X-ray hand 2 views (both sides) at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$71.53
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.
$311.00
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 $266.00 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 | $16.48 | ↓ -77% |
| BLUE CROSS | TENNCARE BLUE CARE | $16.48 | ↓ -77% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $27.86 | ↓ -61% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $38.27 | ↓ -46% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $39.42 | ↓ -45% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $39.42 | ↓ -45% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $39.80 | ↓ -44% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $39.81 | ↓ -44% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $40.32 | ↓ -44% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $44.22 | ↓ -38% |
| CIGNA HEALTHCARE | CIGNA HMO | $56.46 | ↓ -21% |
| CIGNA HEALTHCARE | CIGNA PPO | $56.46 | ↓ -21% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $56.46 | ↓ -21% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $77.14 | ↑ +8% |
| SENTARA HEALTH | SENTARA MEDICARE | $77.14 | ↑ +8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $77.14 | ↑ +8% |
| WELLCARE | WELLCARE MEDICARE | $77.14 | ↑ +8% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $77.14 | ↑ +8% |
| AETNA | AETNA HEALTHCARE MEDICARE | $77.14 | ↑ +8% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $77.14 | ↑ +8% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $77.14 | ↑ +8% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $77.14 | ↑ +8% |
| HUMANA | HUMANA MEDICARE | $78.37 | ↑ +10% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $79.45 | ↑ +11% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $80.23 | ↑ +12% |
| BLUE CROSS | BLUE CROSS E NETWORK | $80.25 | ↑ +12% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $81.00 | ↑ +13% |
| NHC ADVANTAGE | NHC ADVANTAGE | $81.00 | ↑ +13% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $81.00 | ↑ +13% |
| AMERIGROUP | AMERIGROUP | $81.46 | ↑ +14% |
| BLUE CROSS | BLUE CROSS S NETWORK | $81.83 | ↑ +14% |
| BLUE CROSS | BLUE CROSS P NETWORK | $81.83 | ↑ +14% |
| AMBETTER | AMBETTER | $85.12 | ↑ +19% |
| SENTARA HEALTH | SENTARA HEALTH | $90.25 | ↑ +26% |
| MEDCOST | MEDCOST VHN | $93.10 | ↑ +30% |
| AETNA | AETNA | $169.71 | ↑ +137% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $199.50 | ↑ +179% |
| BLUE CROSS | BLUE CROSS MEDICARE | $200.19 | ↑ +180% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $266.00 | ↑ +272% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $266.00 | ↑ +272% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $266.00 | ↑ +272% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $266.00 | ↑ +272% |
Visitor-reported prices
Comments
X-ray hand 2 views (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $87.17 | $14.21 – $179.33 |
| CHI Memorial Hospital Hixson | Hixson | $55.36 | $21.15 – $130.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $47.61 | $14.21 – $194.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $79.11 | $21.15 – $130.90 |
| Johnson City Medical Center | JOHNSON CITY | $72.75 | $16.48 – $106.34 |
| Ascension Saint Thomas DeKalb | Smithville | $87.17 | $14.21 – $179.33 |
| Ascension Saint Thomas Highlands | Sparta | $87.17 | $14.21 – $179.33 |
| Ascension Saint Thomas River Park | McMinnville | $87.17 | $20.72 – $179.33 |