Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$352.80
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.
$2,352.00
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.
$211.82 with BLUE CROSS vs $1,799.24 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $211.82 | ↓ -40% |
| SENTARA HEALTH | SENTARA HEALTH | $417.28 | ↑ +18% |
| MEDCOST | MEDCOST VHN | $418.60 | ↑ +19% |
| CIGNA HEALTHCARE | CIGNA HMO | $464.05 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $464.05 | ↑ +32% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $467.64 | ↑ +33% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $467.64 | ↑ +33% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $467.64 | ↑ +33% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $554.94 | ↑ +57% |
| CIGNA HEALTHCARE | CIGNA PPO | $569.30 | ↑ +61% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $604.85 | ↑ +71% |
| AMERIGROUP | AMERIGROUP | $638.50 | ↑ +81% |
| AETNA | AETNA | $763.05 | ↑ +116% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $825.34 | ↑ +134% |
| AETNA | AETNA HEALTHCARE MEDICARE | $825.34 | ↑ +134% |
| HUMANA | HUMANA MEDICARE | $825.34 | ↑ +134% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $825.34 | ↑ +134% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $825.34 | ↑ +134% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $825.34 | ↑ +134% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $825.34 | ↑ +134% |
| SENTARA HEALTH | SENTARA MEDICARE | $825.34 | ↑ +134% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $825.34 | ↑ +134% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $825.34 | ↑ +134% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $850.10 | ↑ +141% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $850.10 | ↑ +141% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $858.35 | ↑ +143% |
| BLUE CROSS | BLUE CROSS MEDICARE | $858.35 | ↑ +143% |
| BLUE CROSS | BLUE CROSS P NETWORK | $861.12 | ↑ +144% |
| BLUE CROSS | BLUE CROSS S NETWORK | $861.12 | ↑ +144% |
| BLUE CROSS | BLUE CROSS E NETWORK | $861.12 | ↑ +144% |
| NHC ADVANTAGE | NHC ADVANTAGE | $866.61 | ↑ +146% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $866.61 | ↑ +146% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $866.61 | ↑ +146% |
| WELLCARE | WELLCARE MEDICARE | $874.86 | ↑ +148% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $897.00 | ↑ +154% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $968.11 | ↑ +174% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $997.15 | ↑ +183% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $997.15 | ↑ +183% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,006.83 | ↑ +185% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,006.83 | ↑ +185% |
| WELLCARE | WELLCARE MEDICAID | $1,196.00 | ↑ +239% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,196.00 | ↑ +239% |
| AMBETTER | AMBETTER | $1,799.24 | ↑ +410% |
Visitor-reported prices
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Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $352.80 | $211.82 – $1,750.66 |
| Ascension Saint Thomas Midtown | Nashville | $1,258.05 | $733.50 – $1,193.68 |
| CHI Memorial Hospital Hixson | Hixson | $634.92 | $429.00 – $1,501.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $485.07 | $707.26 – $1,625.88 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $907.34 | $450.45 – $1,501.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,258.05 | $767.37 – $1,217.22 |
| Greeneville Community Hospital | GREENEVILLE | $352.80 | $211.82 – $1,799.24 |
| Bristol Regional Medical Center | BRISTOL | $352.80 | $211.82 – $1,829.14 |