Irinotecan 20 mg/ml intravenous solution (wrapper) at Johnson City Medical Center

400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$204.96

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,366.40

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.08 with CIGNA HEALTHCARE vs $235.63 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 →

Payer
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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
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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 INDIVIDUAL FAMILY PLAN $3.08 ↓ -98%
CIGNA HEALTHCARE CIGNA HMO $4.10 ↓ -98%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $4.10 ↓ -98%
CIGNA HEALTHCARE CIGNA PPO $4.10 ↓ -98%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $4.12 ↓ -98%
SENTARA HEALTH SENTARA HEALTH $82.21 ↓ -60%
MEDCOST MEDCOST VHN $82.47 ↓ -60%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $101.17 ↓ -51%
AETNA AETNA $150.33 ↓ -27%
BLUE CROSS TENNCARE BLUE CARE $156.36 ↓ -24%
BLUE CROSS TENNCARE BLUE SELECT $156.36 ↓ -24%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $176.72 ↓ -14%
WELLCARE WELLCARE MEDICAID $235.63 ↑ +15%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $235.63 ↑ +15%

Visitor-reported prices

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Irinotecan 20 mg/ml intravenous solution (wrapper) at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $21.83 $3.03 – $5.91
CHI Memorial Hospital Hixson Hixson $158.97 $0.05 – $0.25
62-1166050 BMH Carroll County Huntingdon $73.40 $2.08 – $134.79
CHI Memorial Hospital Chattanooga Chattanooga $227.17 $0.06 – $0.25
Ascension Saint Thomas Rutherford Murfreesboro $21.83 $3.03 – $5.91
Bristol Regional Medical Center BRISTOL $48.94 $2.75 – $101.17
62-0123940 BMH Collierville Collierville $67.02 $2.08 – $134.79
62-1138045 BMH Union City Union City $63.82 $2.08 – $2.50

All Tennessee hospitals for this procedure →