Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$126.90
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.
$846.00
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.
$55.28 with AMERIGROUP vs $846.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $55.28 | ↓ -56% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $65.43 | ↓ -48% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $67.19 | ↓ -47% |
| SENTARA HEALTH | SENTARA MEDICARE | $67.19 | ↓ -47% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $67.19 | ↓ -47% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $67.19 | ↓ -47% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $67.19 | ↓ -47% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $67.19 | ↓ -47% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $67.19 | ↓ -47% |
| HUMANA | HUMANA MEDICARE | $67.19 | ↓ -47% |
| AETNA | AETNA HEALTHCARE MEDICARE | $67.19 | ↓ -47% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $67.19 | ↓ -47% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $69.20 | ↓ -45% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $69.20 | ↓ -45% |
| BLUE CROSS | BLUE CROSS MEDICARE | $69.87 | ↓ -45% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $69.87 | ↓ -45% |
| NHC ADVANTAGE | NHC ADVANTAGE | $70.55 | ↓ -44% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $70.55 | ↓ -44% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $70.55 | ↓ -44% |
| WELLCARE | WELLCARE MEDICARE | $71.22 | ↓ -44% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $74.59 | ↓ -41% |
| BLUE CROSS | TENNCARE BLUE SELECT | $75.39 | ↓ -41% |
| BLUE CROSS | TENNCARE BLUE CARE | $75.39 | ↓ -41% |
| AMBETTER | AMBETTER | $146.47 | ↑ +15% |
| CIGNA HEALTHCARE | CIGNA PPO | $199.11 | ↑ +57% |
| CIGNA HEALTHCARE | CIGNA HMO | $199.11 | ↑ +57% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $199.11 | ↑ +57% |
| BLUE CROSS | BLUE CROSS E NETWORK | $264.97 | ↑ +109% |
| BLUE CROSS | BLUE CROSS P NETWORK | $264.97 | ↑ +109% |
| BLUE CROSS | BLUE CROSS S NETWORK | $264.97 | ↑ +109% |
| SENTARA HEALTH | SENTARA HEALTH | $295.17 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $296.10 | ↑ +133% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $359.81 | ↑ +184% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $370.60 | ↑ +192% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $370.61 | ↑ +192% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $374.20 | ↑ +195% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $374.20 | ↑ +195% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $392.54 | ↑ +209% |
| AETNA | AETNA | $539.75 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $634.50 | ↑ +400% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $846.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $846.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $846.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $846.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $846.00 | ↑ +567% |
Visitor-reported prices
Comments
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $126.90 | $48.62 – $390.44 |
| CHI Memorial Hospital Hixson | Hixson | $149.19 | $37.48 – $336.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $213.20 | $37.48 – $336.70 |
| Ascension Saint Thomas DeKalb | Smithville | $199.67 | $36.35 – $128.85 |
| Ascension Saint Thomas River Park | McMinnville | $190.16 | $36.35 – $128.85 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $286.37 | $61.34 – $134.44 |
| Greeneville Community Hospital | GREENEVILLE | $126.90 | $26.17 – $390.44 |
| Bristol Regional Medical Center | BRISTOL | $126.90 | $43.62 – $366.15 |