Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$447.90
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.
$2,986.00
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.
$516.15 with AMERIGROUP vs $2,986.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $516.15 | ↑ +15% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $658.69 | ↑ +47% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $658.69 | ↑ +47% |
| SENTARA HEALTH | SENTARA MEDICARE | $658.69 | ↑ +47% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $658.69 | ↑ +47% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $658.69 | ↑ +47% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $658.69 | ↑ +47% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $658.69 | ↑ +47% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $658.69 | ↑ +47% |
| AETNA | AETNA HEALTHCARE MEDICARE | $658.69 | ↑ +47% |
| HUMANA | HUMANA MEDICARE | $658.69 | ↑ +47% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $678.45 | ↑ +51% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $678.45 | ↑ +51% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $685.04 | ↑ +53% |
| BLUE CROSS | BLUE CROSS MEDICARE | $685.04 | ↑ +53% |
| NHC ADVANTAGE | NHC ADVANTAGE | $691.62 | ↑ +54% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $691.62 | ↑ +54% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $691.62 | ↑ +54% |
| WELLCARE | WELLCARE MEDICARE | $698.21 | ↑ +56% |
| BLUE CROSS | TENNCARE BLUE SELECT | $775.00 | ↑ +73% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↑ +73% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $860.00 | ↑ +92% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $968.11 | ↑ +116% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $997.15 | ↑ +123% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $997.15 | ↑ +123% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,006.83 | ↑ +125% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,006.83 | ↑ +125% |
| SENTARA HEALTH | SENTARA HEALTH | $1,041.82 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $1,045.10 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,054.00 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,266.00 | ↑ +183% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,266.00 | ↑ +183% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,308.00 | ↑ +192% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,406.00 | ↑ +214% |
| AMBETTER | AMBETTER | $1,435.94 | ↑ +221% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +227% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +240% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,560.00 | ↑ +248% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,770.00 | ↑ +295% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,807.00 | ↑ +303% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,807.00 | ↑ +303% |
| AETNA | AETNA | $1,905.07 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,239.50 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,986.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $2,986.00 | ↑ +567% |
Visitor-reported prices
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Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $447.90 | $453.93 – $1,397.17 |
| Ascension Saint Thomas Midtown | Nashville | $1,002.87 | $596.91 – $998.50 |
| CHI Memorial Hospital Hixson | Hixson | $392.80 | $265.40 – $928.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $434.93 | $550.14 – $1,264.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $561.33 | $278.67 – $928.90 |
| Ascension Saint Thomas DeKalb | Smithville | $984.14 | $588.30 – $1,004.50 |
| Ascension Saint Thomas Highlands | Sparta | $984.14 | $588.30 – $1,004.50 |
| Ascension Saint Thomas River Park | McMinnville | $984.14 | $588.30 – $1,004.50 |