X-ray exam of arm infant at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$94.53
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.
$411.00
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.
$16.48 with BLUE CROSS vs $295.00 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 | TENNCARE BLUE SELECT | $16.48 | ↓ -83% |
| BLUE CROSS | TENNCARE BLUE CARE | $16.48 | ↓ -83% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $28.04 | ↓ -70% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $40.32 | ↓ -57% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $44.85 | ↓ -53% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $57.40 | ↓ -39% |
| CIGNA HEALTHCARE | CIGNA PPO | $57.40 | ↓ -39% |
| CIGNA HEALTHCARE | CIGNA HMO | $57.40 | ↓ -39% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $76.55 | ↓ -19% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $78.85 | ↓ -17% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $78.85 | ↓ -17% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $79.61 | ↓ -16% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $79.61 | ↓ -16% |
| BLUE CROSS | BLUE CROSS E NETWORK | $84.64 | ↓ -10% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $85.55 | ↓ -9% |
| SENTARA HEALTH | SENTARA MEDICARE | $85.55 | ↓ -9% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $85.55 | ↓ -9% |
| WELLCARE | WELLCARE MEDICARE | $85.55 | ↓ -9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $85.55 | ↓ -9% |
| AETNA | AETNA HEALTHCARE MEDICARE | $85.55 | ↓ -9% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $85.55 | ↓ -9% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $85.55 | ↓ -9% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $85.55 | ↓ -9% |
| BLUE CROSS | BLUE CROSS S NETWORK | $86.30 | ↓ -9% |
| BLUE CROSS | BLUE CROSS P NETWORK | $86.30 | ↓ -9% |
| HUMANA | HUMANA MEDICARE | $86.92 | ↓ -8% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $88.12 | ↓ -7% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $88.97 | ↓ -6% |
| NHC ADVANTAGE | NHC ADVANTAGE | $89.83 | ↓ -5% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $89.83 | ↓ -5% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $89.83 | ↓ -5% |
| AMBETTER | AMBETTER | $94.40 | ↓ -0% |
| SENTARA HEALTH | SENTARA HEALTH | $100.09 | ↑ +6% |
| MEDCOST | MEDCOST VHN | $103.25 | ↑ +9% |
| AMERIGROUP | AMERIGROUP | $162.93 | ↑ +72% |
| AETNA | AETNA | $188.21 | ↑ +99% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $221.25 | ↑ +134% |
| BLUE CROSS | BLUE CROSS MEDICARE | $222.02 | ↑ +135% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $295.00 | ↑ +212% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $295.00 | ↑ +212% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $295.00 | ↑ +212% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $295.00 | ↑ +212% |
Visitor-reported prices
Comments
X-ray exam of arm infant at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $54.76 | $21.15 – $129.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $68.08 | $14.21 – $194.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $78.26 | $21.15 – $129.50 |
| Johnson City Medical Center | JOHNSON CITY | $96.15 | $16.48 – $212.67 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $64.49 | $14.21 – $179.33 |
| Hancock County Hospital | SNEEDVILLE | $94.53 | $16.48 – $161.01 |
| Greeneville Community Hospital | GREENEVILLE | $96.15 | $16.13 – $212.67 |
| Bristol Regional Medical Center | BRISTOL | $96.15 | $16.48 – $238.03 |