Electron microscopy diagnostic at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$720.00
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.
$4,800.00
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.
$37.50 with BLUE CROSS vs $4,800.00 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 | TENNCARE BLUE SELECT | $37.50 | ↓ -95% |
| BLUE CROSS | TENNCARE BLUE CARE | $37.50 | ↓ -95% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $116.00 | ↓ -84% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $147.92 | ↓ -79% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $203.69 | ↓ -72% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $209.80 | ↓ -71% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $209.80 | ↓ -71% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $211.84 | ↓ -71% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $211.84 | ↓ -71% |
| AMERIGROUP | AMERIGROUP | $247.05 | ↓ -66% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $628.20 | ↓ -13% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $628.20 | ↓ -13% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $628.20 | ↓ -13% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $751.81 | ↑ +4% |
| AETNA | AETNA HEALTHCARE MEDICARE | $751.81 | ↑ +4% |
| HUMANA | HUMANA MEDICARE | $751.81 | ↑ +4% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $751.81 | ↑ +4% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $751.81 | ↑ +4% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $751.81 | ↑ +4% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $751.81 | ↑ +4% |
| SENTARA HEALTH | SENTARA MEDICARE | $751.81 | ↑ +4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $751.81 | ↑ +4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $751.81 | ↑ +4% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $774.37 | ↑ +8% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $774.37 | ↑ +8% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $781.89 | ↑ +9% |
| BLUE CROSS | BLUE CROSS MEDICARE | $781.89 | ↑ +9% |
| NHC ADVANTAGE | NHC ADVANTAGE | $789.40 | ↑ +10% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $789.40 | ↑ +10% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $789.40 | ↑ +10% |
| WELLCARE | WELLCARE MEDICARE | $796.92 | ↑ +11% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $885.24 | ↑ +23% |
| AMBETTER | AMBETTER | $1,638.95 | ↑ +128% |
| SENTARA HEALTH | SENTARA HEALTH | $1,674.72 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $1,680.00 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,753.57 | ↑ +144% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,753.57 | ↑ +144% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,753.57 | ↑ +144% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,294.16 | ↑ +219% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,339.04 | ↑ +225% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,339.04 | ↑ +225% |
| AETNA | AETNA | $3,062.40 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,600.00 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,800.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $4,800.00 | ↑ +567% |
Visitor-reported prices
Comments
Electron microscopy diagnostic at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $720.00 | $45.59 – $1,594.70 |
| CHI Memorial Hospital Hixson | Hixson | $250.12 | $48.12 – $618.47 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $357.44 | $48.12 – $618.47 |
| Greeneville Community Hospital | GREENEVILLE | $720.00 | $37.50 – $1,638.95 |
| Bristol Regional Medical Center | BRISTOL | $720.00 | $37.50 – $1,834.34 |
| Holston Valley Medical Center | KINGSPORT | $720.00 | $37.50 – $1,834.34 |
| 62-0123940 BMH Collierville | Collierville | $230.58 | $32.33 – $1,496.08 |
| Indian Path Community Hospital | KINGSPORT | $720.00 | $37.50 – $1,754.33 |