Treatment inhalation pressurized/nonpressurized acute airway obstruction at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$96.60
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.
$420.00
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.
$14.53 with BLUE CROSS vs $258.00 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 SELECT | $14.53 | ↓ -85% |
| BLUE CROSS | TENNCARE BLUE CARE | $14.53 | ↓ -85% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $16.11 | ↓ -83% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $26.74 | ↓ -72% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $48.88 | ↓ -49% |
| CIGNA HEALTHCARE | CIGNA PPO | $48.88 | ↓ -49% |
| CIGNA HEALTHCARE | CIGNA HMO | $48.88 | ↓ -49% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $74.82 | ↓ -23% |
| AETNA | AETNA HEALTHCARE MEDICARE | $74.82 | ↓ -23% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $74.82 | ↓ -23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $74.82 | ↓ -23% |
| WELLCARE | WELLCARE MEDICARE | $74.82 | ↓ -23% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $74.82 | ↓ -23% |
| AMERIGROUP | AMERIGROUP | $74.82 | ↓ -23% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $74.82 | ↓ -23% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $74.82 | ↓ -23% |
| SENTARA HEALTH | SENTARA MEDICARE | $74.82 | ↓ -23% |
| HUMANA | HUMANA MEDICARE | $76.02 | ↓ -21% |
| BLUE CROSS | BLUE CROSS S NETWORK | $76.96 | ↓ -20% |
| BLUE CROSS | BLUE CROSS E NETWORK | $76.96 | ↓ -20% |
| BLUE CROSS | BLUE CROSS P NETWORK | $76.96 | ↓ -20% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $77.06 | ↓ -20% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $77.81 | ↓ -19% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $78.56 | ↓ -19% |
| NHC ADVANTAGE | NHC ADVANTAGE | $78.56 | ↓ -19% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $78.56 | ↓ -19% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $79.90 | ↓ -17% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $82.29 | ↓ -15% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $82.29 | ↓ -15% |
| AMBETTER | AMBETTER | $82.56 | ↓ -15% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $83.09 | ↓ -14% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $83.10 | ↓ -14% |
| SENTARA HEALTH | SENTARA HEALTH | $87.54 | ↓ -9% |
| MEDCOST | MEDCOST VHN | $90.30 | ↓ -7% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $119.71 | ↑ +24% |
| AETNA | AETNA | $164.60 | ↑ +70% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $193.50 | ↑ +100% |
| BLUE CROSS | BLUE CROSS MEDICARE | $194.17 | ↑ +101% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $244.00 | ↑ +153% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $258.00 | ↑ +167% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $258.00 | ↑ +167% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $258.00 | ↑ +167% |
Visitor-reported prices
Comments
Treatment inhalation pressurized/nonpressurized acute airway obstruction at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $72.00 | $12.53 – $272.71 |
| CHI Memorial Hospital Hixson | Hixson | $142.68 | $18.65 – $337.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $57.73 | $12.53 – $371.44 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $203.89 | $18.65 – $337.40 |
| Johnson City Medical Center | JOHNSON CITY | $98.55 | $14.53 – $445.45 |
| Ascension Saint Thomas DeKalb | Smithville | $75.56 | $12.53 – $268.77 |
| Ascension Saint Thomas Highlands | Sparta | $75.56 | $12.53 – $268.77 |
| Ascension Saint Thomas River Park | McMinnville | $128.94 | $14.86 – $268.77 |