Removal duct glbldr calculi at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$825.47
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.
$3,589.00
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.
$157.00 with UNITED HEALTHCARE vs $8,150.06 with AETNA — 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 | $157.00 | ↓ -81% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $180.00 | ↓ -78% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $193.00 | ↓ -77% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $231.00 | ↓ -72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $401.00 | ↓ -51% |
| BLUE CROSS | BLUE CROSS P NETWORK | $410.00 | ↓ -50% |
| BLUE CROSS | BLUE CROSS S NETWORK | $410.00 | ↓ -50% |
| BLUE CROSS | TENNCARE BLUE SELECT | $775.00 | ↓ -6% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↓ -6% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,040.81 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,040.81 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $1,040.81 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,040.81 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,040.81 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,040.81 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,040.81 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,040.81 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,040.81 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $1,057.46 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,072.03 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,082.44 | ↑ +31% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,092.85 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,092.85 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,092.85 | ↑ +32% |
| AMBETTER | AMBETTER | $1,148.48 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $1,217.75 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $1,256.15 | ↑ +52% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +85% |
| AETNA | AETNA | $2,289.78 | ↑ +177% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,691.75 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,701.08 | ↑ +227% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,589.00 | ↑ +335% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,589.00 | ↑ +335% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $7,836.60 | ↑ +849% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $8,071.70 | ↑ +878% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $8,150.06 | ↑ +887% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $8,150.06 | ↑ +887% |
Visitor-reported prices
Comments
Removal duct glbldr calculi at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $2,808.30 | $2,118.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $254.27 | $171.80 – $601.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $363.36 | $180.39 – $601.30 |
| Johnson City Medical Center | JOHNSON CITY | $841.05 | $5,607.00 – $7,510.70 |
| Hancock County Hospital | SNEEDVILLE | $825.47 | $3,589.00 – $8,228.43 |
| Greeneville Community Hospital | GREENEVILLE | $841.05 | $7,836.60 – $7,836.60 |
| Bristol Regional Medical Center | BRISTOL | $841.05 | $5,607.00 – $7,484.46 |
| Franklin Woods Community Hospital | JOHNSON CITY | $841.05 | $7,836.60 – $8,150.06 |