Cystourethroscop/calib/dilat stric 52281 at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$437.10
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.
?
What you pay up front if you don't use insurance.
$2,914.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$150.09 with BLUE CROSS vs $4,252.37 with AMBETTER — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $150.09 | ↓ -66% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $161.00 | ↓ -63% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↓ -9% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $494.00 | ↑ +13% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +35% |
| SENTARA HEALTH | SENTARA HEALTH | $1,016.69 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $1,019.90 | ↑ +133% |
| AETNA | AETNA | $1,859.13 | ↑ +325% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $1,950.63 | ↑ +346% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,950.63 | ↑ +346% |
| HUMANA | HUMANA MEDICARE | $1,950.63 | ↑ +346% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,950.63 | ↑ +346% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,950.63 | ↑ +346% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,950.63 | ↑ +346% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,950.63 | ↑ +346% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,950.63 | ↑ +346% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,950.63 | ↑ +346% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,950.63 | ↑ +346% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,994.65 | ↑ +356% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,009.15 | ↑ +360% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,009.15 | ↑ +360% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,028.65 | ↑ +364% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,028.65 | ↑ +364% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,048.16 | ↑ +369% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,048.16 | ↑ +369% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,048.16 | ↑ +369% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,054.49 | ↑ +370% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,054.49 | ↑ +370% |
| WELLCARE | WELLCARE MEDICARE | $2,067.66 | ↑ +373% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,074.44 | ↑ +375% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,074.44 | ↑ +375% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,185.50 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,914.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $2,914.00 | ↑ +567% |
| AMBETTER | AMBETTER | $4,252.37 | ↑ +873% |
Visitor-reported prices
Comments
Cystourethroscop/calib/dilat stric 52281 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $437.10 | $150.09 – $4,137.55 |
| CHI Memorial Hospital Hixson | Hixson | $1,419.62 | $959.20 – $3,357.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $604.21 | $1,627.37 – $3,741.08 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,028.71 | $1,007.16 – $3,357.20 |
| Hancock County Hospital | SNEEDVILLE | $429.18 | $150.09 – $2,272.67 |
| Greeneville Community Hospital | GREENEVILLE | $437.10 | $150.09 – $4,252.37 |
| Bristol Regional Medical Center | BRISTOL | $437.10 | $150.09 – $4,323.04 |
| Holston Valley Medical Center | KINGSPORT | $437.10 | $150.09 – $4,323.04 |