Screening Mammogram at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$72.68
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.
$316.00
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.
$32.25 with OPTIMA HEALTH vs $301.00 with BLUE CROSS — 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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $32.25 | ↓ -56% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $33.22 | ↓ -54% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $33.22 | ↓ -54% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $33.54 | ↓ -54% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $33.54 | ↓ -54% |
| AETNA | AETNA HEALTHCARE MEDICARE | $82.76 | ↑ +14% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $82.76 | ↑ +14% |
| WELLCARE | WELLCARE MEDICARE | $82.76 | ↑ +14% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $82.76 | ↑ +14% |
| AMBETTER | AMBETTER | $82.76 | ↑ +14% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $82.76 | ↑ +14% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $82.76 | ↑ +14% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $82.76 | ↑ +14% |
| SENTARA HEALTH | SENTARA MEDICARE | $82.76 | ↑ +14% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $82.76 | ↑ +14% |
| HUMANA | HUMANA MEDICARE | $84.08 | ↑ +16% |
| BLUE CROSS | TENNCARE BLUE CARE | $85.10 | ↑ +17% |
| BLUE CROSS | TENNCARE BLUE SELECT | $85.10 | ↑ +17% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $85.24 | ↑ +17% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $86.07 | ↑ +18% |
| NHC ADVANTAGE | NHC ADVANTAGE | $86.90 | ↑ +20% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $86.90 | ↑ +20% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $86.90 | ↑ +20% |
| BLUE CROSS | BLUE CROSS MEDICARE | $87.73 | ↑ +21% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $91.37 | ↑ +26% |
| SENTARA HEALTH | SENTARA HEALTH | $102.13 | ↑ +41% |
| MEDCOST | MEDCOST VHN | $105.35 | ↑ +45% |
| CIGNA HEALTHCARE | CIGNA HMO | $117.09 | ↑ +61% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $117.09 | ↑ +61% |
| AMERIGROUP | AMERIGROUP | $140.28 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $173.25 | ↑ +138% |
| AETNA | AETNA | $192.04 | ↑ +164% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $210.70 | ↑ +190% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $225.75 | ↑ +211% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $255.00 | ↑ +251% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $290.00 | ↑ +299% |
| BLUE CROSS | BLUE CROSS S NETWORK | $301.00 | ↑ +314% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $301.00 | ↑ +314% |
| BLUE CROSS | BLUE CROSS P NETWORK | $301.00 | ↑ +314% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $301.00 | ↑ +314% |
| BLUE CROSS | BLUE CROSS E NETWORK | $301.00 | ↑ +314% |
Visitor-reported prices
Comments
Screening Mammogram at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $189.54 | $72.15 – $263.95 |
| CHI Memorial Hospital Hixson | Hixson | $98.28 | $66.27 – $232.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $109.25 | $73.36 – $106.14 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $140.44 | $66.27 – $232.40 |
| Johnson City Medical Center | JOHNSON CITY | $74.10 | $29.72 – $180.42 |
| Ascension Saint Thomas DeKalb | Smithville | $189.54 | $72.15 – $263.95 |
| Ascension Saint Thomas Highlands | Sparta | $189.54 | $72.15 – $263.95 |
| Ascension Saint Thomas River Park | McMinnville | $189.54 | $72.15 – $263.95 |