Ins picc wo subq prt/pmp w image guidnc <5yr at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$1,079.10
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.
$7,194.00
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.
$578.00 with BLUE CROSS vs $7,194.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $578.00 | ↓ -46% |
| BLUE CROSS | TENNCARE BLUE CARE | $578.00 | ↓ -46% |
| AMERIGROUP | AMERIGROUP | $581.88 | ↓ -46% |
| SENTARA HEALTH | SENTARA MEDICARE | $585.36 | ↓ -46% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $585.36 | ↓ -46% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $585.36 | ↓ -46% |
| HUMANA | HUMANA MEDICARE | $585.36 | ↓ -46% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $585.36 | ↓ -46% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $585.36 | ↓ -46% |
| AETNA | AETNA HEALTHCARE MEDICARE | $585.36 | ↓ -46% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $585.36 | ↓ -46% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $585.36 | ↓ -46% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $585.36 | ↓ -46% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $602.92 | ↓ -44% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $602.92 | ↓ -44% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $608.78 | ↓ -44% |
| BLUE CROSS | BLUE CROSS MEDICARE | $608.78 | ↓ -44% |
| NHC ADVANTAGE | NHC ADVANTAGE | $614.63 | ↓ -43% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $614.63 | ↓ -43% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $614.63 | ↓ -43% |
| WELLCARE | WELLCARE MEDICARE | $620.49 | ↓ -42% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $860.00 | ↓ -20% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,054.00 | ↓ -2% |
| AMBETTER | AMBETTER | $1,276.09 | ↑ +18% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,308.00 | ↑ +21% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,493.83 | ↑ +38% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +41% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,538.64 | ↑ +43% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,538.65 | ↑ +43% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,553.58 | ↑ +44% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,553.58 | ↑ +44% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,560.00 | ↑ +45% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,770.00 | ↑ +64% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,807.00 | ↑ +67% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,807.00 | ↑ +67% |
| SENTARA HEALTH | SENTARA HEALTH | $2,509.99 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $2,517.90 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,774.00 | ↑ +157% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,774.00 | ↑ +157% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,083.00 | ↑ +186% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +197% |
| AETNA | AETNA | $4,589.77 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,395.50 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,194.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $7,194.00 | ↑ +567% |
Visitor-reported prices
Comments
Ins picc wo subq prt/pmp w image guidnc <5yr at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $1,079.10 | $511.73 – $1,621.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $566.49 | $491.16 – $1,129.10 |
| Greeneville Community Hospital | GREENEVILLE | $1,079.10 | $520.33 – $1,621.00 |
| Bristol Regional Medical Center | BRISTOL | $1,079.10 | $595.09 – $1,520.15 |
| Holston Valley Medical Center | KINGSPORT | $1,079.10 | $595.09 – $1,520.15 |
| 62-0123940 BMH Collierville | Collierville | $548.31 | $537.83 – $1,132.28 |
| Indian Path Community Hospital | KINGSPORT | $1,079.10 | $565.75 – $1,426.42 |
| 62-1138045 BMH Union City | Union City | $473.60 | $491.16 – $1,129.10 |