Shoulder MRI (with and without contrast) at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$656.19
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.
$2,853.00
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.
$480.63 with UNITED HEALTHCARE vs $2,762.00 with UNITED HEALTHCARE — 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 | TENNCARE UNITED HEALTHCARE | $480.63 | ↓ -27% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $555.00 | ↓ -15% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $571.65 | ↓ -13% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $571.65 | ↓ -13% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $577.20 | ↓ -12% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $577.20 | ↓ -12% |
| AMERIGROUP | AMERIGROUP | $649.58 | ↓ -1% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $786.00 | ↑ +20% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $800.98 | ↑ +22% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $800.98 | ↑ +22% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $800.98 | ↑ +22% |
| SENTARA HEALTH | SENTARA MEDICARE | $800.98 | ↑ +22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $800.98 | ↑ +22% |
| WELLCARE | WELLCARE MEDICARE | $800.98 | ↑ +22% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $800.98 | ↑ +22% |
| AETNA | AETNA HEALTHCARE MEDICARE | $800.98 | ↑ +22% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $800.98 | ↑ +22% |
| HUMANA | HUMANA MEDICARE | $813.80 | ↑ +24% |
| BLUE CROSS | TENNCARE BLUE SELECT | $816.28 | ↑ +24% |
| BLUE CROSS | TENNCARE BLUE CARE | $816.28 | ↑ +24% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $825.01 | ↑ +26% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $833.02 | ↑ +27% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $841.03 | ↑ +28% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $841.03 | ↑ +28% |
| NHC ADVANTAGE | NHC ADVANTAGE | $841.03 | ↑ +28% |
| AMBETTER | AMBETTER | $883.84 | ↑ +35% |
| CIGNA HEALTHCARE | CIGNA HMO | $923.00 | ↑ +41% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $923.00 | ↑ +41% |
| SENTARA HEALTH | SENTARA HEALTH | $937.15 | ↑ +43% |
| MEDCOST | MEDCOST VHN | $966.70 | ↑ +47% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,025.00 | ↑ +56% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,673.39 | ↑ +155% |
| AETNA | AETNA | $1,762.16 | ↑ +169% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,000.43 | ↑ +205% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,041.26 | ↑ +211% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,041.26 | ↑ +211% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,071.50 | ↑ +216% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,078.68 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,762.00 | ↑ +321% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,762.00 | ↑ +321% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,762.00 | ↑ +321% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,762.00 | ↑ +321% |
Visitor-reported prices
Comments
Shoulder MRI (with and without contrast) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,138.83 | $307.82 – $1,351.33 |
| CHI Memorial Hospital Hixson | Hixson | $1,560.52 | $315.33 – $3,690.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,109.52 | $283.71 – $652.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,230.06 | $315.33 – $3,690.40 |
| Johnson City Medical Center | JOHNSON CITY | $668.55 | $325.55 – $709.70 |
| Ascension Saint Thomas DeKalb | Smithville | $1,195.80 | $264.35 – $1,351.33 |
| Ascension Saint Thomas Highlands | Sparta | $1,138.83 | $264.35 – $1,351.33 |
| Ascension Saint Thomas River Park | McMinnville | $1,138.83 | $264.35 – $1,351.33 |