Mycophenolate mofetil 250 mg capsule at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$0.91
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.
$3.96
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.
$0.28 with CIGNA HEALTHCARE vs $3.96 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $0.28 | ↓ -69% |
| CIGNA HEALTHCARE | CIGNA PPO | $0.37 | ↓ -59% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $0.40 | ↓ -56% |
| CIGNA HEALTHCARE | CIGNA HMO | $0.40 | ↓ -56% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1.15 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1.15 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $1.15 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1.15 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1.15 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1.15 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1.15 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $1.15 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1.15 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $1.17 | ↑ +29% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1.18 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1.20 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1.21 | ↑ +33% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1.21 | ↑ +33% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1.21 | ↑ +33% |
| AMBETTER | AMBETTER | $1.27 | ↑ +40% |
| SENTARA HEALTH | SENTARA HEALTH | $1.34 | ↑ +47% |
| MEDCOST | MEDCOST VHN | $1.39 | ↑ +53% |
| AETNA | AETNA | $2.53 | ↑ +178% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2.79 | ↑ +207% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2.97 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2.98 | ↑ +227% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3.96 | ↑ +335% |
Visitor-reported prices
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Mycophenolate mofetil 250 mg capsule at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $7.11 | $0.20 – $0.90 |
| CHI Memorial Hospital Hixson | Hixson | $29.86 | $0.09 – $0.30 |
| 62-1166050 BMH Carroll County | Huntingdon | $200.56 | $0.18 – $0.23 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $42.66 | $0.09 – $0.30 |
| Johnson City Medical Center | JOHNSON CITY | $1.52 | $0.28 – $1.30 |
| Ascension Saint Thomas DeKalb | Smithville | $7.11 | $0.20 – $0.34 |
| Ascension Saint Thomas Highlands | Sparta | $7.11 | $0.20 – $0.34 |
| Ascension Saint Thomas River Park | McMinnville | $7.11 | $0.20 – $0.34 |