_afb org id by sequencing rflx ast-sendout at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$201.90
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.
$1,346.00
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.
$57.68 with AMERIGROUP vs $1,346.00 with WELLCARE — 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 | $57.68 | ↓ -71% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $115.36 | ↓ -43% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $115.36 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $115.36 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $115.36 | ↓ -43% |
| AETNA | AETNA HEALTHCARE MEDICARE | $115.36 | ↓ -43% |
| HUMANA | HUMANA MEDICARE | $115.36 | ↓ -43% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $115.36 | ↓ -43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $115.36 | ↓ -43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $115.36 | ↓ -43% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $115.36 | ↓ -43% |
| SENTARA HEALTH | SENTARA MEDICARE | $115.36 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $115.36 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $115.36 | ↓ -43% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $118.82 | ↓ -41% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $118.82 | ↓ -41% |
| BLUE CROSS | BLUE CROSS MEDICARE | $119.97 | ↓ -41% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $119.97 | ↓ -41% |
| NHC ADVANTAGE | NHC ADVANTAGE | $121.13 | ↓ -40% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $121.13 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $121.13 | ↓ -40% |
| WELLCARE | WELLCARE MEDICARE | $122.28 | ↓ -39% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $147.05 | ↓ -27% |
| BLUE CROSS | TENNCARE BLUE CARE | $155.71 | ↓ -23% |
| BLUE CROSS | TENNCARE BLUE SELECT | $155.71 | ↓ -23% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $165.22 | ↓ -18% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $188.35 | ↓ -7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $194.00 | ↓ -4% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $194.00 | ↓ -4% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $195.88 | ↓ -3% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $195.88 | ↓ -3% |
| AMBETTER | AMBETTER | $251.48 | ↑ +25% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $254.07 | ↑ +26% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $454.82 | ↑ +125% |
| CIGNA HEALTHCARE | CIGNA HMO | $454.82 | ↑ +125% |
| CIGNA HEALTHCARE | CIGNA PPO | $454.82 | ↑ +125% |
| SENTARA HEALTH | SENTARA HEALTH | $469.62 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $471.10 | ↑ +133% |
| BLUE CROSS | BLUE CROSS E NETWORK | $643.68 | ↑ +219% |
| BLUE CROSS | BLUE CROSS S NETWORK | $656.27 | ↑ +225% |
| BLUE CROSS | BLUE CROSS P NETWORK | $656.27 | ↑ +225% |
| AETNA | AETNA | $858.75 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,009.50 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,346.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,346.00 | ↑ +567% |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $201.90 | $57.68 – $251.48 |
| CHI Memorial Hospital Hixson | Hixson | $164.88 | $94.80 – $331.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $235.62 | $99.54 – $331.80 |
| Hancock County Hospital | SNEEDVILLE | $198.26 | $81.70 – $254.07 |
| Greeneville Community Hospital | GREENEVILLE | $201.90 | $51.91 – $251.48 |
| Bristol Regional Medical Center | BRISTOL | $201.90 | $57.68 – $276.86 |
| Holston Valley Medical Center | KINGSPORT | $201.90 | $57.68 – $276.86 |
| 62-0123940 BMH Collierville | Collierville | $81.69 | $109.59 – $230.72 |