Perq transcath septal reduxn at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$2,874.45
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.
$19,163.00
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.
$1,083.00 with UNITED HEALTHCARE vs $19,245.50 with AETNA — 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 | $1,083.00 | ↓ -62% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↓ -47% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↓ -44% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,011.00 | ↓ -30% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↓ -17% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,469.00 | ↓ -14% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,521.00 | ↓ -12% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,521.00 | ↓ -12% |
| SENTARA HEALTH | SENTARA HEALTH | $6,685.97 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $6,707.05 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $11,227.00 | ↑ +291% |
| CIGNA HEALTHCARE | CIGNA HMO | $11,227.00 | ↑ +291% |
| AETNA | AETNA | $12,225.99 | ↑ +325% |
| CIGNA HEALTHCARE | CIGNA PPO | $12,472.00 | ↑ +334% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $12,968.00 | ↑ +351% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $14,372.25 | ↑ +400% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $18,505.28 | ↑ +544% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $19,060.44 | ↑ +563% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $19,060.44 | ↑ +563% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $19,163.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $19,163.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $19,245.49 | ↑ +570% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $19,245.50 | ↑ +570% |
Visitor-reported prices
Comments
Perq transcath septal reduxn at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $2,874.45 | $11,227.00 – $20,883.80 |
| Ascension Saint Thomas Midtown | Nashville | $3,710.36 | $614.85 – $16,047.00 |
| 62-0123940 BMH Collierville | Collierville | $7,075.74 | $614.85 – $737.26 |
| Indian Path Community Hospital | KINGSPORT | $2,874.45 | $11,227.00 – $18,377.04 |
| Sycamore Shoals Hospital | ELIZABETHTON | $2,874.45 | $11,227.00 – $20,883.80 |
| Parkwest Medical Center | Knoxville | $873.90 | $611.73 – $2,621.70 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $614.85 – $16,047.00 |
| Ascension Saint Thomas Highlands | Sparta | not published | $614.85 – $16,047.00 |