Upper Endoscopy (EGD, diagnostic) at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$418.83
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.
$1,821.00
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.
$171.00 with UNITED HEALTHCARE vs $1,821.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↓ -59% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $282.31 | ↓ -33% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↓ -5% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↑ +9% |
| SENTARA HEALTH | SENTARA MEDICARE | $528.09 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $528.09 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $528.09 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $528.09 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $528.09 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $528.09 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $528.09 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $528.09 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $528.09 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $536.54 | ↑ +28% |
| AMERIGROUP | AMERIGROUP | $543.00 | ↑ +30% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $543.93 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $549.21 | ↑ +31% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $554.49 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $554.49 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $554.49 | ↑ +32% |
| AMBETTER | AMBETTER | $582.72 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +41% |
| SENTARA HEALTH | SENTARA HEALTH | $617.87 | ↑ +48% |
| MEDCOST | MEDCOST VHN | $637.35 | ↑ +52% |
| AETNA | AETNA | $1,161.80 | ↑ +177% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,365.75 | ↑ +226% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,370.48 | ↑ +227% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,383.32 | ↑ +230% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,424.82 | ↑ +240% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,424.82 | ↑ +240% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,438.65 | ↑ +243% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,438.65 | ↑ +243% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,821.00 | ↑ +335% |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, diagnostic) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,093.16 | $733.50 – $1,257.06 |
| Johnson City Medical Center | JOHNSON CITY | $426.60 | $282.31 – $1,845.04 |
| Ascension Saint Thomas DeKalb | Smithville | $1,093.16 | $372.80 – $1,238.94 |
| Ascension Saint Thomas Highlands | Sparta | $1,093.16 | $372.80 – $1,238.94 |
| Ascension Saint Thomas River Park | McMinnville | $1,093.16 | $372.80 – $1,238.94 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,093.16 | $808.11 – $1,257.06 |
| Hancock County Hospital | SNEEDVILLE | $418.83 | $282.31 – $1,452.49 |
| Greeneville Community Hospital | GREENEVILLE | $426.60 | $282.31 – $1,845.04 |