Ins cath ren art 1st bi at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$1,818.15
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.
$12,121.00
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.
$2,099.00 with UNITED HEALTHCARE vs $12,121.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,099.00 | ↑ +15% |
| AMERIGROUP | AMERIGROUP | $2,367.84 | ↑ +30% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,946.38 | ↑ +62% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,946.38 | ↑ +62% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,946.38 | ↑ +62% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,946.38 | ↑ +62% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,946.38 | ↑ +62% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,946.38 | ↑ +62% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,946.38 | ↑ +62% |
| HUMANA | HUMANA MEDICARE | $2,946.38 | ↑ +62% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,946.38 | ↑ +62% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $2,946.38 | ↑ +62% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,034.77 | ↑ +67% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,034.77 | ↑ +67% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,064.24 | ↑ +69% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,064.24 | ↑ +69% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,093.70 | ↑ +70% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,093.70 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,093.70 | ↑ +70% |
| WELLCARE | WELLCARE MEDICARE | $3,123.16 | ↑ +72% |
| SENTARA HEALTH | SENTARA HEALTH | $4,229.02 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $4,242.35 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,702.95 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,702.95 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5,125.00 | ↑ +182% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $5,624.14 | ↑ +209% |
| BLUE CROSS | BLUE CROSS E NETWORK | $5,829.00 | ↑ +221% |
| CIGNA HEALTHCARE | CIGNA PPO | $5,854.44 | ↑ +222% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5,906.94 | ↑ +225% |
| BLUE CROSS | BLUE CROSS S NETWORK | $5,952.00 | ↑ +227% |
| BLUE CROSS | BLUE CROSS P NETWORK | $5,952.00 | ↑ +227% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $6,084.15 | ↑ +235% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $6,084.15 | ↑ +235% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $6,143.22 | ↑ +238% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $6,143.22 | ↑ +238% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $6,360.00 | ↑ +250% |
| AMBETTER | AMBETTER | $6,423.11 | ↑ +253% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $7,581.00 | ↑ +317% |
| AETNA | AETNA | $7,733.20 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $8,484.70 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $9,090.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $12,121.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $12,121.00 | ↑ +567% |
Visitor-reported prices
Comments
Ins cath ren art 1st bi at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $1,818.15 | $2,082.38 – $6,409.78 |
| Ascension Saint Thomas Midtown | Nashville | $9,064.91 | $2,118.00 – $3,422.09 |
| CHI Memorial Hospital Hixson | Hixson | $1,726.87 | $1,166.80 – $4,083.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $2,327.83 | $2,364.00 – $5,748.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,467.79 | $1,225.14 – $4,083.80 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $9,064.91 | $2,118.00 – $3,648.60 |
| Greeneville Community Hospital | GREENEVILLE | $1,818.15 | $2,117.40 – $6,423.11 |
| Bristol Regional Medical Center | BRISTOL | $1,818.15 | $2,995.35 – $7,188.84 |