Blood typing patient serum at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$16.65
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.
$111.00
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.
$4.55 with OPTIMA HEALTH vs $120.01 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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $4.55 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $4.69 | ↓ -72% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $4.69 | ↓ -72% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $4.73 | ↓ -72% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $4.73 | ↓ -72% |
| BLUE CROSS | TENNCARE BLUE CARE | $8.78 | ↓ -47% |
| BLUE CROSS | TENNCARE BLUE SELECT | $8.78 | ↓ -47% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $13.44 | ↓ -19% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $16.34 | ↓ -2% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $16.34 | ↓ -2% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $16.34 | ↓ -2% |
| AMERIGROUP | AMERIGROUP | $25.56 | ↑ +54% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $27.24 | ↑ +64% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $36.09 | ↑ +117% |
| CIGNA HEALTHCARE | CIGNA HMO | $37.90 | ↑ +128% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $37.90 | ↑ +128% |
| CIGNA HEALTHCARE | CIGNA PPO | $37.90 | ↑ +128% |
| SENTARA HEALTH | SENTARA HEALTH | $38.73 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $38.85 | ↑ +133% |
| BLUE CROSS | BLUE CROSS E NETWORK | $53.05 | ↑ +219% |
| BLUE CROSS | BLUE CROSS P NETWORK | $54.08 | ↑ +225% |
| BLUE CROSS | BLUE CROSS S NETWORK | $54.08 | ↑ +225% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $55.05 | ↑ +231% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $55.05 | ↑ +231% |
| AETNA | AETNA HEALTHCARE MEDICARE | $55.05 | ↑ +231% |
| HUMANA | HUMANA MEDICARE | $55.05 | ↑ +231% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $55.05 | ↑ +231% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $55.05 | ↑ +231% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $55.05 | ↑ +231% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $55.05 | ↑ +231% |
| SENTARA HEALTH | SENTARA MEDICARE | $55.05 | ↑ +231% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $55.05 | ↑ +231% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $56.70 | ↑ +241% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $56.70 | ↑ +241% |
| BLUE CROSS | BLUE CROSS MEDICARE | $57.25 | ↑ +244% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $57.25 | ↑ +244% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $57.80 | ↑ +247% |
| NHC ADVANTAGE | NHC ADVANTAGE | $57.80 | ↑ +247% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $57.80 | ↑ +247% |
| WELLCARE | WELLCARE MEDICARE | $58.35 | ↑ +250% |
| AETNA | AETNA | $70.82 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $83.25 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $111.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $111.00 | ↑ +567% |
| AMBETTER | AMBETTER | $120.01 | ↑ +621% |
Visitor-reported prices
Comments
Blood typing patient serum at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $16.65 | $4.94 – $116.76 |
| CHI Memorial Hospital Hixson | Hixson | $14.51 | $11.27 – $34.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $20.73 | $10.29 – $34.30 |
| Ascension Saint Thomas DeKalb | Smithville | $157.07 | $7.40 – $78.50 |
| Ascension Saint Thomas Highlands | Sparta | $157.07 | $7.40 – $78.50 |
| Ascension Saint Thomas River Park | McMinnville | $157.07 | $7.40 – $78.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $157.07 | $7.57 – $79.65 |
| Hancock County Hospital | SNEEDVILLE | $16.33 | $5.08 – $36.09 |