Epidrm agrft t/a/l 1st 100 at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$694.83
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.
$3,021.00
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.
$387.11 with UNITED HEALTHCARE vs $3,021.00 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 | $387.11 | ↓ -44% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $747.79 | ↑ +8% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $876.09 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $876.09 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $876.09 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $876.09 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $876.09 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $876.09 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $876.09 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $876.09 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $876.09 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $890.11 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $902.37 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $911.13 | ↑ +31% |
| NHC ADVANTAGE | NHC ADVANTAGE | $919.89 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $919.89 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $919.89 | ↑ +32% |
| AMBETTER | AMBETTER | $966.72 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $1,025.03 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $1,057.35 | ↑ +52% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,175.17 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,175.17 | ↑ +69% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,181.21 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,401.74 | ↑ +102% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,416.85 | ↑ +104% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,416.85 | ↑ +104% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,438.00 | ↑ +107% |
| AETNA | AETNA | $1,927.40 | ↑ +177% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,175.12 | ↑ +213% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,175.12 | ↑ +213% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,175.12 | ↑ +213% |
| AMERIGROUP | AMERIGROUP | $2,232.60 | ↑ +221% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,265.75 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,273.60 | ↑ +227% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,667.33 | ↑ +284% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,747.35 | ↑ +295% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,747.35 | ↑ +295% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,774.02 | ↑ +299% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,774.03 | ↑ +299% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,021.00 | ↑ +335% |
Visitor-reported prices
Comments
Epidrm agrft t/a/l 1st 100 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $708.15 | $387.11 – $4,197.23 |
| Greeneville Community Hospital | GREENEVILLE | $708.15 | $154.84 – $4,197.23 |
| Bristol Regional Medical Center | BRISTOL | $708.15 | $258.07 – $4,697.60 |
| Franklin Woods Community Hospital | JOHNSON CITY | $708.15 | $387.11 – $4,083.91 |
| Holston Valley Medical Center | KINGSPORT | $708.15 | $258.07 – $4,697.60 |
| 62-0123940 BMH Collierville | Collierville | $1,117.83 | $1,115.49 – $3,350.06 |
| Indian Path Community Hospital | KINGSPORT | $708.15 | $387.11 – $4,492.71 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $708.15 | $215.06 – $4,080.88 |