Integra meshed bil wound mat at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$114.59
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.
$498.21
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.
$17.92 with UNITED HEALTHCARE vs $498.21 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 | $17.92 | ↓ -84% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $121.11 | ↑ +6% |
| WELLCARE | WELLCARE MEDICARE | $144.48 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $144.48 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $144.48 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $144.48 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $144.48 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $144.48 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $144.48 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $144.48 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $144.48 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $146.79 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $148.81 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $150.26 | ↑ +31% |
| NHC ADVANTAGE | NHC ADVANTAGE | $151.70 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $151.70 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $151.70 | ↑ +32% |
| AMBETTER | AMBETTER | $159.43 | ↑ +39% |
| CIGNA HEALTHCARE | CIGNA PPO | $161.02 | ↑ +41% |
| SENTARA HEALTH | SENTARA HEALTH | $169.04 | ↑ +48% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $172.03 | ↑ +50% |
| CIGNA HEALTHCARE | CIGNA HMO | $172.03 | ↑ +50% |
| MEDCOST | MEDCOST VHN | $174.37 | ↑ +52% |
| AETNA | AETNA | $317.86 | ↑ +177% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $348.75 | ↑ +204% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $373.66 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $374.95 | ↑ +227% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $498.21 | ↑ +335% |
Visitor-reported prices
Comments
Integra meshed bil wound mat at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| STONECREST MEDICAL CENTER | Smyrna | $696.00 | $90.24 – $336.92 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $90.24 – $336.92 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $90.24 – $336.92 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $90.24 – $336.92 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | not published | $90.24 – $336.92 |
| SKYLINE MADISON CAMPUS | NASHVILLE | not published | $90.24 – $336.92 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | not published | $90.24 – $336.92 |
| SUMMIT MEDICAL CENTER | MT JULIET | not published | $90.24 – $336.92 |