Knee MRI (with contrast) at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$636.75
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.
$4,245.00
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.
$392.26 with UNITED HEALTHCARE vs $4,245.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $392.26 | ↓ -38% |
| BLUE CROSS | TENNCARE BLUE CARE | $440.93 | ↓ -31% |
| BLUE CROSS | TENNCARE BLUE SELECT | $440.93 | ↓ -31% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $511.46 | ↓ -20% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $526.80 | ↓ -17% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $526.81 | ↓ -17% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $531.92 | ↓ -16% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $531.92 | ↓ -16% |
| AMERIGROUP | AMERIGROUP | $646.34 | ↑ +2% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $731.51 | ↑ +15% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $731.51 | ↑ +15% |
| AETNA | AETNA HEALTHCARE MEDICARE | $731.51 | ↑ +15% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $731.51 | ↑ +15% |
| HUMANA | HUMANA MEDICARE | $731.51 | ↑ +15% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $731.51 | ↑ +15% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $731.51 | ↑ +15% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $731.51 | ↑ +15% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $731.51 | ↑ +15% |
| SENTARA HEALTH | SENTARA MEDICARE | $731.51 | ↑ +15% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $753.46 | ↑ +18% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $753.46 | ↑ +18% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $760.77 | ↑ +19% |
| BLUE CROSS | BLUE CROSS MEDICARE | $760.77 | ↑ +19% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $768.09 | ↑ +21% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $768.09 | ↑ +21% |
| NHC ADVANTAGE | NHC ADVANTAGE | $768.09 | ↑ +21% |
| WELLCARE | WELLCARE MEDICARE | $775.40 | ↑ +22% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $786.00 | ↑ +23% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $903.90 | ↑ +42% |
| CIGNA HEALTHCARE | CIGNA HMO | $923.00 | ↑ +45% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $923.00 | ↑ +45% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,025.00 | ↑ +61% |
| SENTARA HEALTH | SENTARA HEALTH | $1,481.08 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $1,485.75 | ↑ +133% |
| AMBETTER | AMBETTER | $1,594.69 | ↑ +150% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,667.57 | ↑ +162% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,701.60 | ↑ +167% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,701.60 | ↑ +167% |
| AETNA | AETNA | $2,708.31 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,938.00 | ↑ +361% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,183.75 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,646.00 | ↑ +473% |
| WELLCARE | WELLCARE MEDICAID | $4,245.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,245.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,245.00 | ↑ +567% |
Visitor-reported prices
Comments
Knee MRI (with contrast) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $636.75 | $392.26 – $1,551.64 |
| Ascension Saint Thomas Midtown | Nashville | $846.02 | $334.65 – $1,118.25 |
| CHI Memorial Hospital Hixson | Hixson | $1,445.08 | $278.75 – $3,417.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,073.87 | $380.11 – $1,442.84 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,065.09 | $278.75 – $3,417.40 |
| Ascension Saint Thomas DeKalb | Smithville | $1,207.62 | $215.74 – $1,118.25 |
| Ascension Saint Thomas Highlands | Sparta | $1,207.62 | $215.74 – $1,118.25 |
| Ascension Saint Thomas River Park | McMinnville | $1,150.11 | $215.74 – $1,118.25 |