I&d abscss rtrphryngl/paraphryngl intraorl apprch at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$1,301.34
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.
$5,658.00
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.
$360.21 with BLUE CROSS vs $5,658.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $360.21 | ↓ -72% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,140.17 | ↓ -12% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,640.82 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,640.82 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,640.82 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,640.82 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,640.82 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $1,640.82 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,640.82 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,640.82 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,640.82 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $1,667.07 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,690.04 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,706.45 | ↑ +31% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,722.86 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,722.86 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,722.86 | ↑ +32% |
| AMBETTER | AMBETTER | $1,810.56 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $1,919.76 | ↑ +48% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,958.40 | ↑ +50% |
| MEDCOST | MEDCOST VHN | $1,980.30 | ↑ +52% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,017.15 | ↑ +55% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,017.15 | ↑ +55% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,036.73 | ↑ +57% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,036.74 | ↑ +57% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,200.96 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,200.96 | ↑ +69% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,212.28 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,625.31 | ↑ +102% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,653.60 | ↑ +104% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,653.60 | ↑ +104% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,732.81 | ↑ +110% |
| AMERIGROUP | AMERIGROUP | $3,130.28 | ↑ +141% |
| AETNA | AETNA | $3,609.80 | ↑ +177% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4,073.76 | ↑ +213% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,073.76 | ↑ +213% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,073.76 | ↑ +213% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,243.50 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $4,258.21 | ↑ +227% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $5,658.00 | ↑ +335% |
Visitor-reported prices
Comments
I&d abscss rtrphryngl/paraphryngl intraorl apprch at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $1,326.15 | $360.21 – $6,744.48 |
| Hancock County Hospital | SNEEDVILLE | $1,301.34 | $360.21 – $3,093.34 |
| Greeneville Community Hospital | GREENEVILLE | $1,326.15 | $360.21 – $6,744.48 |
| Bristol Regional Medical Center | BRISTOL | $1,326.15 | $360.21 – $7,548.52 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,326.15 | $360.21 – $6,562.38 |
| Holston Valley Medical Center | KINGSPORT | $1,326.15 | $360.21 – $7,548.52 |
| Indian Path Community Hospital | KINGSPORT | $1,326.15 | $360.21 – $7,219.28 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,326.15 | $360.21 – $6,557.51 |