Dmd dup/delet analysis at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$215.05
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.
$935.00
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.
$126.13 with UNITED HEALTHCARE vs $935.00 with BLUE CROSS — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $126.13 | ↓ -41% |
| BLUE CROSS | TENNCARE BLUE CARE | $132.99 | ↓ -38% |
| BLUE CROSS | TENNCARE BLUE SELECT | $132.99 | ↓ -38% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $181.79 | ↓ -15% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $187.25 | ↓ -13% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $187.25 | ↓ -13% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $189.06 | ↓ -12% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $189.06 | ↓ -12% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $271.15 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $271.15 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $271.15 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $271.15 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $271.15 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $271.15 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $271.15 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $271.15 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $271.15 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $275.49 | ↑ +28% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $279.00 | ↑ +30% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $279.00 | ↑ +30% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $279.00 | ↑ +30% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $279.28 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $282.00 | ↑ +31% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $284.71 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $284.71 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $284.71 | ↑ +32% |
| AMBETTER | AMBETTER | $299.20 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $317.25 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $327.25 | ↑ +52% |
| CIGNA HEALTHCARE | CIGNA HMO | $363.72 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $363.72 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA PPO | $451.61 | ↑ +110% |
| AMERIGROUP | AMERIGROUP | $472.91 | ↑ +120% |
| AETNA | AETNA | $596.53 | ↑ +177% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $614.96 | ↑ +186% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $654.50 | ↑ +204% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $701.25 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $703.68 | ↑ +227% |
| BLUE CROSS | BLUE CROSS E NETWORK | $935.00 | ↑ +335% |
| BLUE CROSS | BLUE CROSS S NETWORK | $935.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $935.00 | ↑ +335% |
| BLUE CROSS | BLUE CROSS P NETWORK | $935.00 | ↑ +335% |
Visitor-reported prices
Comments
Dmd dup/delet analysis at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $219.15 | $126.13 – $608.22 |
| Hancock County Hospital | SNEEDVILLE | $215.05 | $70.07 – $614.96 |
| Greeneville Community Hospital | GREENEVILLE | $219.15 | $50.45 – $608.22 |
| Bristol Regional Medical Center | BRISTOL | $219.15 | $84.08 – $669.60 |
| Franklin Woods Community Hospital | JOHNSON CITY | $219.15 | $126.13 – $608.22 |
| Holston Valley Medical Center | KINGSPORT | $219.15 | $84.08 – $669.60 |
| Indian Path Community Hospital | KINGSPORT | $219.15 | $126.13 – $669.60 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $219.15 | $70.07 – $608.22 |