Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$46.20
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.
$308.00
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.
$44.00 with UNITED HEALTHCARE vs $308.00 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 | $44.00 | ↓ -5% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $44.87 | ↓ -3% |
| BLUE CROSS | TENNCARE BLUE SELECT | $45.95 | ↓ -1% |
| BLUE CROSS | TENNCARE BLUE CARE | $45.95 | ↓ -1% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $46.22 | ↑ +0% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $46.22 | ↑ +0% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $46.66 | ↑ +1% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $46.67 | ↑ +1% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $46.88 | ↑ +1% |
| AETNA | AETNA HEALTHCARE MEDICARE | $46.88 | ↑ +1% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $46.88 | ↑ +1% |
| HUMANA | HUMANA MEDICARE | $46.88 | ↑ +1% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $46.88 | ↑ +1% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $46.88 | ↑ +1% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $46.88 | ↑ +1% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $46.88 | ↑ +1% |
| SENTARA HEALTH | SENTARA MEDICARE | $46.88 | ↑ +1% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $46.88 | ↑ +1% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $48.29 | ↑ +5% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $48.29 | ↑ +5% |
| AMERIGROUP | AMERIGROUP | $48.76 | ↑ +6% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $48.76 | ↑ +6% |
| BLUE CROSS | BLUE CROSS MEDICARE | $48.76 | ↑ +6% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $49.22 | ↑ +7% |
| NHC ADVANTAGE | NHC ADVANTAGE | $49.22 | ↑ +7% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $49.22 | ↑ +7% |
| WELLCARE | WELLCARE MEDICARE | $49.69 | ↑ +8% |
| AMBETTER | AMBETTER | $102.20 | ↑ +121% |
| SENTARA HEALTH | SENTARA HEALTH | $107.46 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $107.80 | ↑ +133% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $116.00 | ↑ +151% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $119.50 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $119.50 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $142.91 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $148.76 | ↑ +222% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $188.00 | ↑ +307% |
| AETNA | AETNA | $196.50 | ↑ +325% |
| BLUE CROSS | BLUE CROSS P NETWORK | $215.03 | ↑ +365% |
| BLUE CROSS | BLUE CROSS E NETWORK | $215.03 | ↑ +365% |
| BLUE CROSS | BLUE CROSS S NETWORK | $215.03 | ↑ +365% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $231.00 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $234.00 | ↑ +406% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $279.00 | ↑ +504% |
| WELLCARE | WELLCARE MEDICAID | $308.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $308.00 | ↑ +567% |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $46.20 | $44.07 – $102.20 |
| Ascension Saint Thomas Midtown | Nashville | $50.48 | $39.61 – $104.56 |
| CHI Memorial Hospital Hixson | Hixson | $63.35 | $42.80 – $189.52 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $90.53 | $44.94 – $189.52 |
| Ascension Saint Thomas DeKalb | Smithville | $50.48 | $39.61 – $104.56 |
| Ascension Saint Thomas Highlands | Sparta | $50.48 | $39.61 – $104.56 |
| Ascension Saint Thomas River Park | McMinnville | $50.48 | $41.78 – $104.56 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $42.50 | $39.61 – $104.56 |