Cell function assay w/stim at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$233.22
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.
$1,014.00
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.
$46.26 with OPTIMA HEALTH vs $1,014.00 with SEVEN CORNERS, INC. — 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 | $46.26 | ↓ -80% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $47.65 | ↓ -80% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $47.65 | ↓ -80% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $48.11 | ↓ -79% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $48.11 | ↓ -79% |
| BLUE CROSS | TENNCARE BLUE CARE | $91.70 | ↓ -61% |
| BLUE CROSS | TENNCARE BLUE SELECT | $91.70 | ↓ -61% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $97.30 | ↓ -58% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $135.86 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $135.86 | ↓ -42% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $135.86 | ↓ -42% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $173.19 | ↓ -26% |
| AMERIGROUP | AMERIGROUP | $284.30 | ↑ +22% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $294.06 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $294.06 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $294.06 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $294.06 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $294.06 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $294.06 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $294.06 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $294.06 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $294.06 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $298.77 | ↑ +28% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $299.54 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $302.88 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $305.82 | ↑ +31% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $308.76 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $308.76 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $308.76 | ↑ +32% |
| AMBETTER | AMBETTER | $324.48 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $344.05 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $354.90 | ↑ +52% |
| CIGNA HEALTHCARE | CIGNA HMO | $535.36 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA PPO | $535.36 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $535.36 | ↑ +130% |
| AETNA | AETNA | $646.93 | ↑ +177% |
| BLUE CROSS | BLUE CROSS E NETWORK | $758.12 | ↑ +225% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $760.50 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $763.14 | ↑ +227% |
| BLUE CROSS | BLUE CROSS S NETWORK | $772.95 | ↑ +231% |
| BLUE CROSS | BLUE CROSS P NETWORK | $772.95 | ↑ +231% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,014.00 | ↑ +335% |
Visitor-reported prices
Comments
Cell function assay w/stim at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $460.08 | $48.91 – $526.00 |
| CHI Memorial Hospital Hixson | Hixson | $262.85 | $117.40 – $410.90 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $375.63 | $117.65 – $410.90 |
| Johnson City Medical Center | JOHNSON CITY | $237.90 | $42.63 – $296.17 |
| Ascension Saint Thomas DeKalb | Smithville | $460.08 | $79.05 – $526.00 |
| Ascension Saint Thomas Highlands | Sparta | $460.08 | $79.05 – $526.00 |
| Ascension Saint Thomas River Park | McMinnville | $460.08 | $95.26 – $526.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $460.08 | $79.05 – $526.00 |