Exc tr-ext mal+marg tal >4 cm 11606 at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$601.68
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.
$2,616.00
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.
$758.64 with AMERIGROUP vs $2,616.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $758.64 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $758.64 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $758.64 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $758.64 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $758.64 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $758.64 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $758.64 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $758.64 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $758.64 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $770.78 | ↑ +28% |
| BLUE CROSS | TENNCARE BLUE SELECT | $775.00 | ↑ +29% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↑ +29% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $781.40 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $788.99 | ↑ +31% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $796.57 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $796.57 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $796.57 | ↑ +32% |
| AMBETTER | AMBETTER | $837.12 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $887.61 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $915.60 | ↑ +52% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $948.00 | ↑ +58% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,107.00 | ↑ +84% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↑ +169% |
| AETNA | AETNA | $1,669.01 | ↑ +177% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,695.00 | ↑ +182% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,695.00 | ↑ +182% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,850.00 | ↑ +207% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,882.00 | ↑ +213% |
| AMERIGROUP | AMERIGROUP | $1,918.87 | ↑ +219% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,956.00 | ↑ +225% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,962.00 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,968.80 | ↑ +227% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↑ +298% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,469.00 | ↑ +310% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,476.42 | ↑ +312% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,521.00 | ↑ +319% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,521.00 | ↑ +319% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,550.71 | ↑ +324% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,550.71 | ↑ +324% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,575.48 | ↑ +328% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,575.48 | ↑ +328% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,616.00 | ↑ +335% |
Visitor-reported prices
Comments
Exc tr-ext mal+marg tal >4 cm 11606 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,334.37 | $901.60 – $3,155.60 |
| 62-1166050 BMH Carroll County | Huntingdon | $948.98 | $1,287.14 – $2,958.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,906.89 | $946.68 – $3,155.60 |
| Johnson City Medical Center | JOHNSON CITY | $613.05 | $1,280.49 – $3,359.76 |
| Hancock County Hospital | SNEEDVILLE | $601.68 | $1,896.23 – $2,600.24 |
| Greeneville Community Hospital | GREENEVILLE | $613.05 | $1,145.05 – $3,359.76 |
| Bristol Regional Medical Center | BRISTOL | $613.05 | $1,566.79 – $3,760.30 |
| Franklin Woods Community Hospital | JOHNSON CITY | $613.05 | $1,126.11 – $3,269.05 |