Bronchoscopy w/biopsy(s) 31625 at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$709.80
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.
$4,732.00
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.
$775.00 with BLUE CROSS vs $4,732.00 with SEVEN CORNERS, INC. — 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 SELECT | $775.00 | ↑ +9% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↑ +9% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $948.00 | ↑ +34% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,083.00 | ↑ +53% |
| AMERIGROUP | AMERIGROUP | $1,257.38 | ↑ +77% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↑ +128% |
| SENTARA HEALTH | SENTARA HEALTH | $1,650.99 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $1,656.20 | ↑ +133% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,660.90 | ↑ +134% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,660.90 | ↑ +134% |
| HUMANA | HUMANA MEDICARE | $1,660.90 | ↑ +134% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,660.90 | ↑ +134% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,660.90 | ↑ +134% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,660.90 | ↑ +134% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,660.90 | ↑ +134% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,660.90 | ↑ +134% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $1,660.90 | ↑ +134% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,660.90 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,695.00 | ↑ +139% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,695.00 | ↑ +139% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,710.73 | ↑ +141% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,710.73 | ↑ +141% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,727.34 | ↑ +143% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,727.34 | ↑ +143% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,743.94 | ↑ +146% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,743.94 | ↑ +146% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,743.94 | ↑ +146% |
| WELLCARE | WELLCARE MEDICARE | $1,760.55 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,882.00 | ↑ +165% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,956.00 | ↑ +176% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,011.00 | ↑ +183% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,323.63 | ↑ +227% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,393.34 | ↑ +237% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,393.34 | ↑ +237% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↑ +238% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,416.57 | ↑ +240% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,416.58 | ↑ +240% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,469.00 | ↑ +248% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,521.00 | ↑ +255% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,521.00 | ↑ +255% |
| AETNA | AETNA | $3,019.02 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,549.00 | ↑ +400% |
| AMBETTER | AMBETTER | $3,620.76 | ↑ +410% |
| WELLCARE | WELLCARE MEDICAID | $4,732.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,732.00 | ↑ +567% |
Visitor-reported prices
Comments
Bronchoscopy w/biopsy(s) 31625 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $709.80 | $1,105.79 – $3,523.00 |
| Ascension Saint Thomas Midtown | Nashville | $1,404.29 | $1,185.00 – $1,534.53 |
| CHI Memorial Hospital Hixson | Hixson | $1,764.16 | $1,192.00 – $4,172.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,521.08 | $1,251.60 – $4,172.00 |
| Ascension Saint Thomas DeKalb | Smithville | $1,860.63 | $527.56 – $1,246.50 |
| Ascension Saint Thomas Highlands | Sparta | $1,860.63 | $527.56 – $1,246.50 |
| Ascension Saint Thomas River Park | McMinnville | $1,739.00 | $527.56 – $1,246.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,860.63 | $1,185.00 – $1,636.56 |