Pulm ds ipf mrna 190 gen alg at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$6,926.45
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.
?
What you pay up front if you don't use insurance.
$30,115.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,664.57 with OPTIMA HEALTH vs $30,115.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,664.57 | ↓ -62% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,744.51 | ↓ -60% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,744.51 | ↓ -60% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,771.15 | ↓ -60% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,771.15 | ↓ -60% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $4,950.00 | ↓ -29% |
| BLUE CROSS | TENNCARE BLUE SELECT | $5,183.38 | ↓ -25% |
| BLUE CROSS | TENNCARE BLUE CARE | $5,183.38 | ↓ -25% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $5,500.00 | ↓ -21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5,500.00 | ↓ -21% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5,500.00 | ↓ -21% |
| SENTARA HEALTH | SENTARA MEDICARE | $8,733.35 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $8,733.35 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $8,733.35 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $8,733.35 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $8,733.35 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $8,733.35 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $8,733.35 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $8,733.35 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $8,733.35 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $8,873.08 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $8,995.35 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $9,082.68 | ↑ +31% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $9,170.02 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $9,170.02 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $9,170.02 | ↑ +32% |
| AMBETTER | AMBETTER | $9,636.80 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $10,218.02 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $10,540.25 | ↑ +52% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $11,714.74 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA HMO | $11,714.74 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $12,123.73 | ↑ +75% |
| CIGNA HEALTHCARE | CIGNA PPO | $14,545.55 | ↑ +110% |
| AETNA | AETNA | $19,213.37 | ↑ +177% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $21,080.50 | ↑ +204% |
| BLUE CROSS | BLUE CROSS E NETWORK | $22,495.00 | ↑ +225% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $22,586.25 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $22,664.55 | ↑ +227% |
| BLUE CROSS | BLUE CROSS P NETWORK | $22,935.00 | ↑ +231% |
| BLUE CROSS | BLUE CROSS S NETWORK | $22,935.00 | ↑ +231% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $30,115.00 | ↑ +335% |
Visitor-reported prices
Comments
Pulm ds ipf mrna 190 gen alg at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $7,058.25 | $2,455.54 – $11,792.93 |
| Hancock County Hospital | SNEEDVILLE | $6,926.45 | $2,744.51 – $12,123.73 |
| Greeneville Community Hospital | GREENEVILLE | $7,058.25 | $1,980.00 – $11,792.93 |
| Bristol Regional Medical Center | BRISTOL | $7,058.25 | $2,496.37 – $12,983.04 |
| Franklin Woods Community Hospital | JOHNSON CITY | $7,058.25 | $2,664.57 – $11,792.93 |
| Holston Valley Medical Center | KINGSPORT | $7,058.25 | $2,423.66 – $12,983.04 |
| Indian Path Community Hospital | KINGSPORT | $7,058.25 | $2,344.73 – $12,983.04 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $7,058.25 | $2,704.80 – $11,792.93 |