Exc hidradenitis peri/umb int 11470 at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$516.90
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.
?
What you pay up front if you don't use insurance.
$3,446.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$250.67 with BLUE CROSS vs $5,908.92 with AMBETTER — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $250.67 | ↓ -52% |
| SENTARA HEALTH | SENTARA HEALTH | $1,202.31 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $1,206.10 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,337.05 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,337.05 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,347.39 | ↑ +161% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,347.39 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,347.39 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,598.94 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,640.30 | ↑ +217% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,641.88 | ↑ +218% |
| AETNA | AETNA | $2,198.55 | ↑ +325% |
| AMERIGROUP | AMERIGROUP | $2,208.38 | ↑ +327% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,282.15 | ↑ +342% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,350.61 | ↑ +355% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,350.61 | ↑ +355% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,373.43 | ↑ +359% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,373.44 | ↑ +359% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,481.12 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,481.12 | ↑ +380% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,481.12 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,584.50 | ↑ +400% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $2,710.51 | ↑ +424% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,710.51 | ↑ +424% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,710.51 | ↑ +424% |
| HUMANA | HUMANA MEDICARE | $2,710.51 | ↑ +424% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,710.51 | ↑ +424% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,710.51 | ↑ +424% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,710.51 | ↑ +424% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,710.51 | ↑ +424% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,710.51 | ↑ +424% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,710.51 | ↑ +424% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,791.83 | ↑ +440% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,791.83 | ↑ +440% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,818.94 | ↑ +445% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,818.94 | ↑ +445% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,846.04 | ↑ +451% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,846.04 | ↑ +451% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,846.04 | ↑ +451% |
| WELLCARE | WELLCARE MEDICARE | $2,873.15 | ↑ +456% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,446.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $3,446.00 | ↑ +567% |
| AMBETTER | AMBETTER | $5,908.92 | ↑ +1043% |
Visitor-reported prices
Comments
Exc hidradenitis peri/umb int 11470 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $516.90 | $250.67 – $5,749.39 |
| Hancock County Hospital | SNEEDVILLE | $507.38 | $250.67 – $2,600.24 |
| Greeneville Community Hospital | GREENEVILLE | $516.90 | $250.67 – $5,908.92 |
| Bristol Regional Medical Center | BRISTOL | $516.90 | $250.67 – $6,007.13 |
| Holston Valley Medical Center | KINGSPORT | $516.90 | $250.67 – $6,007.13 |
| Indian Path Community Hospital | KINGSPORT | $516.90 | $250.67 – $5,745.12 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $516.90 | $250.67 – $5,745.12 |
| Johnson County Community Hospital | MOUNTAIN CITY | $507.38 | $250.67 – $2,575.48 |