Drainage of urethra abscess 53060 at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$877.35
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.
$5,849.00
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.
$72.27 with BLUE CROSS vs $5,849.00 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 | $72.27 | ↓ -92% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $161.00 | ↓ -82% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↓ -55% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $494.00 | ↓ -44% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↓ -33% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $1,950.63 | ↑ +122% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,950.63 | ↑ +122% |
| HUMANA | HUMANA MEDICARE | $1,950.63 | ↑ +122% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,950.63 | ↑ +122% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,950.63 | ↑ +122% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,950.63 | ↑ +122% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,950.63 | ↑ +122% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,950.63 | ↑ +122% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,950.63 | ↑ +122% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,950.63 | ↑ +122% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,009.15 | ↑ +129% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,009.15 | ↑ +129% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,028.65 | ↑ +131% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,028.65 | ↑ +131% |
| SENTARA HEALTH | SENTARA HEALTH | $2,040.72 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $2,047.15 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,048.16 | ↑ +133% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,048.16 | ↑ +133% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,048.16 | ↑ +133% |
| WELLCARE | WELLCARE MEDICARE | $2,067.66 | ↑ +136% |
| AETNA | AETNA | $3,731.66 | ↑ +325% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,823.78 | ↑ +336% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,938.49 | ↑ +349% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3,938.49 | ↑ +349% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3,976.73 | ↑ +353% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,976.73 | ↑ +353% |
| AMBETTER | AMBETTER | $4,252.37 | ↑ +385% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,386.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $5,849.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $5,849.00 | ↑ +567% |
Visitor-reported prices
Comments
Drainage of urethra abscess 53060 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $877.35 | $72.27 – $4,149.29 |
| Hancock County Hospital | SNEEDVILLE | $860.89 | $59.64 – $4,356.75 |
| Greeneville Community Hospital | GREENEVILLE | $877.35 | $59.64 – $4,252.37 |
| Bristol Regional Medical Center | BRISTOL | $877.35 | $59.64 – $4,759.31 |
| Holston Valley Medical Center | KINGSPORT | $877.35 | $59.64 – $4,759.31 |
| Indian Path Community Hospital | KINGSPORT | $877.35 | $72.27 – $4,551.72 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $877.35 | $59.64 – $4,277.92 |
| Johnson County Community Hospital | MOUNTAIN CITY | $860.89 | $72.27 – $4,315.26 |