Deep muscle biopsy 20205 at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$1,124.85
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.
$7,499.00
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.
$890.00 with BLUE CROSS vs $7,499.00 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 | TENNCARE BLUE CARE | $890.00 | ↓ -21% |
| BLUE CROSS | TENNCARE BLUE SELECT | $890.00 | ↓ -21% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,082.00 | ↓ -4% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,083.00 | ↓ -4% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↑ +44% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,943.00 | ↑ +73% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,943.00 | ↑ +73% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,011.00 | ↑ +79% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,160.00 | ↑ +92% |
| AMERIGROUP | AMERIGROUP | $2,208.38 | ↑ +96% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,246.00 | ↑ +100% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,315.07 | ↑ +106% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,384.52 | ↑ +112% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,384.52 | ↑ +112% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↑ +113% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,407.67 | ↑ +114% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,407.67 | ↑ +114% |
| SENTARA HEALTH | SENTARA HEALTH | $2,616.40 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $2,624.65 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,710.51 | ↑ +141% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,710.51 | ↑ +141% |
| HUMANA | HUMANA MEDICARE | $2,710.51 | ↑ +141% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,710.51 | ↑ +141% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,710.51 | ↑ +141% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,710.51 | ↑ +141% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,710.51 | ↑ +141% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,710.51 | ↑ +141% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,710.51 | ↑ +141% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $2,710.51 | ↑ +141% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,791.83 | ↑ +148% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,791.83 | ↑ +148% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,818.94 | ↑ +151% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,818.94 | ↑ +151% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,846.04 | ↑ +153% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,846.04 | ↑ +153% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,846.04 | ↑ +153% |
| WELLCARE | WELLCARE MEDICARE | $2,873.15 | ↑ +155% |
| AETNA | AETNA | $4,784.36 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,624.25 | ↑ +400% |
| BLUE CROSS | BLUE CROSS E NETWORK | $5,829.00 | ↑ +418% |
| AMBETTER | AMBETTER | $5,908.92 | ↑ +425% |
| BLUE CROSS | BLUE CROSS S NETWORK | $5,952.00 | ↑ +429% |
| BLUE CROSS | BLUE CROSS P NETWORK | $5,952.00 | ↑ +429% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,499.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $7,499.00 | ↑ +567% |
Visitor-reported prices
Comments
Deep muscle biopsy 20205 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $1,124.85 | $1,942.15 – $5,749.39 |
| Hancock County Hospital | SNEEDVILLE | $1,104.00 | $2,587.50 – $3,270.31 |
| Greeneville Community Hospital | GREENEVILLE | $1,124.85 | $1,974.80 – $5,908.92 |
| Bristol Regional Medical Center | BRISTOL | $1,124.85 | $2,353.56 – $6,613.35 |
| Holston Valley Medical Center | KINGSPORT | $1,124.85 | $2,285.01 – $6,613.35 |
| Indian Path Community Hospital | KINGSPORT | $1,124.85 | $2,147.16 – $6,324.90 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,124.85 | $2,587.51 – $5,745.12 |
| Johnson County Community Hospital | MOUNTAIN CITY | $1,104.00 | $2,512.14 – $3,309.36 |