Hepatobiliary system imaging at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$443.90
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.
$1,930.00
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.
$247.95 with BLUE CROSS vs $1,930.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $247.95 | ↓ -44% |
| BLUE CROSS | TENNCARE BLUE SELECT | $247.95 | ↓ -44% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $264.02 | ↓ -41% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $491.70 | ↑ +11% |
| AMERIGROUP | AMERIGROUP | $497.41 | ↑ +12% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $508.23 | ↑ +14% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $523.48 | ↑ +18% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $523.48 | ↑ +18% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $528.56 | ↑ +19% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $528.56 | ↑ +19% |
| SENTARA HEALTH | SENTARA MEDICARE | $559.70 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $559.70 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $559.70 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $559.70 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $559.70 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $559.70 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $559.70 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $559.70 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $559.70 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $568.66 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $576.49 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $582.09 | ↑ +31% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $587.69 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $587.69 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $587.69 | ↑ +32% |
| AMBETTER | AMBETTER | $617.60 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $654.85 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $675.50 | ↑ +52% |
| CIGNA HEALTHCARE | CIGNA PPO | $787.63 | ↑ +77% |
| CIGNA HEALTHCARE | CIGNA HMO | $787.63 | ↑ +77% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $787.63 | ↑ +77% |
| AETNA | AETNA | $1,231.34 | ↑ +177% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,234.54 | ↑ +178% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,258.85 | ↑ +184% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,258.85 | ↑ +184% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,351.00 | ↑ +204% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,447.50 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,452.52 | ↑ +227% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,930.00 | ↑ +335% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,930.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,930.00 | ↑ +335% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,930.00 | ↑ +335% |
Visitor-reported prices
Comments
Hepatobiliary system imaging at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $647.19 | $213.75 – $811.16 |
| CHI Memorial Hospital Hixson | Hixson | $823.18 | $243.51 – $1,946.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $507.38 | $213.75 – $733.84 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,176.37 | $243.51 – $1,946.70 |
| Johnson City Medical Center | JOHNSON CITY | $452.25 | $247.95 – $813.24 |
| Ascension Saint Thomas DeKalb | Smithville | $906.38 | $145.21 – $811.16 |
| Ascension Saint Thomas Highlands | Sparta | $906.38 | $145.21 – $811.16 |
| Ascension Saint Thomas River Park | McMinnville | $906.36 | $145.21 – $811.16 |