Debride/rmv fb/open fx/skin/sq/musc11011 at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$289.11
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.
$1,257.00
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.
$340.70 with UNITED HEALTHCARE vs $1,257.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $340.70 | ↑ +18% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $364.53 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $364.53 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $364.53 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $364.53 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $364.53 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $364.53 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $364.53 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $364.53 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $364.53 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $370.36 | ↑ +28% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $370.73 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $375.47 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $379.11 | ↑ +31% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $382.76 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $382.76 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $382.76 | ↑ +32% |
| AMBETTER | AMBETTER | $402.24 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $426.50 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $439.95 | ↑ +52% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $488.97 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA HMO | $488.97 | ↑ +69% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $539.27 | ↑ +87% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $555.45 | ↑ +92% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $555.45 | ↑ +92% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $560.84 | ↑ +94% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $560.84 | ↑ +94% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $583.25 | ↑ +102% |
| CIGNA HEALTHCARE | CIGNA PPO | $598.33 | ↑ +107% |
| AETNA | AETNA | $801.97 | ↑ +177% |
| AMERIGROUP | AMERIGROUP | $815.43 | ↑ +182% |
| BLUE CROSS | BLUE CROSS E NETWORK | $905.04 | ↑ +213% |
| BLUE CROSS | BLUE CROSS S NETWORK | $905.04 | ↑ +213% |
| BLUE CROSS | BLUE CROSS P NETWORK | $905.04 | ↑ +213% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $942.75 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $946.02 | ↑ +227% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,257.00 | ↑ +335% |
Visitor-reported prices
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Debride/rmv fb/open fx/skin/sq/musc11011 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $294.75 | $340.70 – $1,440.52 |
| Hancock County Hospital | SNEEDVILLE | $289.11 | $189.28 – $805.81 |
| Greeneville Community Hospital | GREENEVILLE | $294.75 | $136.28 – $1,440.52 |
| Bristol Regional Medical Center | BRISTOL | $294.75 | $227.14 – $1,612.25 |
| Franklin Woods Community Hospital | JOHNSON CITY | $294.75 | $340.70 – $1,401.63 |
| Holston Valley Medical Center | KINGSPORT | $294.75 | $227.14 – $1,612.25 |
| Indian Path Community Hospital | KINGSPORT | $294.75 | $340.70 – $1,541.93 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $294.75 | $189.28 – $1,400.59 |