Immunofluorescence per specimen initial single antibody stain at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$93.75
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.
$625.00
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.
$26.61 with BLUE CROSS vs $625.00 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 | $26.61 | ↓ -72% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $33.13 | ↓ -65% |
| AMERIGROUP | AMERIGROUP | $58.99 | ↓ -37% |
| SENTARA HEALTH | SENTARA MEDICARE | $158.98 | ↑ +70% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $158.98 | ↑ +70% |
| HUMANA | HUMANA MEDICARE | $158.98 | ↑ +70% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $158.98 | ↑ +70% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $158.98 | ↑ +70% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $158.98 | ↑ +70% |
| AETNA | AETNA HEALTHCARE MEDICARE | $158.98 | ↑ +70% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $158.98 | ↑ +70% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $158.98 | ↑ +70% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $158.98 | ↑ +70% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $163.75 | ↑ +75% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $163.75 | ↑ +75% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $165.34 | ↑ +76% |
| BLUE CROSS | BLUE CROSS MEDICARE | $165.34 | ↑ +76% |
| NHC ADVANTAGE | NHC ADVANTAGE | $166.93 | ↑ +78% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $166.93 | ↑ +78% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $166.93 | ↑ +78% |
| WELLCARE | WELLCARE MEDICARE | $168.52 | ↑ +80% |
| CIGNA HEALTHCARE | CIGNA HMO | $173.00 | ↑ +85% |
| CIGNA HEALTHCARE | CIGNA PPO | $173.00 | ↑ +85% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $173.00 | ↑ +85% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $203.69 | ↑ +117% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $209.80 | ↑ +124% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $209.80 | ↑ +124% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $211.84 | ↑ +126% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $211.84 | ↑ +126% |
| SENTARA HEALTH | SENTARA HEALTH | $218.06 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $218.75 | ↑ +133% |
| BLUE CROSS | BLUE CROSS E NETWORK | $232.31 | ↑ +148% |
| BLUE CROSS | BLUE CROSS S NETWORK | $236.86 | ↑ +153% |
| BLUE CROSS | BLUE CROSS P NETWORK | $236.86 | ↑ +153% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $249.17 | ↑ +166% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $283.41 | ↑ +202% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $283.41 | ↑ +202% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $283.41 | ↑ +202% |
| AMBETTER | AMBETTER | $346.58 | ↑ +270% |
| AETNA | AETNA | $398.75 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $468.75 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $625.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $625.00 | ↑ +567% |
Visitor-reported prices
Comments
Immunofluorescence per specimen initial single antibody stain at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $93.75 | $26.61 – $337.22 |
| Ascension Saint Thomas Midtown | Nashville | $243.92 | $7.87 – $255.07 |
| CHI Memorial Hospital Hixson | Hixson | $311.99 | $11.71 – $737.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $115.23 | $7.87 – $312.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $445.85 | $11.71 – $737.80 |
| Ascension Saint Thomas DeKalb | Smithville | $243.92 | $7.87 – $255.07 |
| Ascension Saint Thomas Highlands | Sparta | $243.92 | $7.87 – $255.07 |
| Ascension Saint Thomas River Park | McMinnville | $243.92 | $11.76 – $255.07 |