Ghs subcutaneous infus, for therapy ea. add. hr at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$323.25
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.
$2,155.00
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.
$14.42 with BLUE CROSS vs $2,155.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $14.42 | ↓ -96% |
| BLUE CROSS | TENNCARE BLUE SELECT | $14.57 | ↓ -95% |
| BLUE CROSS | TENNCARE BLUE CARE | $14.57 | ↓ -95% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $31.33 | ↓ -90% |
| AMERIGROUP | AMERIGROUP | $35.17 | ↓ -89% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $43.70 | ↓ -86% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $43.70 | ↓ -86% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $43.70 | ↓ -86% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $43.70 | ↓ -86% |
| SENTARA HEALTH | SENTARA MEDICARE | $43.70 | ↓ -86% |
| AETNA | AETNA HEALTHCARE MEDICARE | $43.70 | ↓ -86% |
| HUMANA | HUMANA MEDICARE | $43.70 | ↓ -86% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $43.70 | ↓ -86% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $43.70 | ↓ -86% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $43.70 | ↓ -86% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $45.01 | ↓ -86% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $45.01 | ↓ -86% |
| CIGNA HEALTHCARE | CIGNA HMO | $45.13 | ↓ -86% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $45.13 | ↓ -86% |
| CIGNA HEALTHCARE | CIGNA PPO | $45.13 | ↓ -86% |
| BLUE CROSS | BLUE CROSS MEDICARE | $45.44 | ↓ -86% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $45.44 | ↓ -86% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $45.88 | ↓ -86% |
| NHC ADVANTAGE | NHC ADVANTAGE | $45.88 | ↓ -86% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $45.88 | ↓ -86% |
| WELLCARE | WELLCARE MEDICARE | $46.32 | ↓ -86% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $95.00 | ↓ -71% |
| AMBETTER | AMBETTER | $95.26 | ↓ -71% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $119.00 | ↓ -63% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $141.00 | ↓ -56% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $650.62 | ↑ +101% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $670.14 | ↑ +107% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $670.14 | ↑ +107% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $676.64 | ↑ +109% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $676.65 | ↑ +109% |
| SENTARA HEALTH | SENTARA HEALTH | $751.88 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $754.25 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $999.92 | ↑ +209% |
| AETNA | AETNA | $1,374.89 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,616.25 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,155.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $2,155.00 | ↑ +567% |
Visitor-reported prices
Comments
Ghs subcutaneous infus, for therapy ea. add. hr at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $323.25 | $14.42 – $706.01 |
| Ascension Saint Thomas Midtown | Nashville | $36.90 | $12.56 – $95.00 |
| Ascension Saint Thomas DeKalb | Smithville | $36.90 | $12.56 – $87.00 |
| Ascension Saint Thomas Highlands | Sparta | $36.90 | $12.56 – $87.00 |
| Ascension Saint Thomas River Park | McMinnville | $36.90 | $17.41 – $87.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $36.90 | $12.56 – $87.00 |
| Greeneville Community Hospital | GREENEVILLE | $323.25 | $12.53 – $706.01 |
| Bristol Regional Medical Center | BRISTOL | $323.25 | $14.42 – $662.08 |