Ghs simple repair over 30 cm - 12018 at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$136.50
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.
$910.00
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.
$161.00 with UNITED HEALTHCARE vs $910.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $161.00 | ↑ +18% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $187.22 | ↑ +37% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $187.22 | ↑ +37% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $187.22 | ↑ +37% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $187.22 | ↑ +37% |
| SENTARA HEALTH | SENTARA MEDICARE | $187.22 | ↑ +37% |
| AETNA | AETNA HEALTHCARE MEDICARE | $187.22 | ↑ +37% |
| HUMANA | HUMANA MEDICARE | $187.22 | ↑ +37% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $187.22 | ↑ +37% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $187.22 | ↑ +37% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $187.22 | ↑ +37% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $192.84 | ↑ +41% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $192.84 | ↑ +41% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $194.71 | ↑ +43% |
| BLUE CROSS | BLUE CROSS MEDICARE | $194.71 | ↑ +43% |
| NHC ADVANTAGE | NHC ADVANTAGE | $196.58 | ↑ +44% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $196.58 | ↑ +44% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $196.58 | ↑ +44% |
| WELLCARE | WELLCARE MEDICARE | $198.45 | ↑ +45% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $241.08 | ↑ +77% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $248.31 | ↑ +82% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $248.31 | ↑ +82% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $250.72 | ↑ +84% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $250.73 | ↑ +84% |
| SENTARA HEALTH | SENTARA HEALTH | $317.50 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $318.50 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↑ +192% |
| AMBETTER | AMBETTER | $408.14 | ↑ +199% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $411.02 | ↑ +201% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $494.00 | ↑ +262% |
| AETNA | AETNA | $580.58 | ↑ +325% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +332% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $682.50 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $910.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $910.00 | ↑ +567% |
Visitor-reported prices
Comments
Ghs simple repair over 30 cm - 12018 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $136.50 | $182.17 – $397.12 |
| Hancock County Hospital | SNEEDVILLE | $134.09 | $269.45 – $274.68 |
| Greeneville Community Hospital | GREENEVILLE | $136.50 | $143.51 – $408.14 |
| Bristol Regional Medical Center | BRISTOL | $136.50 | $190.33 – $456.80 |
| Holston Valley Medical Center | KINGSPORT | $136.50 | $190.33 – $456.80 |
| Indian Path Community Hospital | KINGSPORT | $136.50 | $182.03 – $436.87 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $136.50 | $182.03 – $396.83 |
| Johnson County Community Hospital | MOUNTAIN CITY | $134.09 | $261.60 – $272.07 |