Tissue culture skin/biopsy at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$128.34
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.
$558.00
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.
$140.73 with UNITED HEALTHCARE vs $558.00 with BLUE CROSS — 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 | UHC HERITAGE RIVER VALLEY | $140.73 | ↑ +10% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $140.73 | ↑ +10% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $140.73 | ↑ +10% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $161.82 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $161.82 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $161.82 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $161.82 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $161.82 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $161.82 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $161.82 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $161.82 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $161.82 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $164.41 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $166.67 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $168.29 | ↑ +31% |
| NHC ADVANTAGE | NHC ADVANTAGE | $169.91 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $169.91 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $169.91 | ↑ +32% |
| AMBETTER | AMBETTER | $178.56 | ↑ +39% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $179.40 | ↑ +40% |
| BLUE CROSS | TENNCARE BLUE SELECT | $183.33 | ↑ +43% |
| BLUE CROSS | TENNCARE BLUE CARE | $183.33 | ↑ +43% |
| SENTARA HEALTH | SENTARA HEALTH | $189.33 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $195.30 | ↑ +52% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $229.23 | ↑ +79% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $236.11 | ↑ +84% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $236.11 | ↑ +84% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $238.40 | ↑ +86% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $238.40 | ↑ +86% |
| AMERIGROUP | AMERIGROUP | $294.49 | ↑ +129% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $310.37 | ↑ +142% |
| AETNA | AETNA | $356.00 | ↑ +177% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $418.50 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $419.95 | ↑ +227% |
| CIGNA HEALTHCARE | CIGNA HMO | $555.26 | ↑ +333% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $555.26 | ↑ +333% |
| CIGNA HEALTHCARE | CIGNA PPO | $555.26 | ↑ +333% |
| BLUE CROSS | BLUE CROSS E NETWORK | $558.00 | ↑ +335% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $558.00 | ↑ +335% |
| BLUE CROSS | BLUE CROSS S NETWORK | $558.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $558.00 | ↑ +335% |
| BLUE CROSS | BLUE CROSS P NETWORK | $558.00 | ↑ +335% |
Visitor-reported prices
Comments
Tissue culture skin/biopsy at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $430.02 | $50.66 – $545.18 |
| Johnson City Medical Center | JOHNSON CITY | $130.95 | $70.37 – $306.79 |
| Hancock County Hospital | SNEEDVILLE | $128.34 | $99.67 – $310.37 |
| Greeneville Community Hospital | GREENEVILLE | $130.95 | $63.33 – $306.79 |
| Bristol Regional Medical Center | BRISTOL | $130.95 | $70.37 – $337.75 |
| Franklin Woods Community Hospital | JOHNSON CITY | $130.95 | $70.37 – $306.79 |
| Holston Valley Medical Center | KINGSPORT | $130.95 | $70.37 – $337.75 |
| 62-0123940 BMH Collierville | Collierville | $523.32 | $133.69 – $281.46 |