Observation direct referral from physician office for admission at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$138.00
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.
$920.00
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.
$12.00 with BLUE CROSS vs $920.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $12.00 | ↓ -91% |
| BLUE CROSS | TENNCARE BLUE SELECT | $12.00 | ↓ -91% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $49.00 | ↓ -64% |
| BLUE CROSS | BLUE CROSS E NETWORK | $129.00 | ↓ -7% |
| BLUE CROSS | BLUE CROSS S NETWORK | $132.00 | ↓ -4% |
| BLUE CROSS | BLUE CROSS P NETWORK | $132.00 | ↓ -4% |
| SENTARA HEALTH | SENTARA HEALTH | $320.99 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $322.00 | ↑ +133% |
| AETNA | AETNA | $586.96 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $690.00 | ↑ +400% |
| AMERIGROUP | AMERIGROUP | $820.00 | ↑ +494% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $920.00 | ↑ +567% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $920.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $920.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $920.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $920.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $920.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA PPO | $920.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $920.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $920.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $920.00 | ↑ +567% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | not published by hospital | — |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | not published by hospital | — |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | not published by hospital | — |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | not published by hospital | — |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | not published by hospital | — |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $138.00 | $17.00 – $17.00 |
| CHI Memorial Hospital Hixson | Hixson | $49.14 | $16.76 – $3,642.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $231.15 | $11.26 – $1,119.66 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $70.22 | $16.76 – $3,642.00 |
| Hancock County Hospital | SNEEDVILLE | $135.47 | $12.00 – $12.00 |
| Greeneville Community Hospital | GREENEVILLE | $138.00 | $12.00 – $12.00 |
| Bristol Regional Medical Center | BRISTOL | $138.00 | $12.00 – $12.00 |
| Holston Valley Medical Center | KINGSPORT | $138.00 | $12.00 – $12.00 |