Application of paste boot 29580 at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$60.30
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.
$402.00
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.
$42.74 with BLUE CROSS vs $332.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $42.74 | ↓ -29% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $44.00 | ↓ -27% |
| BLUE CROSS | TENNCARE BLUE SELECT | $52.19 | ↓ -13% |
| BLUE CROSS | TENNCARE BLUE CARE | $52.19 | ↓ -13% |
| SENTARA HEALTH | SENTARA HEALTH | $115.83 | ↑ +92% |
| MEDCOST | MEDCOST VHN | $116.20 | ↑ +93% |
| AMERIGROUP | AMERIGROUP | $128.63 | ↑ +113% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $128.82 | ↑ +114% |
| CIGNA HEALTHCARE | CIGNA HMO | $128.82 | ↑ +114% |
| AETNA | AETNA HEALTHCARE MEDICARE | $151.64 | ↑ +151% |
| HUMANA | HUMANA MEDICARE | $151.64 | ↑ +151% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $151.64 | ↑ +151% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $151.64 | ↑ +151% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $151.64 | ↑ +151% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $151.64 | ↑ +151% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $151.64 | ↑ +151% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $151.64 | ↑ +151% |
| SENTARA HEALTH | SENTARA MEDICARE | $151.64 | ↑ +151% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $151.64 | ↑ +151% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $154.05 | ↑ +155% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $156.19 | ↑ +159% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $156.19 | ↑ +159% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $157.18 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $157.18 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $157.18 | ↑ +161% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $157.70 | ↑ +162% |
| BLUE CROSS | BLUE CROSS MEDICARE | $157.70 | ↑ +162% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $159.22 | ↑ +164% |
| NHC ADVANTAGE | NHC ADVANTAGE | $159.22 | ↑ +164% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $159.22 | ↑ +164% |
| CIGNA HEALTHCARE | CIGNA PPO | $160.36 | ↑ +166% |
| WELLCARE | WELLCARE MEDICARE | $160.73 | ↑ +167% |
| AETNA | AETNA | $211.82 | ↑ +251% |
| BLUE CROSS | BLUE CROSS S NETWORK | $231.77 | ↑ +284% |
| BLUE CROSS | BLUE CROSS P NETWORK | $231.77 | ↑ +284% |
| BLUE CROSS | BLUE CROSS E NETWORK | $231.77 | ↑ +284% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $249.00 | ↑ +313% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $250.95 | ↑ +316% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $258.48 | ↑ +329% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $258.48 | ↑ +329% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $260.99 | ↑ +333% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $260.99 | ↑ +333% |
| AMBETTER | AMBETTER | $330.57 | ↑ +448% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $332.00 | ↑ +451% |
| WELLCARE | WELLCARE MEDICAID | $332.00 | ↑ +451% |
Visitor-reported prices
Comments
Application of paste boot 29580 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $60.30 | $42.74 – $321.64 |
| CHI Memorial Hospital Hixson | Hixson | $174.64 | $66.96 – $375.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $61.64 | $125.35 – $288.16 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $249.57 | $66.96 – $375.20 |
| Ascension Saint Thomas DeKalb | Smithville | $502.43 | $44.99 – $2,225.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $502.43 | $44.99 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $59.34 | $42.74 – $285.93 |
| Greeneville Community Hospital | GREENEVILLE | $60.30 | $37.00 – $330.57 |