Injection therapeutic/prophylactic/diagnostic subcutaneous/im at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$31.95
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.
?
What you pay up front if you don't use insurance.
$213.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$19.18 with BLUE CROSS vs $213.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $19.18 | ↓ -40% |
| BLUE CROSS | TENNCARE BLUE SELECT | $19.38 | ↓ -39% |
| BLUE CROSS | TENNCARE BLUE CARE | $19.38 | ↓ -39% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $31.33 | ↓ -2% |
| AMERIGROUP | AMERIGROUP | $55.28 | ↑ +73% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $65.53 | ↑ +105% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $67.19 | ↑ +110% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $67.19 | ↑ +110% |
| AETNA | AETNA HEALTHCARE MEDICARE | $67.19 | ↑ +110% |
| HUMANA | HUMANA MEDICARE | $67.19 | ↑ +110% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $67.19 | ↑ +110% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $67.19 | ↑ +110% |
| SENTARA HEALTH | SENTARA MEDICARE | $67.19 | ↑ +110% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $67.19 | ↑ +110% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $67.19 | ↑ +110% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $67.19 | ↑ +110% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $67.50 | ↑ +111% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $67.50 | ↑ +111% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $68.15 | ↑ +113% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $68.15 | ↑ +113% |
| CIGNA HEALTHCARE | CIGNA PPO | $68.71 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $68.71 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA HMO | $68.71 | ↑ +115% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $69.20 | ↑ +117% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $69.20 | ↑ +117% |
| BLUE CROSS | BLUE CROSS MEDICARE | $69.87 | ↑ +119% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $69.87 | ↑ +119% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $70.55 | ↑ +121% |
| NHC ADVANTAGE | NHC ADVANTAGE | $70.55 | ↑ +121% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $70.55 | ↑ +121% |
| WELLCARE | WELLCARE MEDICARE | $71.22 | ↑ +123% |
| SENTARA HEALTH | SENTARA HEALTH | $74.32 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $74.55 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $95.00 | ↑ +197% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $98.83 | ↑ +209% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $119.00 | ↑ +272% |
| AETNA | AETNA | $135.89 | ↑ +325% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $141.00 | ↑ +341% |
| AMBETTER | AMBETTER | $146.47 | ↑ +358% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $159.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $213.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $213.00 | ↑ +567% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic subcutaneous/im at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $31.95 | $19.18 – $142.51 |
| Ascension Saint Thomas Midtown | Nashville | $55.98 | $16.71 – $95.42 |
| CHI Memorial Hospital Hixson | Hixson | $91.47 | $24.87 – $205.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $33.12 | $16.71 – $129.98 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $130.71 | $24.87 – $205.80 |
| Ascension Saint Thomas DeKalb | Smithville | $56.00 | $16.71 – $94.05 |
| Ascension Saint Thomas Highlands | Sparta | $56.00 | $16.71 – $94.05 |
| Ascension Saint Thomas River Park | McMinnville | $90.32 | $17.41 – $94.05 |