Drainage lymph node lesion 38300 at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$900.45
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.
$6,003.00
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.
$112.41 with BLUE CROSS vs $6,003.00 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $112.41 | ↓ -88% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $161.00 | ↓ -82% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↓ -56% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $494.00 | ↓ -45% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↓ -35% |
| SENTARA HEALTH | SENTARA HEALTH | $2,094.45 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $2,101.05 | ↑ +133% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $2,710.51 | ↑ +201% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,710.51 | ↑ +201% |
| HUMANA | HUMANA MEDICARE | $2,710.51 | ↑ +201% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,710.51 | ↑ +201% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,710.51 | ↑ +201% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,710.51 | ↑ +201% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,710.51 | ↑ +201% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,710.51 | ↑ +201% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,710.51 | ↑ +201% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,710.51 | ↑ +201% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,791.83 | ↑ +210% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,791.83 | ↑ +210% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,818.94 | ↑ +213% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,818.94 | ↑ +213% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,846.04 | ↑ +216% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,846.04 | ↑ +216% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,846.04 | ↑ +216% |
| WELLCARE | WELLCARE MEDICARE | $2,873.15 | ↑ +219% |
| AETNA | AETNA | $3,829.91 | ↑ +325% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $4,209.19 | ↑ +367% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $4,335.46 | ↑ +381% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $4,335.47 | ↑ +381% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $4,377.56 | ↑ +386% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $4,377.56 | ↑ +386% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,502.25 | ↑ +400% |
| AMBETTER | AMBETTER | $5,908.92 | ↑ +556% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $6,003.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $6,003.00 | ↑ +567% |
Visitor-reported prices
Comments
Drainage lymph node lesion 38300 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $900.45 | $112.41 – $5,749.39 |
| Indian Path Community Hospital | KINGSPORT | $900.45 | $112.41 – $6,003.00 |
| Sycamore Shoals Hospital | ELIZABETHTON | $900.45 | $112.41 – $5,745.12 |
| Claiborne Medical Center | Tazewell | $433.16 | $696.15 – $2,963.61 |
| Ascension Saint Thomas Midtown | Nashville | not published | $35.18 – $1,141.72 |
| CHI Memorial Hospital Hixson | Hixson | not published | $52.36 – $52.36 |
| CHI Memorial Hospital Chattanooga | Chattanooga | not published | $52.36 – $52.36 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $35.18 – $1,004.50 |