Mr safety determination physician/other qhp at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$39.90
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.
$266.00
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.
$36.93 with BLUE CROSS vs $266.00 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 SELECT | $36.93 | ↓ -7% |
| BLUE CROSS | TENNCARE BLUE CARE | $36.93 | ↓ -7% |
| AMERIGROUP | AMERIGROUP | $59.01 | ↑ +48% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $79.25 | ↑ +99% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $81.21 | ↑ +104% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $81.21 | ↑ +104% |
| AETNA | AETNA HEALTHCARE MEDICARE | $81.21 | ↑ +104% |
| HUMANA | HUMANA MEDICARE | $81.21 | ↑ +104% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $81.21 | ↑ +104% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $81.21 | ↑ +104% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $81.21 | ↑ +104% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $81.21 | ↑ +104% |
| SENTARA HEALTH | SENTARA MEDICARE | $81.21 | ↑ +104% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $81.21 | ↑ +104% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $83.64 | ↑ +110% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $83.64 | ↑ +110% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $84.46 | ↑ +112% |
| BLUE CROSS | BLUE CROSS MEDICARE | $84.46 | ↑ +112% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $85.27 | ↑ +114% |
| NHC ADVANTAGE | NHC ADVANTAGE | $85.27 | ↑ +114% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $85.27 | ↑ +114% |
| WELLCARE | WELLCARE MEDICARE | $86.08 | ↑ +116% |
| SENTARA HEALTH | SENTARA HEALTH | $92.81 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $93.10 | ↑ +133% |
| AETNA | AETNA | $169.71 | ↑ +325% |
| AMBETTER | AMBETTER | $177.03 | ↑ +344% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $186.20 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $199.50 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $266.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $266.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $266.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $266.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA PPO | $266.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $266.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $266.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $266.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $266.00 | ↑ +567% |
Visitor-reported prices
Comments
Mr safety determination physician/other qhp at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $39.90 | $44.89 – $172.25 |
| Ascension Saint Thomas Midtown | Nashville | $75.90 | $46.24 – $118.06 |
| Ascension Saint Thomas DeKalb | Smithville | $75.90 | $70.15 – $116.35 |
| Ascension Saint Thomas Highlands | Sparta | $75.90 | $70.15 – $116.35 |
| Ascension Saint Thomas River Park | McMinnville | $75.90 | $70.15 – $116.35 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $75.90 | $66.62 – $118.06 |
| Hancock County Hospital | SNEEDVILLE | $39.10 | $36.93 – $170.00 |
| Greeneville Community Hospital | GREENEVILLE | $39.90 | $31.70 – $177.03 |