Buprenorphine and metabolite - sendout at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$27.00
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.
$180.00
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.
$14.49 with OPTIMA HEALTH vs $180.00 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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $14.49 | ↓ -46% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $14.92 | ↓ -45% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $14.93 | ↓ -45% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $15.07 | ↓ -44% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $15.07 | ↓ -44% |
| SENTARA HEALTH | SENTARA HEALTH | $62.80 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $63.00 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $69.84 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $69.84 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $77.04 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA PPO | $86.94 | ↑ +222% |
| AETNA | AETNA | $114.84 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $126.00 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $135.00 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $180.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $180.00 | ↑ +567% |
Visitor-reported prices
Comments
Buprenorphine and metabolite - sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $27.00 | $15.73 – $16.36 |
| 62-1166050 BMH Carroll County | Huntingdon | $88.78 | $0.01 – $0.01 |
| Hancock County Hospital | SNEEDVILLE | $26.22 | $16.20 – $16.52 |
| Greeneville Community Hospital | GREENEVILLE | $27.00 | $15.73 – $15.73 |
| Bristol Regional Medical Center | BRISTOL | $27.00 | $14.74 – $15.03 |
| Holston Valley Medical Center | KINGSPORT | $27.00 | $14.31 – $15.03 |
| 62-0123940 BMH Collierville | Collierville | $67.41 | $0.01 – $40.08 |
| Indian Path Community Hospital | KINGSPORT | $27.00 | $13.84 – $14.39 |