Exchange drainage catheter at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$848.10
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.
$5,654.00
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.
$578.00 with BLUE CROSS vs $5,654.00 with SEVEN CORNERS, INC. — 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 | $578.00 | ↓ -32% |
| BLUE CROSS | TENNCARE BLUE CARE | $578.00 | ↓ -32% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $934.18 | ↑ +10% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $962.21 | ↑ +13% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $962.21 | ↑ +13% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $971.55 | ↑ +15% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $971.55 | ↑ +15% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,082.00 | ↑ +28% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,083.00 | ↑ +28% |
| AMERIGROUP | AMERIGROUP | $1,355.87 | ↑ +60% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↑ +91% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,790.61 | ↑ +111% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $1,790.61 | ↑ +111% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,790.61 | ↑ +111% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,790.61 | ↑ +111% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,790.61 | ↑ +111% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,790.61 | ↑ +111% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,790.61 | ↑ +111% |
| HUMANA | HUMANA MEDICARE | $1,790.61 | ↑ +111% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,790.61 | ↑ +111% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,790.61 | ↑ +111% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,844.33 | ↑ +117% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,844.33 | ↑ +117% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,862.24 | ↑ +120% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,862.24 | ↑ +120% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,880.15 | ↑ +122% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,880.15 | ↑ +122% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,880.15 | ↑ +122% |
| WELLCARE | WELLCARE MEDICARE | $1,898.05 | ↑ +124% |
| SENTARA HEALTH | SENTARA HEALTH | $1,972.68 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $1,978.90 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,011.00 | ↑ +137% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↑ +183% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,774.00 | ↑ +227% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,774.00 | ↑ +227% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,083.00 | ↑ +264% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +278% |
| BLUE CROSS | BLUE CROSS E NETWORK | $3,229.00 | ↑ +281% |
| BLUE CROSS | BLUE CROSS P NETWORK | $3,297.00 | ↑ +289% |
| BLUE CROSS | BLUE CROSS S NETWORK | $3,297.00 | ↑ +289% |
| AETNA | AETNA | $3,607.25 | ↑ +325% |
| AMBETTER | AMBETTER | $3,903.54 | ↑ +360% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,240.50 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $5,654.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $5,654.00 | ↑ +567% |
Visitor-reported prices
Comments
Exchange drainage catheter at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $848.10 | $1,013.71 – $3,798.15 |
| Ascension Saint Thomas Midtown | Nashville | $1,611.89 | $1,141.72 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $288.60 | $195.00 – $682.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $412.43 | $204.75 – $682.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,611.89 | $1,217.22 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $832.37 | $1,044.12 – $2,007.86 |
| Greeneville Community Hospital | GREENEVILLE | $848.10 | $1,013.71 – $3,903.54 |
| Bristol Regional Medical Center | BRISTOL | $848.10 | $949.72 – $4,368.90 |