Cadd pump refill at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$160.65
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.
$1,071.00
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.
$65.53 with OPTIMA HEALTH vs $1,071.00 with UNITED HEALTHCARE — 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 | $65.53 | ↓ -59% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $67.50 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $67.50 | ↓ -58% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $68.15 | ↓ -58% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $68.15 | ↓ -58% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $113.98 | ↓ -29% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $134.98 | ↓ -16% |
| BLUE CROSS | TENNCARE BLUE SELECT | $136.42 | ↓ -15% |
| BLUE CROSS | TENNCARE BLUE CARE | $136.42 | ↓ -15% |
| AMERIGROUP | AMERIGROUP | $181.52 | ↑ +13% |
| SENTARA HEALTH | SENTARA MEDICARE | $198.48 | ↑ +24% |
| AETNA | AETNA HEALTHCARE MEDICARE | $198.48 | ↑ +24% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $198.48 | ↑ +24% |
| HUMANA | HUMANA MEDICARE | $198.48 | ↑ +24% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $198.48 | ↑ +24% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $198.48 | ↑ +24% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $198.48 | ↑ +24% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $198.48 | ↑ +24% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $198.48 | ↑ +24% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $198.48 | ↑ +24% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $204.44 | ↑ +27% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $204.44 | ↑ +27% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $206.42 | ↑ +28% |
| BLUE CROSS | BLUE CROSS MEDICARE | $206.42 | ↑ +28% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $208.41 | ↑ +30% |
| NHC ADVANTAGE | NHC ADVANTAGE | $208.41 | ↑ +30% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $208.41 | ↑ +30% |
| WELLCARE | WELLCARE MEDICARE | $210.39 | ↑ +31% |
| SENTARA HEALTH | SENTARA HEALTH | $373.67 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $374.85 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $381.19 | ↑ +137% |
| CIGNA HEALTHCARE | CIGNA HMO | $381.19 | ↑ +137% |
| CIGNA HEALTHCARE | CIGNA PPO | $381.19 | ↑ +137% |
| AMBETTER | AMBETTER | $432.69 | ↑ +169% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $496.94 | ↑ +209% |
| BLUE CROSS | BLUE CROSS S NETWORK | $574.08 | ↑ +257% |
| BLUE CROSS | BLUE CROSS E NETWORK | $574.08 | ↑ +257% |
| BLUE CROSS | BLUE CROSS P NETWORK | $574.08 | ↑ +257% |
| AETNA | AETNA | $683.30 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $803.25 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $940.00 | ↑ +485% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,071.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,071.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,071.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,071.00 | ↑ +567% |
Visitor-reported prices
Comments
Cadd pump refill at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $160.65 | $71.11 – $421.01 |
| CHI Memorial Hospital Hixson | Hixson | $117.81 | $79.60 – $278.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $168.36 | $83.58 – $278.60 |
| Greeneville Community Hospital | GREENEVILLE | $160.65 | $45.59 – $432.69 |
| Bristol Regional Medical Center | BRISTOL | $160.65 | $66.62 – $484.27 |
| Holston Valley Medical Center | KINGSPORT | $160.65 | $64.68 – $484.27 |
| 62-0123940 BMH Collierville | Collierville | $153.30 | $117.60 – $385.86 |
| Indian Path Community Hospital | KINGSPORT | $160.65 | $62.58 – $463.15 |