Bone marrow interpretation at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$207.75
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.
$1,385.00
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 UNITED HEALTHCARE vs $1,638.95 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $33.13 | ↓ -84% |
| BLUE CROSS | TENNCARE BLUE SELECT | $50.91 | ↓ -75% |
| BLUE CROSS | TENNCARE BLUE CARE | $50.91 | ↓ -75% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $72.62 | ↓ -65% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $76.92 | ↓ -63% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $137.00 | ↓ -34% |
| CIGNA HEALTHCARE | CIGNA PPO | $137.00 | ↓ -34% |
| CIGNA HEALTHCARE | CIGNA HMO | $137.00 | ↓ -34% |
| AMERIGROUP | AMERIGROUP | $247.05 | ↑ +19% |
| BLUE CROSS | BLUE CROSS E NETWORK | $328.39 | ↑ +58% |
| BLUE CROSS | BLUE CROSS S NETWORK | $334.81 | ↑ +61% |
| BLUE CROSS | BLUE CROSS P NETWORK | $334.81 | ↑ +61% |
| SENTARA HEALTH | SENTARA HEALTH | $483.23 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $484.75 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $628.20 | ↑ +202% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $628.20 | ↑ +202% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $628.20 | ↑ +202% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $683.46 | ↑ +229% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $703.96 | ↑ +239% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $703.97 | ↑ +239% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $710.80 | ↑ +242% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $710.80 | ↑ +242% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $751.81 | ↑ +262% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $751.81 | ↑ +262% |
| AETNA | AETNA HEALTHCARE MEDICARE | $751.81 | ↑ +262% |
| HUMANA | HUMANA MEDICARE | $751.81 | ↑ +262% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $751.81 | ↑ +262% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $751.81 | ↑ +262% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $751.81 | ↑ +262% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $751.81 | ↑ +262% |
| SENTARA HEALTH | SENTARA MEDICARE | $751.81 | ↑ +262% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $751.81 | ↑ +262% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $774.37 | ↑ +273% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $774.37 | ↑ +273% |
| BLUE CROSS | BLUE CROSS MEDICARE | $781.89 | ↑ +276% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $781.89 | ↑ +276% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $789.40 | ↑ +280% |
| NHC ADVANTAGE | NHC ADVANTAGE | $789.40 | ↑ +280% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $789.40 | ↑ +280% |
| WELLCARE | WELLCARE MEDICARE | $796.92 | ↑ +284% |
| AETNA | AETNA | $883.63 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,038.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $1,385.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,385.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,638.95 | ↑ +689% |
Visitor-reported prices
Comments
Bone marrow interpretation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $207.75 | $33.13 – $1,594.70 |
| Ascension Saint Thomas DeKalb | Smithville | $45.99 | $18.23 – $1,079.50 |
| Ascension Saint Thomas Highlands | Sparta | $422.42 | $18.23 – $1,079.50 |
| Ascension Saint Thomas River Park | McMinnville | $422.42 | $18.23 – $1,079.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $427.61 | $43.89 – $1,095.29 |
| Greeneville Community Hospital | GREENEVILLE | $207.75 | $13.25 – $1,638.95 |
| Bristol Regional Medical Center | BRISTOL | $207.75 | $22.09 – $1,666.19 |
| Holston Valley Medical Center | KINGSPORT | $207.75 | $22.09 – $1,666.19 |