Cystoscopy and treatment at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$2,989.95
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.
$19,933.00
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.
$186.96 with BLUE CROSS vs $19,933.00 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 | $186.96 | ↓ -94% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,876.37 | ↓ -37% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,994.65 | ↓ -33% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,054.49 | ↓ -31% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,054.49 | ↓ -31% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,074.44 | ↓ -31% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,074.44 | ↓ -31% |
| AMERIGROUP | AMERIGROUP | $2,561.64 | ↓ -14% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,289.31 | ↑ +10% |
| HUMANA | HUMANA MEDICARE | $3,289.31 | ↑ +10% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,289.31 | ↑ +10% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $3,289.31 | ↑ +10% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,289.31 | ↑ +10% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,289.31 | ↑ +10% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,289.31 | ↑ +10% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,289.31 | ↑ +10% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,289.31 | ↑ +10% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,289.31 | ↑ +10% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,387.99 | ↑ +13% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,387.99 | ↑ +13% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,420.88 | ↑ +14% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,420.88 | ↑ +14% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,453.78 | ↑ +16% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,453.78 | ↑ +16% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,453.78 | ↑ +16% |
| WELLCARE | WELLCARE MEDICARE | $3,486.67 | ↑ +17% |
| SENTARA HEALTH | SENTARA HEALTH | $6,954.62 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $6,976.55 | ↑ +133% |
| AMBETTER | AMBETTER | $7,170.70 | ↑ +140% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $7,734.00 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $7,734.00 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $7,793.80 | ↑ +161% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $7,793.80 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $7,793.80 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $9,248.91 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $9,488.11 | ↑ +217% |
| AETNA | AETNA | $12,717.25 | ↑ +325% |
| BLUE CROSS | BLUE CROSS S NETWORK | $14,351.76 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $14,351.76 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $14,351.76 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $14,949.75 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $19,933.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $19,933.00 | ↑ +567% |
Visitor-reported prices
Comments
Cystoscopy and treatment at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $2,989.95 | $186.96 – $6,977.09 |
| Indian Path Community Hospital | KINGSPORT | $2,989.95 | $186.96 – $7,675.50 |
| Sycamore Shoals Hospital | ELIZABETHTON | $2,989.95 | $186.96 – $6,971.91 |
| Ascension Saint Thomas Midtown | Nashville | not published | $1,185.00 – $1,534.53 |
| 62-1166050 BMH Carroll County | Huntingdon | not published | $2,364.00 – $6,298.64 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $1,042.43 – $1,246.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $1,042.43 – $1,246.50 |
| Ascension Saint Thomas River Park | McMinnville | not published | $1,042.43 – $1,246.50 |