Ghs insertion of needle - bone at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$61.87
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.
$269.00
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.
$78.01 with AETNA vs $354.99 with AETNA — 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 |
|---|---|---|---|
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $78.01 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $78.01 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $78.01 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $78.01 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $78.01 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $78.01 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $78.01 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $78.01 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $78.01 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $79.26 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $80.35 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $81.13 | ↑ +31% |
| NHC ADVANTAGE | NHC ADVANTAGE | $81.91 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $81.91 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $81.91 | ↑ +32% |
| AMBETTER | AMBETTER | $86.08 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $91.27 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $94.15 | ↑ +52% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $105.48 | ↑ +70% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↑ +176% |
| AETNA | AETNA | $171.62 | ↑ +177% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $201.75 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $202.45 | ↑ +227% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $269.00 | ↑ +335% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $269.00 | ↑ +335% |
| AMERIGROUP | AMERIGROUP | $269.00 | ↑ +335% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $269.00 | ↑ +335% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $269.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $269.00 | ↑ +335% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $341.33 | ↑ +452% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $351.57 | ↑ +468% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $354.98 | ↑ +474% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $354.99 | ↑ +474% |
Visitor-reported prices
Comments
Ghs insertion of needle - bone at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $427.13 | $288.60 – $1,010.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $96.83 | $317.00 – $728.74 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $610.39 | $303.03 – $1,010.10 |
| Johnson City Medical Center | JOHNSON CITY | $63.00 | $105.48 – $908.75 |
| Ascension Saint Thomas DeKalb | Smithville | $315.50 | $45.00 – $2,225.50 |
| Ascension Saint Thomas Highlands | Sparta | $315.50 | $45.00 – $2,225.50 |
| Ascension Saint Thomas River Park | McMinnville | $315.50 | $45.00 – $2,225.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $315.50 | $45.00 – $2,225.50 |