Ins/rpl wireless pulm art sensor incl s&i at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$16,704.15
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.
$111,361.00
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.
$6,737.00 with CIGNA HEALTHCARE vs $111,361.00 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA HMO | $6,737.00 | ↓ -60% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $6,737.00 | ↓ -60% |
| CIGNA HEALTHCARE | CIGNA PPO | $7,485.00 | ↓ -55% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $7,778.00 | ↓ -53% |
| BLUE CROSS | BLUE CROSS E NETWORK | $11,555.00 | ↓ -31% |
| BLUE CROSS | BLUE CROSS P NETWORK | $11,799.00 | ↓ -29% |
| BLUE CROSS | BLUE CROSS S NETWORK | $11,799.00 | ↓ -29% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $19,828.00 | ↑ +19% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $19,879.00 | ↑ +19% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $24,668.00 | ↑ +48% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $26,765.67 | ↑ +60% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $26,765.67 | ↑ +60% |
| AETNA | AETNA HEALTHCARE MEDICARE | $26,765.67 | ↑ +60% |
| HUMANA | HUMANA MEDICARE | $26,765.67 | ↑ +60% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $26,765.67 | ↑ +60% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $26,765.67 | ↑ +60% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $26,765.67 | ↑ +60% |
| SENTARA HEALTH | SENTARA MEDICARE | $26,765.67 | ↑ +60% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $26,765.67 | ↑ +60% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $26,765.67 | ↑ +60% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $27,568.64 | ↑ +65% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $27,568.64 | ↑ +65% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $27,836.29 | ↑ +67% |
| BLUE CROSS | BLUE CROSS MEDICARE | $27,836.29 | ↑ +67% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $28,103.95 | ↑ +68% |
| NHC ADVANTAGE | NHC ADVANTAGE | $28,103.95 | ↑ +68% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $28,103.95 | ↑ +68% |
| WELLCARE | WELLCARE MEDICARE | $28,371.61 | ↑ +70% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $28,426.05 | ↑ +70% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $29,278.83 | ↑ +75% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $29,278.83 | ↑ +75% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $29,405.00 | ↑ +76% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $29,563.09 | ↑ +77% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $29,563.09 | ↑ +77% |
| AMERIGROUP | AMERIGROUP | $30,993.70 | ↑ +86% |
| SENTARA HEALTH | SENTARA HEALTH | $38,853.85 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $38,976.35 | ↑ +133% |
| AMBETTER | AMBETTER | $58,349.16 | ↑ +249% |
| AETNA | AETNA | $71,048.32 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $77,952.70 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $83,520.75 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $111,361.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $111,361.00 | ↑ +567% |
Visitor-reported prices
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Ins/rpl wireless pulm art sensor incl s&i at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $16,704.15 | $6,737.00 – $56,773.77 |
| Ascension Saint Thomas Midtown | Nashville | $13,701.56 | $2,118.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $32,634.00 | $22,050.00 – $77,175.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $22,729.29 | $5,068.00 – $51,916.96 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $46,635.75 | $23,152.50 – $77,175.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $13,701.56 | $2,118.00 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $16,704.15 | $5,665.00 – $58,349.16 |
| Bristol Regional Medical Center | BRISTOL | $16,704.15 | $7,778.00 – $65,305.23 |