Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$75.67
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.
$329.00
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.
$45.44 with BLUE CROSS vs $305.00 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $45.44 | ↓ -40% |
| BLUE CROSS | TENNCARE BLUE SELECT | $45.92 | ↓ -39% |
| BLUE CROSS | TENNCARE BLUE CARE | $45.92 | ↓ -39% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $46.00 | ↓ -39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $88.45 | ↑ +17% |
| WELLCARE | WELLCARE MEDICARE | $88.45 | ↑ +17% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $88.45 | ↑ +17% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $88.45 | ↑ +17% |
| AETNA | AETNA HEALTHCARE MEDICARE | $88.45 | ↑ +17% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $88.45 | ↑ +17% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $88.45 | ↑ +17% |
| SENTARA HEALTH | SENTARA MEDICARE | $88.45 | ↑ +17% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $88.45 | ↑ +17% |
| HUMANA | HUMANA MEDICARE | $89.87 | ↑ +19% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $91.10 | ↑ +20% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $91.99 | ↑ +22% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $92.87 | ↑ +23% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $92.87 | ↑ +23% |
| NHC ADVANTAGE | NHC ADVANTAGE | $92.87 | ↑ +23% |
| AMBETTER | AMBETTER | $97.60 | ↑ +29% |
| SENTARA HEALTH | SENTARA HEALTH | $103.49 | ↑ +37% |
| MEDCOST | MEDCOST VHN | $106.75 | ↑ +41% |
| CIGNA HEALTHCARE | CIGNA HMO | $118.65 | ↑ +57% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $118.65 | ↑ +57% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $128.64 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $141.52 | ↑ +87% |
| CIGNA HEALTHCARE | CIGNA PPO | $147.32 | ↑ +95% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $154.30 | ↑ +104% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $154.30 | ↑ +104% |
| AMERIGROUP | AMERIGROUP | $159.26 | ↑ +110% |
| AETNA | AETNA | $194.59 | ↑ +157% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $228.75 | ↑ +202% |
| BLUE CROSS | BLUE CROSS MEDICARE | $229.54 | ↑ +203% |
| BLUE CROSS | BLUE CROSS P NETWORK | $236.88 | ↑ +213% |
| BLUE CROSS | BLUE CROSS S NETWORK | $236.88 | ↑ +213% |
| BLUE CROSS | BLUE CROSS E NETWORK | $236.88 | ↑ +213% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $261.60 | ↑ +246% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $269.45 | ↑ +256% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $269.45 | ↑ +256% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $272.06 | ↑ +260% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $272.07 | ↑ +260% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $305.00 | ↑ +303% |
Visitor-reported prices
Comments
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $76.89 | $39.59 – $266.41 |
| CHI Memorial Hospital Hixson | Hixson | $215.20 | $58.92 – $508.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $180.09 | $39.59 – $362.88 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $307.53 | $58.92 – $508.90 |
| Johnson City Medical Center | JOHNSON CITY | $76.95 | $44.00 – $241.08 |
| Ascension Saint Thomas DeKalb | Smithville | $61.97 | $39.59 – $262.57 |
| Ascension Saint Thomas Highlands | Sparta | $61.97 | $39.59 – $262.57 |
| Ascension Saint Thomas River Park | McMinnville | $59.03 | $59.15 – $262.57 |