Ins/rpl pm gen exist dual lead at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$4,157.25
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.
$27,715.00
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.
$434.68 with BLUE CROSS vs $27,715.00 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 | $434.68 | ↓ -90% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $948.00 | ↓ -77% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $7,023.00 | ↑ +69% |
| AMERIGROUP | AMERIGROUP | $9,259.56 | ↑ +123% |
| SENTARA HEALTH | SENTARA HEALTH | $9,669.76 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $9,700.25 | ↑ +133% |
| AETNA | AETNA HEALTHCARE MEDICARE | $9,753.21 | ↑ +135% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $9,753.21 | ↑ +135% |
| HUMANA | HUMANA MEDICARE | $9,753.21 | ↑ +135% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $9,753.21 | ↑ +135% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $9,753.21 | ↑ +135% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $9,753.21 | ↑ +135% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $9,753.21 | ↑ +135% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $9,753.21 | ↑ +135% |
| SENTARA HEALTH | SENTARA MEDICARE | $9,753.21 | ↑ +135% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $9,753.21 | ↑ +135% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $10,040.42 | ↑ +142% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $10,045.80 | ↑ +142% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $10,045.80 | ↑ +142% |
| BLUE CROSS | BLUE CROSS E NETWORK | $10,051.00 | ↑ +142% |
| BLUE CROSS | BLUE CROSS MEDICARE | $10,143.33 | ↑ +144% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $10,143.33 | ↑ +144% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $10,240.87 | ↑ +146% |
| NHC ADVANTAGE | NHC ADVANTAGE | $10,240.87 | ↑ +146% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $10,240.87 | ↑ +146% |
| BLUE CROSS | BLUE CROSS S NETWORK | $10,263.00 | ↑ +147% |
| BLUE CROSS | BLUE CROSS P NETWORK | $10,263.00 | ↑ +147% |
| WELLCARE | WELLCARE MEDICARE | $10,338.40 | ↑ +149% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $10,341.63 | ↑ +149% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $10,341.63 | ↑ +149% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $10,442.04 | ↑ +151% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $10,442.04 | ↑ +151% |
| CIGNA HEALTHCARE | CIGNA HMO | $10,753.42 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $10,753.42 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $11,749.00 | ↑ +183% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $12,859.76 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $13,386.35 | ↑ +222% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $14,004.00 | ↑ +237% |
| AETNA | AETNA | $17,682.17 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $20,786.25 | ↑ +400% |
| AMBETTER | AMBETTER | $21,261.99 | ↑ +411% |
| WELLCARE | WELLCARE MEDICAID | $27,715.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $27,715.00 | ↑ +567% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $4,157.25 | $434.68 – $20,687.93 |
| CHI Memorial Hospital Hixson | Hixson | $11,801.82 | $7,974.20 – $27,909.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $8,529.78 | $3,431.00 – $19,112.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $16,865.44 | $8,372.91 – $27,909.70 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $4,659.54 | $1,869.19 – $6,935.50 |
| Greeneville Community Hospital | GREENEVILLE | $4,157.25 | $434.68 – $21,261.99 |
| Bristol Regional Medical Center | BRISTOL | $4,157.25 | $434.68 – $23,796.73 |
| Holston Valley Medical Center | KINGSPORT | $4,157.25 | $434.68 – $23,796.73 |