Exam of vagina w/scope 57420 at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$61.65
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.
$411.00
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.
$125.11 with BLUE CROSS vs $690.12 with AETNA — 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 | $125.11 | ↑ +103% |
| SENTARA HEALTH | SENTARA HEALTH | $143.40 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $143.85 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $159.47 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $159.47 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $190.70 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $195.64 | ↑ +217% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $203.54 | ↑ +230% |
| AMERIGROUP | AMERIGROUP | $254.90 | ↑ +313% |
| AETNA | AETNA | $262.22 | ↑ +325% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $284.36 | ↑ +361% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $284.36 | ↑ +361% |
| AETNA | AETNA HEALTHCARE MEDICARE | $284.36 | ↑ +361% |
| HUMANA | HUMANA MEDICARE | $284.36 | ↑ +361% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $284.36 | ↑ +361% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $284.36 | ↑ +361% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $284.36 | ↑ +361% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $284.36 | ↑ +361% |
| SENTARA HEALTH | SENTARA MEDICARE | $284.36 | ↑ +361% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $284.36 | ↑ +361% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $292.89 | ↑ +375% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $292.89 | ↑ +375% |
| BLUE CROSS | BLUE CROSS MEDICARE | $295.73 | ↑ +380% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $295.73 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $295.92 | ↑ +380% |
| BLUE CROSS | BLUE CROSS S NETWORK | $295.92 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $295.92 | ↑ +380% |
| NHC ADVANTAGE | NHC ADVANTAGE | $298.57 | ↑ +384% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $298.57 | ↑ +384% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $298.57 | ↑ +384% |
| WELLCARE | WELLCARE MEDICARE | $301.42 | ↑ +389% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $308.25 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $411.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $411.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $411.00 | ↑ +567% |
| AMBETTER | AMBETTER | $619.90 | ↑ +906% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $663.57 | ↑ +976% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $683.48 | ↑ +1009% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $690.11 | ↑ +1019% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $690.12 | ↑ +1019% |
Visitor-reported prices
Comments
Exam of vagina w/scope 57420 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $61.65 | $125.11 – $720.06 |
| Hancock County Hospital | SNEEDVILLE | $60.49 | $113.08 – $756.06 |
| Greeneville Community Hospital | GREENEVILLE | $61.65 | $81.42 – $720.06 |
| Bristol Regional Medical Center | BRISTOL | $61.65 | $125.11 – $675.26 |
| Holston Valley Medical Center | KINGSPORT | $61.65 | $125.11 – $675.26 |
| Indian Path Community Hospital | KINGSPORT | $61.65 | $125.11 – $633.63 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $61.65 | $113.08 – $742.38 |
| Sycamore Shoals Hospital | ELIZABETHTON | $61.65 | $125.11 – $720.06 |