Disability dlco at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$47.55
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.
$317.00
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.
$27.05 with BLUE CROSS vs $439.24 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $27.05 | ↓ -43% |
| BLUE CROSS | TENNCARE BLUE SELECT | $27.05 | ↓ -43% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $46.58 | ↓ -2% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $73.63 | ↑ +55% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $75.84 | ↑ +59% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $75.84 | ↑ +59% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $76.57 | ↑ +61% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $76.58 | ↑ +61% |
| CIGNA HEALTHCARE | CIGNA HMO | $82.99 | ↑ +75% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $82.99 | ↑ +75% |
| CIGNA HEALTHCARE | CIGNA PPO | $82.99 | ↑ +75% |
| SENTARA HEALTH | SENTARA HEALTH | $110.60 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $110.95 | ↑ +133% |
| BLUE CROSS | BLUE CROSS S NETWORK | $125.68 | ↑ +164% |
| BLUE CROSS | BLUE CROSS E NETWORK | $125.68 | ↑ +164% |
| BLUE CROSS | BLUE CROSS P NETWORK | $125.68 | ↑ +164% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $147.09 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $201.49 | ↑ +324% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $201.49 | ↑ +324% |
| AETNA | AETNA HEALTHCARE MEDICARE | $201.49 | ↑ +324% |
| HUMANA | HUMANA MEDICARE | $201.49 | ↑ +324% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $201.49 | ↑ +324% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $201.49 | ↑ +324% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $201.49 | ↑ +324% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $201.49 | ↑ +324% |
| SENTARA HEALTH | SENTARA MEDICARE | $201.49 | ↑ +324% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $201.49 | ↑ +324% |
| AETNA | AETNA | $202.25 | ↑ +325% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $207.53 | ↑ +336% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $207.53 | ↑ +336% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $209.55 | ↑ +341% |
| BLUE CROSS | BLUE CROSS MEDICARE | $209.55 | ↑ +341% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $211.56 | ↑ +345% |
| NHC ADVANTAGE | NHC ADVANTAGE | $211.56 | ↑ +345% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $211.56 | ↑ +345% |
| WELLCARE | WELLCARE MEDICARE | $213.58 | ↑ +349% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $221.90 | ↑ +367% |
| AMERIGROUP | AMERIGROUP | $236.36 | ↑ +397% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $237.75 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $317.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $317.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $317.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $317.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $317.00 | ↑ +567% |
| AMBETTER | AMBETTER | $439.24 | ↑ +824% |
Visitor-reported prices
Comments
Disability dlco at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $47.55 | $32.88 – $427.38 |
| Ascension Saint Thomas Midtown | Nashville | $288.90 | $23.32 – $209.78 |
| 62-1166050 BMH Carroll County | Huntingdon | $69.46 | $23.32 – $285.74 |
| Ascension Saint Thomas DeKalb | Smithville | $237.62 | $23.32 – $206.75 |
| Ascension Saint Thomas Highlands | Sparta | $204.50 | $23.32 – $206.75 |
| Ascension Saint Thomas River Park | McMinnville | $194.73 | $25.88 – $206.75 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $289.08 | $23.32 – $209.78 |
| Greeneville Community Hospital | GREENEVILLE | $47.55 | $18.63 – $439.24 |