Ins icd gen exist sgl lead at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$14,763.15
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.
$98,421.00
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.
$488.80 with BLUE CROSS vs $98,421.00 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $488.80 | ↓ -97% |
| BLUE CROSS | BLUE CROSS E NETWORK | $14,303.00 | ↓ -3% |
| BLUE CROSS | BLUE CROSS S NETWORK | $14,605.00 | ↓ -1% |
| BLUE CROSS | BLUE CROSS P NETWORK | $14,605.00 | ↓ -1% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $19,828.00 | ↑ +34% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $19,879.00 | ↑ +35% |
| SENTARA HEALTH | SENTARA MEDICARE | $20,756.43 | ↑ +41% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $20,756.43 | ↑ +41% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $20,756.43 | ↑ +41% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $20,756.43 | ↑ +41% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $20,756.43 | ↑ +41% |
| AETNA | AETNA HEALTHCARE MEDICARE | $20,756.43 | ↑ +41% |
| HUMANA | HUMANA MEDICARE | $20,756.43 | ↑ +41% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $20,756.43 | ↑ +41% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $20,756.43 | ↑ +41% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $20,756.43 | ↑ +41% |
| AMERIGROUP | AMERIGROUP | $21,002.66 | ↑ +42% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $21,379.13 | ↑ +45% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $21,379.13 | ↑ +45% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $21,586.69 | ↑ +46% |
| BLUE CROSS | BLUE CROSS MEDICARE | $21,586.69 | ↑ +46% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $21,794.26 | ↑ +48% |
| NHC ADVANTAGE | NHC ADVANTAGE | $21,794.26 | ↑ +48% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $21,794.26 | ↑ +48% |
| WELLCARE | WELLCARE MEDICARE | $22,001.82 | ↑ +49% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $24,668.00 | ↑ +67% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $28,426.05 | ↑ +93% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $29,278.83 | ↑ +98% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $29,278.83 | ↑ +98% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $29,405.00 | ↑ +99% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $29,563.09 | ↑ +100% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $29,563.09 | ↑ +100% |
| SENTARA HEALTH | SENTARA HEALTH | $34,339.09 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $34,447.35 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $38,187.35 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $38,187.35 | ↑ +159% |
| AMBETTER | AMBETTER | $45,249.03 | ↑ +206% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $45,667.34 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $47,537.34 | ↑ +222% |
| AETNA | AETNA | $62,792.60 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $73,815.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $98,421.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $98,421.00 | ↑ +567% |
Visitor-reported prices
Comments
Ins icd gen exist sgl lead at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $14,763.15 | $488.80 – $44,027.34 |
| Ascension Saint Thomas Midtown | Nashville | $10,568.81 | $1,752.88 – $14,894.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $16,055.84 | $5,068.00 – $40,992.14 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $10,568.81 | $1,869.19 – $6,935.50 |
| Greeneville Community Hospital | GREENEVILLE | $14,763.15 | $488.80 – $45,249.03 |
| Bristol Regional Medical Center | BRISTOL | $14,763.15 | $488.80 – $50,643.37 |
| Holston Valley Medical Center | KINGSPORT | $14,763.15 | $488.80 – $50,643.37 |
| 62-0123940 BMH Collierville | Collierville | $15,246.00 | $19,526.28 – $41,107.96 |