Shoulder X-ray at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$75.21
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.
$327.00
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.
$18.91 with BLUE CROSS vs $311.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $18.91 | ↓ -75% |
| BLUE CROSS | TENNCARE BLUE SELECT | $18.91 | ↓ -75% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $31.58 | ↓ -58% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $40.32 | ↓ -46% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $48.61 | ↓ -35% |
| CIGNA HEALTHCARE | CIGNA PPO | $60.25 | ↓ -20% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $60.25 | ↓ -20% |
| CIGNA HEALTHCARE | CIGNA HMO | $60.25 | ↓ -20% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $76.55 | ↑ +2% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $78.85 | ↑ +5% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $78.85 | ↑ +5% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $79.61 | ↑ +6% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $79.61 | ↑ +6% |
| BLUE CROSS | BLUE CROSS E NETWORK | $87.61 | ↑ +16% |
| AMERIGROUP | AMERIGROUP | $88.43 | ↑ +18% |
| BLUE CROSS | BLUE CROSS S NETWORK | $89.33 | ↑ +19% |
| BLUE CROSS | BLUE CROSS P NETWORK | $89.33 | ↑ +19% |
| AETNA | AETNA HEALTHCARE MEDICARE | $90.19 | ↑ +20% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $90.19 | ↑ +20% |
| WELLCARE | WELLCARE MEDICARE | $90.19 | ↑ +20% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $90.19 | ↑ +20% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $90.19 | ↑ +20% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $90.19 | ↑ +20% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $90.19 | ↑ +20% |
| SENTARA HEALTH | SENTARA MEDICARE | $90.19 | ↑ +20% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $90.19 | ↑ +20% |
| HUMANA | HUMANA MEDICARE | $91.63 | ↑ +22% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $92.90 | ↑ +24% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $93.80 | ↑ +25% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $94.70 | ↑ +26% |
| NHC ADVANTAGE | NHC ADVANTAGE | $94.70 | ↑ +26% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $94.70 | ↑ +26% |
| AMBETTER | AMBETTER | $99.52 | ↑ +32% |
| SENTARA HEALTH | SENTARA HEALTH | $105.52 | ↑ +40% |
| MEDCOST | MEDCOST VHN | $108.85 | ↑ +45% |
| AETNA | AETNA | $198.42 | ↑ +164% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $233.25 | ↑ +210% |
| BLUE CROSS | BLUE CROSS MEDICARE | $234.06 | ↑ +211% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $311.00 | ↑ +314% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $311.00 | ↑ +314% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $311.00 | ↑ +314% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $311.00 | ↑ +314% |
Visitor-reported prices
Comments
Shoulder X-ray at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $94.07 | $16.30 – $127.70 |
| CHI Memorial Hospital Hixson | Hixson | $268.77 | $24.26 – $635.60 |
| 62-1166050 BMH Carroll County | Huntingdon | $112.24 | $16.30 – $160.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $384.09 | $24.26 – $635.60 |
| Johnson City Medical Center | JOHNSON CITY | $76.35 | $18.91 – $177.03 |
| Ascension Saint Thomas DeKalb | Smithville | $150.29 | $16.30 – $127.70 |
| Ascension Saint Thomas Highlands | Sparta | $150.29 | $16.30 – $127.70 |
| Ascension Saint Thomas River Park | McMinnville | $143.13 | $22.18 – $127.70 |