Tc-99m medronate at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$26.45
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.
$115.00
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.
$23.34 with CIGNA HEALTHCARE vs $82.00 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $23.34 | ↓ -12% |
| WELLCARE | WELLCARE MEDICARE | $23.78 | ↓ -10% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $23.78 | ↓ -10% |
| AETNA | AETNA HEALTHCARE MEDICARE | $23.78 | ↓ -10% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $23.78 | ↓ -10% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $23.78 | ↓ -10% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $23.78 | ↓ -10% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $23.78 | ↓ -10% |
| SENTARA HEALTH | SENTARA MEDICARE | $23.78 | ↓ -10% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $23.78 | ↓ -10% |
| HUMANA | HUMANA MEDICARE | $24.16 | ↓ -9% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $24.49 | ↓ -7% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $24.73 | ↓ -7% |
| NHC ADVANTAGE | NHC ADVANTAGE | $24.97 | ↓ -6% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $24.97 | ↓ -6% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $24.97 | ↓ -6% |
| AMBETTER | AMBETTER | $26.24 | ↓ -1% |
| SENTARA HEALTH | SENTARA HEALTH | $27.82 | ↑ +5% |
| MEDCOST | MEDCOST VHN | $28.70 | ↑ +9% |
| BLUE CROSS | TENNCARE BLUE SELECT | $31.34 | ↑ +18% |
| BLUE CROSS | TENNCARE BLUE CARE | $31.34 | ↑ +18% |
| CIGNA HEALTHCARE | CIGNA HMO | $31.90 | ↑ +21% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $31.90 | ↑ +21% |
| CIGNA HEALTHCARE | CIGNA PPO | $39.61 | ↑ +50% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $42.32 | ↑ +60% |
| AETNA | AETNA | $52.32 | ↑ +98% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $61.50 | ↑ +133% |
| BLUE CROSS | BLUE CROSS MEDICARE | $61.71 | ↑ +133% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $82.00 | ↑ +210% |
Visitor-reported prices
Comments
Tc-99m medronate at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $66.74 | $20.42 – $109.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $29.12 | $12.95 – $26.79 |
| Johnson City Medical Center | JOHNSON CITY | $19.05 | $23.34 – $31.34 |
| Ascension Saint Thomas DeKalb | Smithville | $107.13 | $20.42 – $63.85 |
| Ascension Saint Thomas Highlands | Sparta | $39.09 | $20.42 – $63.85 |
| Ascension Saint Thomas River Park | McMinnville | $39.08 | $20.42 – $63.82 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $70.22 | $20.42 – $114.68 |
| Greeneville Community Hospital | GREENEVILLE | $19.05 | $23.34 – $31.34 |