Appl mltpln uni ext fixj sys at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$5,668.20
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.
$37,788.00
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.
$393.62 with BLUE CROSS vs $37,788.00 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $393.62 | ↓ -93% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,341.92 | ↓ -59% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,036.08 | ↓ -46% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3,127.16 | ↓ -45% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,127.16 | ↓ -45% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3,157.52 | ↓ -44% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,157.52 | ↓ -44% |
| AMERIGROUP | AMERIGROUP | $9,615.71 | ↑ +70% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $11,980.32 | ↑ +111% |
| HUMANA | HUMANA MEDICARE | $11,980.32 | ↑ +111% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $11,980.32 | ↑ +111% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $11,980.32 | ↑ +111% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $11,980.32 | ↑ +111% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $11,980.32 | ↑ +111% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $11,980.32 | ↑ +111% |
| SENTARA HEALTH | SENTARA MEDICARE | $11,980.32 | ↑ +111% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $11,980.32 | ↑ +111% |
| AETNA | AETNA HEALTHCARE MEDICARE | $11,980.32 | ↑ +111% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $12,339.73 | ↑ +118% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $12,339.73 | ↑ +118% |
| BLUE CROSS | BLUE CROSS MEDICARE | $12,459.54 | ↑ +120% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $12,459.54 | ↑ +120% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $12,579.34 | ↑ +122% |
| NHC ADVANTAGE | NHC ADVANTAGE | $12,579.34 | ↑ +122% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $12,579.34 | ↑ +122% |
| WELLCARE | WELLCARE MEDICARE | $12,699.14 | ↑ +124% |
| SENTARA HEALTH | SENTARA HEALTH | $13,184.23 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $13,225.80 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $14,661.74 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $14,661.74 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $14,775.11 | ↑ +161% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $14,775.11 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $14,775.11 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $17,533.63 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $18,251.60 | ↑ +222% |
| AETNA | AETNA | $24,108.74 | ↑ +325% |
| AMBETTER | AMBETTER | $26,117.11 | ↑ +361% |
| BLUE CROSS | BLUE CROSS E NETWORK | $27,207.36 | ↑ +380% |
| BLUE CROSS | BLUE CROSS S NETWORK | $27,207.36 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $27,207.36 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $28,341.00 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $37,788.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $37,788.00 | ↑ +567% |
Visitor-reported prices
Comments
Appl mltpln uni ext fixj sys at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $5,668.20 | $393.62 – $25,411.96 |
| Indian Path Community Hospital | KINGSPORT | $5,668.20 | $393.62 – $27,955.70 |
| Sycamore Shoals Hospital | ELIZABETHTON | $5,668.20 | $393.62 – $25,393.09 |
| Ascension Saint Thomas Midtown | Nashville | not published | $1,468.50 – $1,543.50 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $1,301.07 – $1,543.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $1,301.07 – $1,543.50 |
| Ascension Saint Thomas River Park | McMinnville | not published | $1,301.07 – $1,543.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $1,468.50 – $1,636.56 |