308.33 |
| Greeneville Community Hospital | GREENEVILLE | $1,191.15 | $0.31 – $0.31 |
| Bristol Regional Medical Center | BRISTOL | $1,191.15 | $0.31 – $0.31 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,127.85 | $2,797.06 – $2,797.06 |
| Holston Valley Medical Center | KINGSPORT | $1,191.15 | $0.31 – $0.31 |
| Indian Path Community Hospital | KINGSPORT | $1,127.85 | $2,797.06 – $2,797.06 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,191.15 | $0.31 – $0.31 |