New Patient Office Visit (level 2) at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$27.75
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.
$185.00
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.
$47.61 with BLUE CROSS vs $185.00 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 →
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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 | $47.61 | ↑ +72% |
| BLUE CROSS | TENNCARE BLUE CARE | $47.61 | ↑ +72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $54.78 | ↑ +97% |
| SENTARA HEALTH | SENTARA HEALTH | $64.55 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $64.75 | ↑ +133% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $64.91 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $71.78 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $71.78 | ↑ +159% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $72.34 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $72.34 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $72.34 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $85.84 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $88.06 | ↑ +217% |
| AETNA | AETNA | $118.03 | ↑ +325% |
| BLUE CROSS | BLUE CROSS S NETWORK | $133.20 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $133.20 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $133.20 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $138.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $185.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $185.00 | ↑ +567% |
Visitor-reported prices
Comments
New Patient Office Visit (level 2) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $27.75 | $54.78 – $64.91 |
| CHI Memorial Hospital Hixson | Hixson | $311.10 | $61.08 – $3,642.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $74.52 | $39.14 – $41.04 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $444.58 | $61.08 – $3,642.00 |
| Hancock County Hospital | SNEEDVILLE | $27.37 | $36.06 – $47.61 |
| Greeneville Community Hospital | GREENEVILLE | $27.75 | $25.96 – $47.61 |
| Bristol Regional Medical Center | BRISTOL | $27.75 | $43.27 – $47.61 |
| Holston Valley Medical Center | KINGSPORT | $27.75 | $43.27 – $47.61 |