Complx repair enel addl 5cm/< 13153 at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$409.40
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.
$1,780.00
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.
$136.94 with BLUE CROSS vs $1,780.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $136.94 | ↓ -67% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↓ -58% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↓ -3% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↑ +11% |
| WELLCARE | WELLCARE MEDICARE | $516.20 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $516.20 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $516.20 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $516.20 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $516.20 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $516.20 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $516.20 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $516.20 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $516.20 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $524.46 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $531.69 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $536.85 | ↑ +31% |
| NHC ADVANTAGE | NHC ADVANTAGE | $542.01 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $542.01 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $542.01 | ↑ +32% |
| AMERIGROUP | AMERIGROUP | $543.00 | ↑ +33% |
| AMBETTER | AMBETTER | $569.60 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +44% |
| SENTARA HEALTH | SENTARA HEALTH | $603.95 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $623.00 | ↑ +52% |
| AETNA | AETNA | $1,135.64 | ↑ +177% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,335.00 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,339.63 | ↑ +227% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,707.50 | ↑ +317% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,758.73 | ↑ +330% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,758.73 | ↑ +330% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,775.80 | ↑ +334% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,775.80 | ↑ +334% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,780.00 | ↑ +335% |
Visitor-reported prices
Comments
Complx repair enel addl 5cm/< 13153 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $93.61 | $98.00 – $110.70 |
| Johnson City Medical Center | JOHNSON CITY | $417.00 | $136.94 – $1,636.49 |
| Hancock County Hospital | SNEEDVILLE | $409.40 | $136.94 – $1,792.88 |
| Greeneville Community Hospital | GREENEVILLE | $417.00 | $136.94 – $1,707.50 |
| Bristol Regional Medical Center | BRISTOL | $417.00 | $136.94 – $1,630.78 |
| Franklin Woods Community Hospital | JOHNSON CITY | $417.00 | $136.94 – $1,775.80 |
| Holston Valley Medical Center | KINGSPORT | $417.00 | $136.94 – $1,630.78 |
| 62-0123940 BMH Collierville | Collierville | $133.98 | $110.70 – $110.70 |