Ghs ed rmvl or bivalving cast at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$55.35
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.
$369.00
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.
$23.55 with BLUE CROSS vs $568.96 with AMBETTER — 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 | $23.55 | ↓ -57% |
| BLUE CROSS | TENNCARE BLUE CARE | $23.55 | ↓ -57% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $26.11 | ↓ -53% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $115.08 | ↑ +108% |
| SENTARA HEALTH | SENTARA HEALTH | $128.74 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $129.15 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $143.17 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $143.17 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $144.28 | ↑ +161% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $144.28 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $144.28 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $171.22 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $175.64 | ↑ +217% |
| AMERIGROUP | AMERIGROUP | $225.39 | ↑ +307% |
| AETNA | AETNA | $235.42 | ↑ +325% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $250.95 | ↑ +353% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $258.48 | ↑ +367% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $258.48 | ↑ +367% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $260.99 | ↑ +372% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $260.99 | ↑ +372% |
| AETNA | AETNA HEALTHCARE MEDICARE | $260.99 | ↑ +372% |
| HUMANA | HUMANA MEDICARE | $260.99 | ↑ +372% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $260.99 | ↑ +372% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $260.99 | ↑ +372% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $260.99 | ↑ +372% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $260.99 | ↑ +372% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $260.99 | ↑ +372% |
| SENTARA HEALTH | SENTARA MEDICARE | $260.99 | ↑ +372% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $260.99 | ↑ +372% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $260.99 | ↑ +372% |
| BLUE CROSS | BLUE CROSS E NETWORK | $265.68 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $265.68 | ↑ +380% |
| BLUE CROSS | BLUE CROSS S NETWORK | $265.68 | ↑ +380% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $268.82 | ↑ +386% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $268.82 | ↑ +386% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $271.43 | ↑ +390% |
| BLUE CROSS | BLUE CROSS MEDICARE | $271.43 | ↑ +390% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $274.04 | ↑ +395% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $274.04 | ↑ +395% |
| NHC ADVANTAGE | NHC ADVANTAGE | $274.04 | ↑ +395% |
| WELLCARE | WELLCARE MEDICARE | $276.65 | ↑ +400% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $276.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $369.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $369.00 | ↑ +567% |
| AMBETTER | AMBETTER | $568.96 | ↑ +928% |
Visitor-reported prices
Comments
Ghs ed rmvl or bivalving cast at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $55.35 | $26.11 – $553.60 |
| 62-1166050 BMH Carroll County | Huntingdon | $79.81 | $210.98 – $485.02 |
| Greeneville Community Hospital | GREENEVILLE | $55.35 | $23.55 – $568.96 |
| Bristol Regional Medical Center | BRISTOL | $55.35 | $23.55 – $578.42 |
| Holston Valley Medical Center | KINGSPORT | $55.35 | $23.55 – $578.42 |
| 62-0123940 BMH Collierville | Collierville | $80.43 | $34.40 – $486.38 |
| Indian Path Community Hospital | KINGSPORT | $55.35 | $23.55 – $553.19 |
| 62-1138045 BMH Union City | Union City | $68.60 | $210.98 – $485.02 |