Clsd tx/prox/mid phalnx fx/no manp 26720 at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$38.64
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.
$168.00
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.
$48.72 with AETNA vs $696.66 with AETNA — 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 |
|---|---|---|---|
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $48.72 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $48.72 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $48.72 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $48.72 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $48.72 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $48.72 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $48.72 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $48.72 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $48.72 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $49.50 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $50.18 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $50.67 | ↑ +31% |
| NHC ADVANTAGE | NHC ADVANTAGE | $51.16 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $51.16 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $51.16 | ↑ +32% |
| AMBETTER | AMBETTER | $53.76 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $57.00 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $58.80 | ↑ +52% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $104.35 | ↑ +170% |
| AETNA | AETNA | $107.18 | ↑ +177% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $126.00 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $126.44 | ↑ +227% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $168.00 | ↑ +335% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $168.00 | ↑ +335% |
| AMERIGROUP | AMERIGROUP | $168.00 | ↑ +335% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $168.00 | ↑ +335% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $168.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $168.00 | ↑ +335% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $168.00 | ↑ +335% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $669.87 | ↑ +1634% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $689.96 | ↑ +1686% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $696.66 | ↑ +1703% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $696.66 | ↑ +1703% |
Visitor-reported prices
Comments
Clsd tx/prox/mid phalnx fx/no manp 26720 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $57.50 | $190.56 – $438.08 |
| Johnson City Medical Center | JOHNSON CITY | $39.45 | $104.35 – $617.32 |
| Hancock County Hospital | SNEEDVILLE | $38.64 | $51.79 – $703.36 |
| Greeneville Community Hospital | GREENEVILLE | $39.45 | $51.79 – $669.87 |
| Bristol Regional Medical Center | BRISTOL | $39.45 | $51.79 – $628.19 |
| Franklin Woods Community Hospital | JOHNSON CITY | $39.45 | $104.35 – $669.87 |
| Holston Valley Medical Center | KINGSPORT | $39.45 | $51.79 – $628.19 |
| 62-0123940 BMH Collierville | Collierville | $74.34 | $75.66 – $439.32 |