Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$421.20
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.
$2,808.00
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.
$890.74 with SENTARA HEALTH vs $3,972.33 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $890.74 | ↑ +111% |
| MEDCOST | MEDCOST VHN | $893.55 | ↑ +112% |
| CIGNA HEALTHCARE | CIGNA HMO | $990.56 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $990.56 | ↑ +135% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $998.22 | ↑ +137% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $998.22 | ↑ +137% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $998.22 | ↑ +137% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,184.59 | ↑ +181% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,215.23 | ↑ +189% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,323.03 | ↑ +214% |
| AMERIGROUP | AMERIGROUP | $1,529.80 | ↑ +263% |
| AETNA | AETNA | $1,628.81 | ↑ +287% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,787.10 | ↑ +324% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,822.17 | ↑ +333% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,822.17 | ↑ +333% |
| HUMANA | HUMANA MEDICARE | $1,822.17 | ↑ +333% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,822.17 | ↑ +333% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,822.17 | ↑ +333% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,822.17 | ↑ +333% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,822.17 | ↑ +333% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,822.17 | ↑ +333% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,822.17 | ↑ +333% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $1,822.17 | ↑ +333% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,838.16 | ↑ +336% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,838.16 | ↑ +336% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,838.16 | ↑ +336% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,861.97 | ↑ +342% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,876.84 | ↑ +346% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,876.84 | ↑ +346% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,895.06 | ↑ +350% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,895.06 | ↑ +350% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,913.28 | ↑ +354% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,913.28 | ↑ +354% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,913.28 | ↑ +354% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,914.75 | ↑ +355% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,917.83 | ↑ +355% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,917.83 | ↑ +355% |
| WELLCARE | WELLCARE MEDICARE | $1,931.50 | ↑ +359% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,936.45 | ↑ +360% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,936.45 | ↑ +360% |
| WELLCARE | WELLCARE MEDICAID | $2,553.00 | ↑ +506% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,553.00 | ↑ +506% |
| AMBETTER | AMBETTER | $3,972.33 | ↑ +843% |
Visitor-reported prices
Comments
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $421.20 | $949.72 – $3,865.08 |
| 62-1166050 BMH Carroll County | Huntingdon | $742.90 | $1,551.31 – $3,566.22 |
| Greeneville Community Hospital | GREENEVILLE | $421.20 | $529.21 – $3,972.33 |
| Bristol Regional Medical Center | BRISTOL | $421.20 | $783.77 – $4,038.35 |
| Holston Valley Medical Center | KINGSPORT | $421.20 | $783.77 – $4,038.35 |
| Indian Path Community Hospital | KINGSPORT | $421.20 | $949.72 – $3,862.21 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $421.20 | $735.02 – $3,862.21 |
| Sycamore Shoals Hospital | ELIZABETHTON | $421.20 | $949.72 – $3,862.21 |