Mayo estriol at Johnson County Community Hospital

1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$41.63

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$181.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$15.06 with OPTIMA HEALTH vs $181.00 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 →

Payer
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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
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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
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $15.06 ↓ -64%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $15.51 ↓ -63%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $15.51 ↓ -63%
AETNA AETNA BETTER HEALTH OF VIRGINIA $15.66 ↓ -62%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $15.66 ↓ -62%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $24.18 ↓ -42%
UNITED HEALTHCARE UHC HERITAGE SELECT $24.18 ↓ -42%
UNITED HEALTHCARE UNITED HEALTHCARE $24.18 ↓ -42%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $30.83 ↓ -26%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $46.20 ↑ +11%
AMERIGROUP AMERIGROUP $50.60 ↑ +22%
ALLCARE MEDICARE ALLCARE MEDICARE $52.49 ↑ +26%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $52.49 ↑ +26%
WELLCARE WELLCARE MEDICARE $52.49 ↑ +26%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $52.49 ↑ +26%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $52.49 ↑ +26%
AETNA AETNA HEALTHCARE MEDICARE $52.49 ↑ +26%
SENTARA HEALTH SENTARA MEDICARE $52.49 ↑ +26%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $52.49 ↑ +26%
MANAGED MEDICAIRE MANAGED MEDICAIRE $52.49 ↑ +26%
HUMANA HUMANA MEDICARE $53.33 ↑ +28%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $53.41 ↑ +28%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $54.06 ↑ +30%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $54.59 ↑ +31%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $55.11 ↑ +32%
NHC ADVANTAGE NHC ADVANTAGE $55.11 ↑ +32%
CIGNA HEALTHCARE CIGNA MEDICARE $55.11 ↑ +32%
AMBETTER AMBETTER $57.92 ↑ +39%
BLUE CROSS TENNCARE BLUE SELECT $61.16 ↑ +47%
BLUE CROSS TENNCARE BLUE CARE $61.16 ↑ +47%
SENTARA HEALTH SENTARA HEALTH $61.41 ↑ +48%
MEDCOST MEDCOST VHN $63.35 ↑ +52%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $95.70 ↑ +130%
CIGNA HEALTHCARE CIGNA PPO $95.70 ↑ +130%
CIGNA HEALTHCARE CIGNA HMO $95.70 ↑ +130%
AETNA AETNA $115.48 ↑ +177%
BLUE CROSS BLUE CROSS E NETWORK $134.93 ↑ +224%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $135.75 ↑ +226%
BLUE CROSS BLUE CROSS MEDICARE $136.22 ↑ +227%
BLUE CROSS BLUE CROSS P NETWORK $137.57 ↑ +230%
BLUE CROSS BLUE CROSS S NETWORK $137.57 ↑ +230%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $181.00 ↑ +335%

Visitor-reported prices

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Mayo estriol at other Tennessee hospitals

Hospital City Cash price Negotiated range
Johnson City Medical Center JOHNSON CITY $42.30 $12.09 – $52.71
Ascension Saint Thomas DeKalb Smithville $85.85 $16.96 – $93.68
Ascension Saint Thomas Highlands Sparta $85.85 $16.96 – $93.68
Ascension Saint Thomas River Park McMinnville $85.85 $16.96 – $100.17
Ascension Saint Thomas Rutherford Murfreesboro $85.85 $21.76 – $93.68
Hancock County Hospital SNEEDVILLE $41.63 $15.51 – $53.41
Greeneville Community Hospital GREENEVILLE $42.30 $10.88 – $52.71
Bristol Regional Medical Center BRISTOL $42.30 $12.09 – $58.03

All Tennessee hospitals for this procedure →