Bundled special stain group 1 microorganisms at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$76.95
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.
$513.00
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.
$8.87 with BLUE CROSS vs $513.00 with WELLCARE — 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $8.87 | ↓ -88% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $15.37 | ↓ -80% |
| AMERIGROUP | AMERIGROUP | $20.41 | ↓ -73% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $41.32 | ↓ -46% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $42.56 | ↓ -45% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $42.56 | ↓ -45% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $42.97 | ↓ -44% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $42.98 | ↓ -44% |
| SENTARA HEALTH | SENTARA MEDICARE | $48.63 | ↓ -37% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $48.63 | ↓ -37% |
| AETNA | AETNA HEALTHCARE MEDICARE | $48.63 | ↓ -37% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $48.63 | ↓ -37% |
| HUMANA | HUMANA MEDICARE | $48.63 | ↓ -37% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $48.63 | ↓ -37% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $48.63 | ↓ -37% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $48.63 | ↓ -37% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $48.63 | ↓ -37% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $48.63 | ↓ -37% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $49.47 | ↓ -36% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $49.47 | ↓ -36% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $49.47 | ↓ -36% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $50.09 | ↓ -35% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $50.09 | ↓ -35% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $50.57 | ↓ -34% |
| BLUE CROSS | BLUE CROSS MEDICARE | $50.57 | ↓ -34% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $51.06 | ↓ -34% |
| NHC ADVANTAGE | NHC ADVANTAGE | $51.06 | ↓ -34% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $51.06 | ↓ -34% |
| WELLCARE | WELLCARE MEDICARE | $51.54 | ↓ -33% |
| AMBETTER | AMBETTER | $106.01 | ↑ +38% |
| SENTARA HEALTH | SENTARA HEALTH | $178.99 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $179.55 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $188.10 | ↑ +144% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $188.16 | ↑ +145% |
| CIGNA HEALTHCARE | CIGNA PPO | $188.16 | ↑ +145% |
| CIGNA HEALTHCARE | CIGNA HMO | $188.16 | ↑ +145% |
| BLUE CROSS | BLUE CROSS E NETWORK | $245.48 | ↑ +219% |
| BLUE CROSS | BLUE CROSS P NETWORK | $250.28 | ↑ +225% |
| BLUE CROSS | BLUE CROSS S NETWORK | $250.28 | ↑ +225% |
| AETNA | AETNA | $327.29 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $384.75 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $513.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $513.00 | ↑ +567% |
Visitor-reported prices
Comments
Bundled special stain group 1 microorganisms at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $76.95 | $8.87 – $103.15 |
| Ascension Saint Thomas Midtown | Nashville | $48.47 | $3.38 – $223.03 |
| CHI Memorial Hospital Hixson | Hixson | $88.21 | $5.03 – $208.60 |
| 62-1166050 BMH Carroll County | Huntingdon | $14.49 | $3.38 – $97.58 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $126.06 | $5.03 – $208.60 |
| Ascension Saint Thomas DeKalb | Smithville | $48.47 | $3.38 – $223.03 |
| Ascension Saint Thomas Highlands | Sparta | $48.47 | $3.38 – $223.03 |
| Ascension Saint Thomas River Park | McMinnville | $48.47 | $5.05 – $223.03 |