Duplex scan bilateral study 93985 at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$476.25
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.
$3,175.00
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.
$138.31 with OPTIMA HEALTH vs $3,175.00 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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $138.31 | ↓ -71% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $142.46 | ↓ -70% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $142.46 | ↓ -70% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $143.84 | ↓ -70% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $143.84 | ↓ -70% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $209.71 | ↓ -56% |
| BLUE CROSS | TENNCARE BLUE SELECT | $209.94 | ↓ -56% |
| BLUE CROSS | TENNCARE BLUE CARE | $209.94 | ↓ -56% |
| AMERIGROUP | AMERIGROUP | $220.67 | ↓ -54% |
| SENTARA HEALTH | SENTARA MEDICARE | $222.65 | ↓ -53% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $222.65 | ↓ -53% |
| AETNA | AETNA HEALTHCARE MEDICARE | $222.65 | ↓ -53% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $222.65 | ↓ -53% |
| HUMANA | HUMANA MEDICARE | $222.65 | ↓ -53% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $222.65 | ↓ -53% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $222.65 | ↓ -53% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $222.65 | ↓ -53% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $222.65 | ↓ -53% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $222.65 | ↓ -53% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $229.33 | ↓ -52% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $229.33 | ↓ -52% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $231.56 | ↓ -51% |
| BLUE CROSS | BLUE CROSS MEDICARE | $231.56 | ↓ -51% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $233.78 | ↓ -51% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $233.78 | ↓ -51% |
| NHC ADVANTAGE | NHC ADVANTAGE | $233.78 | ↓ -51% |
| WELLCARE | WELLCARE MEDICARE | $236.01 | ↓ -50% |
| AMBETTER | AMBETTER | $485.38 | ↑ +2% |
| BLUE CROSS | BLUE CROSS P NETWORK | $982.56 | ↑ +106% |
| BLUE CROSS | BLUE CROSS E NETWORK | $982.56 | ↑ +106% |
| BLUE CROSS | BLUE CROSS S NETWORK | $982.56 | ↑ +106% |
| SENTARA HEALTH | SENTARA HEALTH | $1,107.76 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $1,111.25 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,146.00 | ↑ +141% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,231.90 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,231.90 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,421.00 | ↑ +198% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,473.20 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,533.53 | ↑ +222% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,694.00 | ↑ +256% |
| AETNA | AETNA | $2,025.65 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2,222.50 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,381.25 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,175.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $3,175.00 | ↑ +567% |
Visitor-reported prices
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Duplex scan bilateral study 93985 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $476.25 | $150.09 – $472.27 |
| Ascension Saint Thomas Midtown | Nashville | $660.32 | $180.98 – $600.34 |
| CHI Memorial Hospital Hixson | Hixson | $285.35 | $163.11 – $674.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $407.78 | $163.11 – $674.80 |
| Greeneville Community Hospital | GREENEVILLE | $476.25 | $83.88 – $485.38 |
| Bristol Regional Medical Center | BRISTOL | $476.25 | $139.81 – $543.24 |
| Holston Valley Medical Center | KINGSPORT | $476.25 | $136.52 – $543.24 |
| 62-0123940 BMH Collierville | Collierville | $164.43 | $180.98 – $442.68 |