Pelvic CT scan (with and without contrast) at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$635.95
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.
$2,765.00
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.
$278.93 with BLUE CROSS vs $2,765.00 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 | TENNCARE BLUE SELECT | $278.93 | ↓ -56% |
| BLUE CROSS | TENNCARE BLUE CARE | $278.93 | ↓ -56% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $300.68 | ↓ -53% |
| AMERIGROUP | AMERIGROUP | $359.77 | ↓ -43% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $427.00 | ↓ -33% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $441.56 | ↓ -31% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $454.80 | ↓ -28% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $454.80 | ↓ -28% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $459.22 | ↓ -28% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $459.22 | ↓ -28% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $475.69 | ↓ -25% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $498.00 | ↓ -22% |
| CIGNA HEALTHCARE | CIGNA HMO | $498.00 | ↓ -22% |
| CIGNA HEALTHCARE | CIGNA PPO | $542.00 | ↓ -15% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $801.85 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $801.85 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $801.85 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $801.85 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $801.85 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $801.85 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $801.85 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $801.85 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $801.85 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $814.68 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $825.91 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $833.92 | ↑ +31% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $841.94 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $841.94 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $841.94 | ↑ +32% |
| AMBETTER | AMBETTER | $884.80 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $938.16 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $967.75 | ↑ +52% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,141.72 | ↑ +80% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,165.02 | ↑ +83% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,165.02 | ↑ +83% |
| AETNA | AETNA | $1,764.07 | ↑ +177% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,073.75 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,080.94 | ↑ +227% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,582.00 | ↑ +306% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,765.00 | ↑ +335% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,765.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,765.00 | ↑ +335% |
Visitor-reported prices
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Pelvic CT scan (with and without contrast) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $926.33 | $153.44 – $739.53 |
| CHI Memorial Hospital Hixson | Hixson | $726.68 | $176.05 – $1,718.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $900.22 | $141.42 – $325.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,038.47 | $176.05 – $1,718.50 |
| Johnson City Medical Center | JOHNSON CITY | $648.00 | $163.67 – $406.92 |
| Ascension Saint Thomas DeKalb | Smithville | $926.10 | $151.23 – $739.53 |
| Ascension Saint Thomas Highlands | Sparta | $926.10 | $151.23 – $739.53 |
| Ascension Saint Thomas River Park | McMinnville | $926.10 | $151.23 – $739.53 |