Passy muir valve metal trach at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$1,046.49
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.
$4,549.97
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.
$122.13 with UNITED HEALTHCARE vs $763.31 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 | UHC HERITAGE SELECT | $122.13 | ↓ -88% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $151.14 | ↓ -86% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $158.77 | ↓ -85% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $221.36 | ↓ -79% |
| AETNA | AETNA HEALTHCARE MEDICARE | $221.36 | ↓ -79% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $221.36 | ↓ -79% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $221.36 | ↓ -79% |
| WELLCARE | WELLCARE MEDICARE | $221.36 | ↓ -79% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $221.36 | ↓ -79% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $221.36 | ↓ -79% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $221.36 | ↓ -79% |
| SENTARA HEALTH | SENTARA MEDICARE | $221.36 | ↓ -79% |
| HUMANA | HUMANA MEDICARE | $224.90 | ↓ -79% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $228.00 | ↓ -78% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $230.21 | ↓ -78% |
| NHC ADVANTAGE | NHC ADVANTAGE | $232.43 | ↓ -78% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $232.43 | ↓ -78% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $232.43 | ↓ -78% |
| AMBETTER | AMBETTER | $244.26 | ↓ -77% |
| SENTARA HEALTH | SENTARA HEALTH | $258.99 | ↓ -75% |
| MEDCOST | MEDCOST VHN | $267.16 | ↓ -74% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $269.45 | ↓ -74% |
| CIGNA HEALTHCARE | CIGNA HMO | $269.45 | ↓ -74% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $305.32 | ↓ -71% |
| CIGNA HEALTHCARE | CIGNA PPO | $342.73 | ↓ -67% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $381.66 | ↓ -64% |
| AETNA | AETNA | $486.99 | ↓ -53% |
| AMERIGROUP | AMERIGROUP | $502.06 | ↓ -52% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $572.48 | ↓ -45% |
| BLUE CROSS | BLUE CROSS MEDICARE | $574.47 | ↓ -45% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $763.31 | ↓ -27% |
Visitor-reported prices
Comments
Passy muir valve metal trach at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $682.50 | $233.54 – $509.11 |
| Hancock County Hospital | SNEEDVILLE | $1,046.49 | $179.42 – $496.13 |
| Greeneville Community Hospital | GREENEVILLE | $682.50 | $187.06 – $438.48 |
| Bristol Regional Medical Center | BRISTOL | $682.50 | $179.42 – $438.48 |
| Franklin Woods Community Hospital | JOHNSON CITY | $682.50 | $219.52 – $509.11 |
| Holston Valley Medical Center | KINGSPORT | $682.50 | $179.42 – $438.48 |
| Indian Path Community Hospital | KINGSPORT | $682.50 | $179.42 – $509.11 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $682.50 | $179.42 – $438.48 |