ER Visit (level 2) at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$94.35
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.
$629.00
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.
$40.00 with BLUE CROSS vs $629.00 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 | $40.00 | ↓ -58% |
| BLUE CROSS | TENNCARE BLUE CARE | $40.00 | ↓ -58% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $50.00 | ↓ -47% |
| AMERIGROUP | AMERIGROUP | $60.00 | ↓ -36% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $133.00 | ↑ +41% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $143.28 | ↑ +52% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $143.28 | ↑ +52% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $143.28 | ↑ +52% |
| AETNA | AETNA HEALTHCARE MEDICARE | $143.28 | ↑ +52% |
| HUMANA | HUMANA MEDICARE | $143.28 | ↑ +52% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $143.28 | ↑ +52% |
| SENTARA HEALTH | SENTARA MEDICARE | $143.28 | ↑ +52% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $143.28 | ↑ +52% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $143.28 | ↑ +52% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $143.28 | ↑ +52% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $147.58 | ↑ +56% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $147.58 | ↑ +56% |
| BLUE CROSS | BLUE CROSS MEDICARE | $149.01 | ↑ +58% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $149.01 | ↑ +58% |
| NHC ADVANTAGE | NHC ADVANTAGE | $150.44 | ↑ +59% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $150.44 | ↑ +59% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $150.44 | ↑ +59% |
| WELLCARE | WELLCARE MEDICARE | $151.88 | ↑ +61% |
| BLUE CROSS | BLUE CROSS E NETWORK | $179.00 | ↑ +90% |
| BLUE CROSS | BLUE CROSS S NETWORK | $183.00 | ↑ +94% |
| BLUE CROSS | BLUE CROSS P NETWORK | $183.00 | ↑ +94% |
| SENTARA HEALTH | SENTARA HEALTH | $219.46 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $220.15 | ↑ +133% |
| AMBETTER | AMBETTER | $312.35 | ↑ +231% |
| AETNA | AETNA | $401.30 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $471.75 | ↑ +400% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $540.00 | ↑ +472% |
| CIGNA HEALTHCARE | CIGNA HMO | $540.00 | ↑ +472% |
| CIGNA HEALTHCARE | CIGNA PPO | $602.00 | ↑ +538% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $624.00 | ↑ +561% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $629.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $629.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $629.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $629.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $629.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | not published by hospital | — |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | not published by hospital | — |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | not published by hospital | — |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | not published by hospital | — |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 2) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $94.35 | $139.41 – $303.91 |
| Ascension Saint Thomas Midtown | Nashville | $573.00 | $33.83 – $1,686.00 |
| CHI Memorial Hospital Hixson | Hixson | $355.20 | $50.35 – $1,222.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $150.65 | $33.01 – $289.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $507.60 | $50.35 – $1,222.00 |
| Ascension Saint Thomas DeKalb | Smithville | $573.00 | $33.83 – $1,686.00 |
| Ascension Saint Thomas Highlands | Sparta | $573.00 | $37.71 – $1,686.00 |
| Ascension Saint Thomas River Park | McMinnville | $573.00 | $37.71 – $1,686.00 |