Drainage mouth roof lesion at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$147.45
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.
$983.00
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.
$66.06 with BLUE CROSS vs $983.00 with SEVEN CORNERS, INC. — 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 | $66.06 | ↓ -55% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $161.00 | ↑ +9% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $221.01 | ↑ +50% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $221.01 | ↑ +50% |
| AETNA | AETNA HEALTHCARE MEDICARE | $221.01 | ↑ +50% |
| HUMANA | HUMANA MEDICARE | $221.01 | ↑ +50% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $221.01 | ↑ +50% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $221.01 | ↑ +50% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $221.01 | ↑ +50% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $221.01 | ↑ +50% |
| SENTARA HEALTH | SENTARA MEDICARE | $221.01 | ↑ +50% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $221.01 | ↑ +50% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $227.65 | ↑ +54% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $227.65 | ↑ +54% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $229.86 | ↑ +56% |
| BLUE CROSS | BLUE CROSS MEDICARE | $229.86 | ↑ +56% |
| NHC ADVANTAGE | NHC ADVANTAGE | $232.07 | ↑ +57% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $232.07 | ↑ +57% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $232.07 | ↑ +57% |
| WELLCARE | WELLCARE MEDICARE | $234.28 | ↑ +59% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $235.07 | ↑ +59% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $242.12 | ↑ +64% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $242.12 | ↑ +64% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $244.47 | ↑ +66% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $244.47 | ↑ +66% |
| SENTARA HEALTH | SENTARA HEALTH | $342.97 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $344.05 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↑ +170% |
| AMBETTER | AMBETTER | $481.81 | ↑ +227% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $494.00 | ↑ +235% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +299% |
| AETNA | AETNA | $627.15 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $737.25 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $983.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $983.00 | ↑ +567% |
Visitor-reported prices
Comments
Drainage mouth roof lesion at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $147.45 | $66.06 – $468.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $122.82 | $184.47 – $424.08 |
| Hancock County Hospital | SNEEDVILLE | $144.67 | $66.06 – $267.83 |
| Greeneville Community Hospital | GREENEVILLE | $147.45 | $66.06 – $481.81 |
| Bristol Regional Medical Center | BRISTOL | $147.45 | $66.06 – $539.25 |
| Holston Valley Medical Center | KINGSPORT | $147.45 | $66.06 – $539.25 |
| 62-0123940 BMH Collierville | Collierville | $112.14 | $202.01 – $425.28 |
| Indian Path Community Hospital | KINGSPORT | $147.45 | $66.06 – $515.73 |