Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$43.65
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.
$291.00
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.
$12.41 with BLUE CROSS vs $291.00 with SEVEN CORNERS, INC. — 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 | TENNCARE BLUE SELECT | $12.41 | ↓ -72% |
| BLUE CROSS | TENNCARE BLUE CARE | $12.41 | ↓ -72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $13.13 | ↓ -70% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $65.53 | ↑ +50% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $67.50 | ↑ +55% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $67.50 | ↑ +55% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $68.15 | ↑ +56% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $68.15 | ↑ +56% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $95.00 | ↑ +118% |
| SENTARA HEALTH | SENTARA HEALTH | $101.53 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $101.85 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $112.91 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $112.91 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $119.00 | ↑ +173% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $135.02 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $140.55 | ↑ +222% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $141.00 | ↑ +223% |
| AETNA | AETNA | $185.66 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $218.25 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $291.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $291.00 | ↑ +567% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $43.65 | $13.13 – $95.00 |
| Ascension Saint Thomas Midtown | Nashville | $55.98 | $10.70 – $95.00 |
| CHI Memorial Hospital Hixson | Hixson | $45.00 | $15.92 – $368.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $89.01 | $10.30 – $10.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $64.30 | $15.92 – $368.00 |
| Ascension Saint Thomas DeKalb | Smithville | $55.98 | $10.70 – $87.00 |
| Ascension Saint Thomas Highlands | Sparta | $55.98 | $10.70 – $87.00 |
| Ascension Saint Thomas River Park | McMinnville | $55.98 | $15.99 – $87.00 |