Telehealth original site facility fee at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$22.54
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.
?
What you pay up front if you don't use insurance.
$98.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$16.23 with OPTIMA HEALTH vs $98.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $16.23 | ↓ -28% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $16.72 | ↓ -26% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $16.72 | ↓ -26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $16.88 | ↓ -25% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $16.88 | ↓ -25% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $22.94 | ↑ +2% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $24.04 | ↑ +7% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $28.42 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $28.42 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $28.42 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $28.42 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $28.42 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $28.42 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $28.42 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $28.42 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $28.42 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $28.87 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $29.27 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $29.56 | ↑ +31% |
| NHC ADVANTAGE | NHC ADVANTAGE | $29.84 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $29.84 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $29.84 | ↑ +32% |
| AMBETTER | AMBETTER | $31.36 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $33.25 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $34.30 | ↑ +52% |
| BLUE CROSS | TENNCARE BLUE SELECT | $35.97 | ↑ +60% |
| BLUE CROSS | TENNCARE BLUE CARE | $35.97 | ↑ +60% |
| CIGNA HEALTHCARE | CIGNA HMO | $38.12 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $38.12 | ↑ +69% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $38.32 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $45.47 | ↑ +102% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $45.96 | ↑ +104% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $45.96 | ↑ +104% |
| CIGNA HEALTHCARE | CIGNA PPO | $47.33 | ↑ +110% |
| AMERIGROUP | AMERIGROUP | $53.83 | ↑ +139% |
| AETNA | AETNA | $62.52 | ↑ +177% |
| BLUE CROSS | BLUE CROSS E NETWORK | $70.56 | ↑ +213% |
| BLUE CROSS | BLUE CROSS S NETWORK | $70.56 | ↑ +213% |
| BLUE CROSS | BLUE CROSS P NETWORK | $70.56 | ↑ +213% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $73.50 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $73.75 | ↑ +227% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $98.00 | ↑ +335% |
Visitor-reported prices
Comments
Telehealth original site facility fee at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $15.87 | $27.02 – $27.02 |
| Johnson City Medical Center | JOHNSON CITY | $22.95 | $14.96 – $69.43 |
| Hancock County Hospital | SNEEDVILLE | $22.54 | $13.36 – $53.35 |
| Greeneville Community Hospital | GREENEVILLE | $22.95 | $9.62 – $69.43 |
| Bristol Regional Medical Center | BRISTOL | $22.95 | $15.21 – $76.44 |
| Franklin Woods Community Hospital | JOHNSON CITY | $22.95 | $16.23 – $69.43 |
| Holston Valley Medical Center | KINGSPORT | $22.95 | $14.76 – $76.44 |
| 62-0123940 BMH Collierville | Collierville | $14.49 | $27.02 – $28.34 |