Avul nail plate addl at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$41.10
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.
$274.00
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.
$33.13 with BLUE CROSS vs $274.00 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $33.13 | ↓ -19% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $84.27 | ↑ +105% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $86.80 | ↑ +111% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $86.80 | ↑ +111% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $87.64 | ↑ +113% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $87.64 | ↑ +113% |
| SENTARA HEALTH | SENTARA HEALTH | $95.60 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $95.90 | ↑ +133% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $161.00 | ↑ +292% |
| AETNA | AETNA | $174.81 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $205.50 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $274.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $274.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $274.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $274.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $274.00 | ↑ +567% |
Visitor-reported prices
Comments
Avul nail plate addl at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $41.10 | $33.13 – $95.10 |
| CHI Memorial Hospital Hixson | Hixson | $96.20 | $65.00 – $227.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $22.31 | $13.73 – $98.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $137.48 | $68.25 – $227.50 |
| Hancock County Hospital | SNEEDVILLE | $40.25 | $33.13 – $96.01 |
| Greeneville Community Hospital | GREENEVILLE | $41.10 | $33.13 – $91.44 |
| Bristol Regional Medical Center | BRISTOL | $41.10 | $33.13 – $87.33 |
| Holston Valley Medical Center | KINGSPORT | $41.10 | $33.13 – $87.33 |