Graft impl ult thck 6x12cm -cost per sq cm at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$40,207.12
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.
$174,813.58
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.
$28.41 with UNITED HEALTHCARE vs $425.21 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 | $28.41 | ↓ -100% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $32.58 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $54.75 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $68.03 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA PPO | $72.80 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA HMO | $77.78 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $77.78 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $84.19 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $88.44 | ↓ -100% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $123.31 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $123.31 | ↓ -100% |
| WELLCARE | WELLCARE MEDICARE | $123.31 | ↓ -100% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $123.31 | ↓ -100% |
| AETNA | AETNA HEALTHCARE MEDICARE | $123.31 | ↓ -100% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $123.31 | ↓ -100% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $123.31 | ↓ -100% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $123.31 | ↓ -100% |
| SENTARA HEALTH | SENTARA MEDICARE | $123.31 | ↓ -100% |
| HUMANA | HUMANA MEDICARE | $125.28 | ↓ -100% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $127.01 | ↓ -100% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $128.24 | ↓ -100% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $129.48 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $129.48 | ↓ -100% |
| NHC ADVANTAGE | NHC ADVANTAGE | $129.48 | ↓ -100% |
| AMBETTER | AMBETTER | $136.07 | ↓ -100% |
| SENTARA HEALTH | SENTARA HEALTH | $144.27 | ↓ -100% |
| MEDCOST | MEDCOST VHN | $148.82 | ↓ -100% |
| AETNA | AETNA | $271.28 | ↓ -99% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $318.91 | ↓ -99% |
| BLUE CROSS | BLUE CROSS MEDICARE | $320.01 | ↓ -99% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $425.21 | ↓ -99% |
Visitor-reported prices
Comments
Graft impl ult thck 6x12cm -cost per sq cm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $26,222.04 | $28.41 – $253.15 |
| Hancock County Hospital | SNEEDVILLE | $40,207.12 | $15.79 – $54.75 |
| Greeneville Community Hospital | GREENEVILLE | $26,222.04 | $11.37 – $253.15 |
| Bristol Regional Medical Center | BRISTOL | $26,222.04 | $18.94 – $257.36 |
| Franklin Woods Community Hospital | JOHNSON CITY | $26,222.04 | $28.41 – $246.32 |
| Holston Valley Medical Center | KINGSPORT | $26,222.04 | $18.94 – $257.36 |
| Indian Path Community Hospital | KINGSPORT | $26,222.04 | $28.41 – $270.97 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $26,222.04 | $15.79 – $246.13 |