Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$5,646.11
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.
$37,640.74
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.
$4.62 with UNITED HEALTHCARE vs $82,056.81 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 | TENNCARE UNITED HEALTHCARE | $4.62 | ↓ -100% |
| BLUE CROSS | TENNCARE BLUE SELECT | $21.40 | ↓ -100% |
| BLUE CROSS | TENNCARE BLUE CARE | $21.40 | ↓ -100% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,577.79 | ↓ -72% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,625.12 | ↓ -71% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,625.12 | ↓ -71% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,640.90 | ↓ -71% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,640.90 | ↓ -71% |
| SENTARA HEALTH | SENTARA HEALTH | $13,132.85 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $13,174.26 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $14,604.61 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $14,604.61 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $14,717.53 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $14,717.53 | ↑ +161% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $14,717.53 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $17,465.30 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $18,180.48 | ↑ +222% |
| AETNA | AETNA | $24,014.79 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $26,348.52 | ↑ +367% |
| BLUE CROSS | BLUE CROSS P NETWORK | $27,101.33 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $27,101.33 | ↑ +380% |
| BLUE CROSS | BLUE CROSS S NETWORK | $27,101.33 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $28,230.56 | ↑ +400% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $37,640.74 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $37,640.74 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $37,640.74 | ↑ +567% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $37,640.74 | ↑ +567% |
| AETNA | AETNA HEALTHCARE MEDICARE | $37,640.74 | ↑ +567% |
| HUMANA | HUMANA MEDICARE | $37,640.74 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $37,640.74 | ↑ +567% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $37,640.74 | ↑ +567% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $37,640.74 | ↑ +567% |
| NHC ADVANTAGE | NHC ADVANTAGE | $37,640.74 | ↑ +567% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $37,640.74 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $37,640.74 | ↑ +567% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $37,640.74 | ↑ +567% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $37,640.74 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $37,640.74 | ↑ +567% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $37,640.74 | ↑ +567% |
| SENTARA HEALTH | SENTARA MEDICARE | $37,640.74 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $37,640.74 | ↑ +567% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $37,640.74 | ↑ +567% |
| BLUE CROSS | BLUE CROSS MEDICARE | $39,146.37 | ↑ +593% |
| WELLCARE | WELLCARE MEDICARE | $39,899.18 | ↑ +607% |
| AMBETTER | AMBETTER | $82,056.81 | ↑ +1353% |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $4.87 – $10.26 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $4.87 – $10.26 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $4.87 – $10.26 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | not published | $4.87 – $10.26 |
| SKYLINE MADISON CAMPUS | NASHVILLE | not published | $4.87 – $10.26 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | not published | $4.87 – $10.26 |
| STONECREST MEDICAL CENTER | Smyrna | not published | $4.87 – $10.26 |
| SUMMIT MEDICAL CENTER | MT JULIET | not published | $4.87 – $10.26 |