Unlisted px small intestine at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$1,080.31
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.
$4,697.00
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.
$704.00 with BLUE CROSS vs $4,697.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↓ -35% |
| AMERIGROUP | AMERIGROUP | $1,058.33 | ↓ -2% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,107.00 | ↑ +2% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,362.13 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,362.13 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $1,362.13 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,362.13 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,362.13 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,362.13 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,362.13 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,362.13 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,362.13 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $1,383.92 | ↑ +28% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,402.99 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,416.62 | ↑ +31% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,430.24 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,430.24 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,430.24 | ↑ +32% |
| AMBETTER | AMBETTER | $1,503.04 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $1,593.69 | ↑ +48% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↑ +50% |
| MEDCOST | MEDCOST VHN | $1,643.95 | ↑ +52% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,770.00 | ↑ +64% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,807.00 | ↑ +67% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,850.00 | ↑ +71% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↑ +122% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,521.00 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,774.00 | ↑ +157% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,774.00 | ↑ +157% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,831.05 | ↑ +162% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,915.99 | ↑ +170% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,915.99 | ↑ +170% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,944.29 | ↑ +173% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,944.30 | ↑ +173% |
| AETNA | AETNA | $2,996.69 | ↑ +177% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,083.00 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +197% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,522.75 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,534.96 | ↑ +227% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,697.00 | ↑ +335% |
Visitor-reported prices
Comments
Unlisted px small intestine at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $918.49 | $620.60 – $2,172.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,312.57 | $651.63 – $2,172.10 |
| Johnson City Medical Center | JOHNSON CITY | $1,100.70 | $706.24 – $2,608.96 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,201.23 | $808.11 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $1,080.31 | $1,045.84 – $2,972.60 |
| Greeneville Community Hospital | GREENEVILLE | $1,100.70 | $631.54 – $2,831.05 |
| Bristol Regional Medical Center | BRISTOL | $1,100.70 | $860.41 – $2,654.92 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,100.70 | $621.10 – $2,831.05 |