Dactinomycin 0.5 mg intravenous solution at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$1,555.02
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.
$10,366.83
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.
$1.76 with BLUE CROSS vs $10,366.83 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 | TENNCARE BLUE SELECT | $1.76 | ↓ -100% |
| BLUE CROSS | TENNCARE BLUE CARE | $1.76 | ↓ -100% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $12.82 | ↓ -99% |
| SENTARA HEALTH | SENTARA MEDICARE | $307.99 | ↓ -80% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $307.99 | ↓ -80% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $307.99 | ↓ -80% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $307.99 | ↓ -80% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $307.99 | ↓ -80% |
| AETNA | AETNA HEALTHCARE MEDICARE | $307.99 | ↓ -80% |
| HUMANA | HUMANA MEDICARE | $307.99 | ↓ -80% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $307.99 | ↓ -80% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $307.99 | ↓ -80% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $307.99 | ↓ -80% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $317.22 | ↓ -80% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $317.22 | ↓ -80% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $320.30 | ↓ -79% |
| BLUE CROSS | BLUE CROSS MEDICARE | $320.30 | ↓ -79% |
| NHC ADVANTAGE | NHC ADVANTAGE | $323.38 | ↓ -79% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $323.38 | ↓ -79% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $323.38 | ↓ -79% |
| WELLCARE | WELLCARE MEDICARE | $326.46 | ↓ -79% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $397.51 | ↓ -74% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $397.51 | ↓ -74% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $397.51 | ↓ -74% |
| BLUE CROSS | BLUE CROSS E NETWORK | $446.76 | ↓ -71% |
| BLUE CROSS | BLUE CROSS S NETWORK | $456.68 | ↓ -71% |
| BLUE CROSS | BLUE CROSS P NETWORK | $456.68 | ↓ -71% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $509.84 | ↓ -67% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $577.88 | ↓ -63% |
| AMBETTER | AMBETTER | $671.41 | ↓ -57% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $768.32 | ↓ -51% |
| CIGNA HEALTHCARE | CIGNA HMO | $768.32 | ↓ -51% |
| CIGNA HEALTHCARE | CIGNA PPO | $768.32 | ↓ -51% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,213.89 | ↓ -22% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,250.31 | ↓ -20% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,250.31 | ↓ -20% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,262.45 | ↓ -19% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,262.45 | ↓ -19% |
| AMERIGROUP | AMERIGROUP | $1,484.77 | ↓ -5% |
| SENTARA HEALTH | SENTARA HEALTH | $3,616.99 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $3,628.39 | ↑ +133% |
| AETNA | AETNA | $6,614.04 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,775.12 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $10,366.83 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $10,366.83 | ↑ +567% |
Visitor-reported prices
Comments
Dactinomycin 0.5 mg intravenous solution at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $3,264.26 | $1.52 – $2,245.74 |
| CHI Memorial Hospital Hixson | Hixson | $5,000.58 | $2.26 – $11,825.68 |
| 62-1166050 BMH Carroll County | Huntingdon | $969.32 | $1.52 – $649.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $7,146.09 | $2.26 – $11,825.68 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $3,264.26 | $1.52 – $1,531.84 |
| Bristol Regional Medical Center | BRISTOL | $1,619.32 | $1.76 – $1,235.27 |
| 62-0123940 BMH Collierville | Collierville | $885.03 | $1.52 – $649.60 |
| 62-1138045 BMH Union City | Union City | $842.89 | $282.58 – $649.60 |