Tc-99m mebrofenin at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$51.52
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.
$224.00
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.
$45.82 with UNITED MINE WORKERS OF AMERICA vs $158.00 with SEVEN CORNERS, INC. — 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 MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $45.82 | ↓ -11% |
| WELLCARE | WELLCARE MEDICARE | $45.82 | ↓ -11% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $45.82 | ↓ -11% |
| AETNA | AETNA HEALTHCARE MEDICARE | $45.82 | ↓ -11% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $45.82 | ↓ -11% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $45.82 | ↓ -11% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $45.82 | ↓ -11% |
| SENTARA HEALTH | SENTARA MEDICARE | $45.82 | ↓ -11% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $45.82 | ↓ -11% |
| HUMANA | HUMANA MEDICARE | $46.55 | ↓ -10% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $47.19 | ↓ -8% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $47.65 | ↓ -8% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $48.11 | ↓ -7% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $48.11 | ↓ -7% |
| NHC ADVANTAGE | NHC ADVANTAGE | $48.11 | ↓ -7% |
| AMBETTER | AMBETTER | $50.56 | ↓ -2% |
| SENTARA HEALTH | SENTARA HEALTH | $53.61 | ↑ +4% |
| MEDCOST | MEDCOST VHN | $55.30 | ↑ +7% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $61.46 | ↑ +19% |
| CIGNA HEALTHCARE | CIGNA HMO | $61.46 | ↑ +19% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $63.59 | ↑ +23% |
| BLUE CROSS | TENNCARE BLUE CARE | $73.48 | ↑ +43% |
| BLUE CROSS | TENNCARE BLUE SELECT | $73.48 | ↑ +43% |
| CIGNA HEALTHCARE | CIGNA PPO | $76.31 | ↑ +48% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $99.30 | ↑ +93% |
| AETNA | AETNA | $100.80 | ↑ +96% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $118.50 | ↑ +130% |
| BLUE CROSS | BLUE CROSS MEDICARE | $118.91 | ↑ +131% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $158.00 | ↑ +207% |
Visitor-reported prices
Comments
Tc-99m mebrofenin at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $54.06 | $68.04 – $138.42 |
| CHI Memorial Hospital Hixson | Hixson | $23.39 | $15.80 – $79.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $36.22 | $55.10 – $68.27 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $33.42 | $16.59 – $79.00 |
| Johnson City Medical Center | JOHNSON CITY | $37.05 | $63.59 – $99.30 |
| Ascension Saint Thomas DeKalb | Smithville | $109.50 | $68.04 – $162.58 |
| Ascension Saint Thomas Highlands | Sparta | $99.54 | $68.04 – $162.58 |
| Ascension Saint Thomas River Park | McMinnville | $99.54 | $68.04 – $162.58 |