Noninv pace analysis at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$513.90
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.
$3,426.00
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.
$31.02 with UNITED HEALTHCARE vs $3,426.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $31.02 | ↓ -94% |
| CIGNA HEALTHCARE | CIGNA HMO | $102.89 | ↓ -80% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $102.89 | ↓ -80% |
| CIGNA HEALTHCARE | CIGNA PPO | $102.89 | ↓ -80% |
| BLUE CROSS | BLUE CROSS E NETWORK | $118.06 | ↓ -77% |
| BLUE CROSS | BLUE CROSS S NETWORK | $118.06 | ↓ -77% |
| BLUE CROSS | BLUE CROSS P NETWORK | $118.06 | ↓ -77% |
| BLUE CROSS | TENNCARE BLUE SELECT | $138.47 | ↓ -73% |
| BLUE CROSS | TENNCARE BLUE CARE | $138.47 | ↓ -73% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $174.78 | ↓ -66% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $180.02 | ↓ -65% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $180.02 | ↓ -65% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $181.66 | ↓ -65% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $181.77 | ↓ -65% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $181.77 | ↓ -65% |
| AMERIGROUP | AMERIGROUP | $248.77 | ↓ -52% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $286.60 | ↓ -44% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $286.60 | ↓ -44% |
| AETNA | AETNA HEALTHCARE MEDICARE | $286.60 | ↓ -44% |
| HUMANA | HUMANA MEDICARE | $286.60 | ↓ -44% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $286.60 | ↓ -44% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $286.60 | ↓ -44% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $286.60 | ↓ -44% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $286.60 | ↓ -44% |
| SENTARA HEALTH | SENTARA MEDICARE | $286.60 | ↓ -44% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $286.60 | ↓ -44% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $295.20 | ↓ -43% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $295.20 | ↓ -43% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $298.07 | ↓ -42% |
| BLUE CROSS | BLUE CROSS MEDICARE | $298.07 | ↓ -42% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $300.93 | ↓ -41% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $300.93 | ↓ -41% |
| NHC ADVANTAGE | NHC ADVANTAGE | $300.93 | ↓ -41% |
| WELLCARE | WELLCARE MEDICARE | $303.80 | ↓ -41% |
| AMBETTER | AMBETTER | $624.79 | ↑ +22% |
| SENTARA HEALTH | SENTARA HEALTH | $1,195.33 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $1,199.10 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,279.00 | ↑ +149% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,587.00 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,589.66 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,892.00 | ↑ +268% |
| AETNA | AETNA | $2,185.79 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,569.50 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $3,426.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,426.00 | ↑ +567% |
Visitor-reported prices
Comments
Noninv pace analysis at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $513.90 | $31.02 – $607.93 |
| CHI Memorial Hospital Hixson | Hixson | $343.07 | $84.61 – $811.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $490.26 | $84.61 – $811.30 |
| Greeneville Community Hospital | GREENEVILLE | $513.90 | $12.41 – $624.79 |
| Bristol Regional Medical Center | BRISTOL | $513.90 | $20.68 – $699.28 |
| Holston Valley Medical Center | KINGSPORT | $513.90 | $20.68 – $699.28 |
| 62-0123940 BMH Collierville | Collierville | $89.25 | $119.37 – $549.26 |
| Indian Path Community Hospital | KINGSPORT | $513.90 | $31.02 – $668.78 |