Liver/spleen imag static only at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$474.90
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.
$3,166.00
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.
$96.41 with BLUE CROSS vs $3,166.00 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 CARE | $96.41 | ↓ -80% |
| BLUE CROSS | TENNCARE BLUE SELECT | $96.41 | ↓ -80% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $174.58 | ↓ -63% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $264.02 | ↓ -44% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $299.03 | ↓ -37% |
| AMERIGROUP | AMERIGROUP | $331.93 | ↓ -30% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $373.04 | ↓ -21% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $373.04 | ↓ -21% |
| SENTARA HEALTH | SENTARA MEDICARE | $373.04 | ↓ -21% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $373.04 | ↓ -21% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $373.04 | ↓ -21% |
| AETNA | AETNA HEALTHCARE MEDICARE | $373.04 | ↓ -21% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $373.04 | ↓ -21% |
| HUMANA | HUMANA MEDICARE | $373.04 | ↓ -21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $373.04 | ↓ -21% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $373.04 | ↓ -21% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $384.23 | ↓ -19% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $384.23 | ↓ -19% |
| BLUE CROSS | BLUE CROSS MEDICARE | $387.97 | ↓ -18% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $387.97 | ↓ -18% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $391.70 | ↓ -18% |
| NHC ADVANTAGE | NHC ADVANTAGE | $391.70 | ↓ -18% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $391.70 | ↓ -18% |
| WELLCARE | WELLCARE MEDICARE | $395.43 | ↓ -17% |
| CIGNA HEALTHCARE | CIGNA PPO | $482.06 | ↑ +2% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $482.06 | ↑ +2% |
| CIGNA HEALTHCARE | CIGNA HMO | $482.06 | ↑ +2% |
| BLUE CROSS | BLUE CROSS E NETWORK | $712.65 | ↑ +50% |
| BLUE CROSS | BLUE CROSS S NETWORK | $726.68 | ↑ +53% |
| BLUE CROSS | BLUE CROSS P NETWORK | $726.68 | ↑ +53% |
| AMBETTER | AMBETTER | $813.24 | ↑ +71% |
| SENTARA HEALTH | SENTARA HEALTH | $1,104.62 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $1,108.10 | ↑ +133% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,154.30 | ↑ +143% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,188.93 | ↑ +150% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,188.93 | ↑ +150% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,200.47 | ↑ +153% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,200.47 | ↑ +153% |
| AETNA | AETNA | $2,019.91 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,086.00 | ↑ +339% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,374.50 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,588.00 | ↑ +445% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,086.00 | ↑ +550% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,166.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $3,166.00 | ↑ +567% |
Visitor-reported prices
Comments
Liver/spleen imag static only at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $474.90 | $117.19 – $1,252.56 |
| Ascension Saint Thomas Midtown | Nashville | $541.35 | $83.11 – $589.01 |
| CHI Memorial Hospital Hixson | Hixson | $510.31 | $123.69 – $1,206.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $729.26 | $123.69 – $1,206.80 |
| Ascension Saint Thomas DeKalb | Smithville | $540.84 | $83.11 – $589.01 |
| Ascension Saint Thomas Highlands | Sparta | $540.84 | $83.11 – $589.01 |
| Ascension Saint Thomas River Park | McMinnville | $540.83 | $124.17 – $589.01 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $540.83 | $83.11 – $589.01 |