Brace ank aftr bioskn med lg at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$8.10
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.
$54.00
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.
$8.64 with UNITED HEALTHCARE vs $298.96 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 | UHC HERITAGE SELECT | $8.64 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $9.40 | ↑ +16% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $9.40 | ↑ +16% |
| SENTARA HEALTH | SENTARA HEALTH | $18.84 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $18.90 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $18.95 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA HMO | $18.95 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $21.60 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA PPO | $24.25 | ↑ +199% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $27.00 | ↑ +233% |
| AETNA | AETNA | $34.45 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $40.50 | ↑ +400% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $54.00 | ↑ +567% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $54.00 | ↑ +567% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $54.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $54.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $54.00 | ↑ +567% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $54.00 | ↑ +567% |
| AETNA | AETNA HEALTHCARE MEDICARE | $54.00 | ↑ +567% |
| HUMANA | HUMANA MEDICARE | $54.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $54.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $54.00 | ↑ +567% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $54.00 | ↑ +567% |
| NHC ADVANTAGE | NHC ADVANTAGE | $54.00 | ↑ +567% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $54.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $54.00 | ↑ +567% |
| SENTARA HEALTH | SENTARA MEDICARE | $54.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $54.00 | ↑ +567% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $54.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $54.00 | ↑ +567% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $54.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS MEDICARE | $142.62 | ↑ +1661% |
| WELLCARE | WELLCARE MEDICARE | $145.36 | ↑ +1695% |
| AMBETTER | AMBETTER | $298.96 | ↑ +3591% |
Visitor-reported prices
Comments
Brace ank aftr bioskn med lg at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $12.42 | $54.00 – $54.00 |
| Greeneville Community Hospital | GREENEVILLE | $19.95 | $40.83 – $298.96 |
| Bristol Regional Medical Center | BRISTOL | $19.95 | $40.83 – $298.96 |
| Holston Valley Medical Center | KINGSPORT | $19.95 | $40.83 – $298.96 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $19.95 | $40.83 – $298.96 |
| Johnson County Community Hospital | MOUNTAIN CITY | $12.42 | $54.00 – $54.00 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $157.92 – $232.14 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $153.18 – $232.14 |