Plcmnt ureteral stent pq w/img new w/cath at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$1,216.65
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.
$8,111.00
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.
$775.00 with BLUE CROSS vs $8,111.00 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 | $775.00 | ↓ -36% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↓ -36% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +25% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,099.00 | ↑ +73% |
| AMERIGROUP | AMERIGROUP | $2,561.64 | ↑ +111% |
| SENTARA HEALTH | SENTARA HEALTH | $2,829.93 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $2,838.85 | ↑ +133% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,289.31 | ↑ +170% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,289.31 | ↑ +170% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,289.31 | ↑ +170% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,289.31 | ↑ +170% |
| HUMANA | HUMANA MEDICARE | $3,289.31 | ↑ +170% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,289.31 | ↑ +170% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,289.31 | ↑ +170% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $3,289.31 | ↑ +170% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,289.31 | ↑ +170% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,289.31 | ↑ +170% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,387.99 | ↑ +178% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,387.99 | ↑ +178% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,420.88 | ↑ +181% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,420.88 | ↑ +181% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,453.78 | ↑ +184% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,453.78 | ↑ +184% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,453.78 | ↑ +184% |
| WELLCARE | WELLCARE MEDICARE | $3,486.67 | ↑ +187% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,715.30 | ↑ +205% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3,826.76 | ↑ +215% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,826.76 | ↑ +215% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,863.91 | ↑ +218% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3,863.92 | ↑ +218% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5,125.00 | ↑ +321% |
| AETNA | AETNA | $5,174.82 | ↑ +325% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $5,238.00 | ↑ +331% |
| CIGNA HEALTHCARE | CIGNA HMO | $5,238.00 | ↑ +331% |
| CIGNA HEALTHCARE | CIGNA PPO | $5,820.00 | ↑ +378% |
| BLUE CROSS | BLUE CROSS E NETWORK | $5,829.00 | ↑ +379% |
| BLUE CROSS | BLUE CROSS S NETWORK | $5,952.00 | ↑ +389% |
| BLUE CROSS | BLUE CROSS P NETWORK | $5,952.00 | ↑ +389% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $6,048.00 | ↑ +397% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6,083.25 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $6,360.00 | ↑ +423% |
| AMBETTER | AMBETTER | $7,170.70 | ↑ +489% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $7,581.00 | ↑ +523% |
| WELLCARE | WELLCARE MEDICAID | $8,111.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $8,111.00 | ↑ +567% |
Visitor-reported prices
Comments
Plcmnt ureteral stent pq w/img new w/cath at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $1,216.65 | $2,252.81 – $6,977.09 |
| Ascension Saint Thomas Midtown | Nashville | $3,217.86 | $2,543.00 – $3,142.00 |
| CHI Memorial Hospital Hixson | Hixson | $915.53 | $618.60 – $2,165.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,308.34 | $649.53 – $2,165.10 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $3,217.86 | $3,006.00 – $3,160.00 |
| Greeneville Community Hospital | GREENEVILLE | $1,216.65 | $2,290.69 – $7,170.70 |
| Bristol Regional Medical Center | BRISTOL | $1,216.65 | $3,343.98 – $8,025.55 |
| Holston Valley Medical Center | KINGSPORT | $1,216.65 | $3,343.98 – $8,025.55 |