Bilateral n block inj occipital 64405 at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$290.40
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.
$1,936.00
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.
$40.81 with BLUE CROSS vs $624.42 with AMBETTER — 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 | TENNCARE BLUE CARE | $40.81 | ↓ -86% |
| BLUE CROSS | TENNCARE BLUE SELECT | $40.81 | ↓ -86% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $88.96 | ↓ -69% |
| SENTARA HEALTH | SENTARA HEALTH | $132.23 | ↓ -54% |
| MEDCOST | MEDCOST VHN | $132.65 | ↓ -54% |
| CIGNA HEALTHCARE | CIGNA HMO | $147.05 | ↓ -49% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $147.05 | ↓ -49% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $148.19 | ↓ -49% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $148.19 | ↓ -49% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $148.19 | ↓ -49% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $175.86 | ↓ -39% |
| CIGNA HEALTHCARE | CIGNA PPO | $180.40 | ↓ -38% |
| AMERIGROUP | AMERIGROUP | $232.44 | ↓ -20% |
| AETNA | AETNA | $241.80 | ↓ -17% |
| BLUE CROSS | BLUE CROSS E NETWORK | $272.88 | ↓ -6% |
| BLUE CROSS | BLUE CROSS S NETWORK | $272.88 | ↓ -6% |
| BLUE CROSS | BLUE CROSS P NETWORK | $272.88 | ↓ -6% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $284.25 | ↓ -2% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $286.43 | ↓ -1% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $286.43 | ↓ -1% |
| AETNA | AETNA HEALTHCARE MEDICARE | $286.43 | ↓ -1% |
| HUMANA | HUMANA MEDICARE | $286.43 | ↓ -1% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $286.43 | ↓ -1% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $286.43 | ↓ -1% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $286.43 | ↓ -1% |
| SENTARA HEALTH | SENTARA MEDICARE | $286.43 | ↓ -1% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $286.43 | ↓ -1% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $286.43 | ↓ -1% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $295.02 | ↑ +2% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $295.02 | ↑ +2% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $297.89 | ↑ +3% |
| BLUE CROSS | BLUE CROSS MEDICARE | $297.89 | ↑ +3% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $300.75 | ↑ +4% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $300.75 | ↑ +4% |
| NHC ADVANTAGE | NHC ADVANTAGE | $300.75 | ↑ +4% |
| WELLCARE | WELLCARE MEDICARE | $303.62 | ↑ +5% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $335.48 | ↑ +16% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $379.00 | ↑ +31% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $379.00 | ↑ +31% |
| WELLCARE | WELLCARE MEDICAID | $379.00 | ↑ +31% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $508.69 | ↑ +75% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $523.95 | ↑ +80% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $529.03 | ↑ +82% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $529.04 | ↑ +82% |
| AMBETTER | AMBETTER | $624.42 | ↑ +115% |
Visitor-reported prices
Comments
Bilateral n block inj occipital 64405 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $290.40 | $49.60 – $607.56 |
| Ascension Saint Thomas Midtown | Nashville | $970.02 | $35.18 – $998.50 |
| CHI Memorial Hospital Hixson | Hixson | $308.14 | $52.36 – $728.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $186.53 | $234.50 – $539.08 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $440.35 | $52.36 – $728.70 |
| Greeneville Community Hospital | GREENEVILLE | $290.40 | $40.81 – $624.42 |
| Bristol Regional Medical Center | BRISTOL | $290.40 | $40.81 – $634.79 |
| Holston Valley Medical Center | KINGSPORT | $290.40 | $40.81 – $634.79 |