Prq av fstl crtj uxtr 1 acs at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$3,392.70
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.
$22,618.00
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.
$578.00 with BLUE CROSS vs $37,291.16 with AMBETTER — 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 | $578.00 | ↓ -83% |
| BLUE CROSS | TENNCARE BLUE CARE | $578.00 | ↓ -83% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $948.00 | ↓ -72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↓ -55% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,774.00 | ↓ -18% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,774.00 | ↓ -18% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,083.00 | ↓ -9% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↓ -6% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $4,563.53 | ↑ +35% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $4,700.43 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $4,700.44 | ↑ +39% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $4,746.07 | ↑ +40% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $4,746.07 | ↑ +40% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $7,023.00 | ↑ +107% |
| SENTARA HEALTH | SENTARA HEALTH | $7,891.42 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $7,916.30 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $11,749.00 | ↑ +246% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $14,004.00 | ↑ +313% |
| AETNA | AETNA | $14,430.28 | ↑ +325% |
| AMERIGROUP | AMERIGROUP | $15,217.68 | ↑ +349% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $16,963.50 | ↑ +400% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $17,106.04 | ↑ +404% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $17,106.04 | ↑ +404% |
| AETNA | AETNA HEALTHCARE MEDICARE | $17,106.04 | ↑ +404% |
| HUMANA | HUMANA MEDICARE | $17,106.04 | ↑ +404% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $17,106.04 | ↑ +404% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $17,106.04 | ↑ +404% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $17,106.04 | ↑ +404% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $17,106.04 | ↑ +404% |
| SENTARA HEALTH | SENTARA MEDICARE | $17,106.04 | ↑ +404% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $17,106.04 | ↑ +404% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $17,619.22 | ↑ +419% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $17,619.22 | ↑ +419% |
| BLUE CROSS | BLUE CROSS MEDICARE | $17,790.28 | ↑ +424% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $17,790.28 | ↑ +424% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $17,961.34 | ↑ +429% |
| NHC ADVANTAGE | NHC ADVANTAGE | $17,961.34 | ↑ +429% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $17,961.34 | ↑ +429% |
| WELLCARE | WELLCARE MEDICARE | $18,132.40 | ↑ +434% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $22,618.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $22,618.00 | ↑ +567% |
| AMBETTER | AMBETTER | $37,291.16 | ↑ +999% |
Visitor-reported prices
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Prq av fstl crtj uxtr 1 acs at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $3,392.70 | $4,952.00 – $36,284.33 |
| Hancock County Hospital | SNEEDVILLE | $3,329.48 | $5,100.56 – $14,476.00 |
| Greeneville Community Hospital | GREENEVILLE | $3,392.70 | $4,952.00 – $37,291.16 |
| Bristol Regional Medical Center | BRISTOL | $3,392.70 | $4,639.40 – $37,910.94 |
| Holston Valley Medical Center | KINGSPORT | $3,392.70 | $4,504.27 – $37,910.94 |
| 62-0123940 BMH Collierville | Collierville | $10,531.50 | $15,620.82 – $32,885.94 |
| Indian Path Community Hospital | KINGSPORT | $3,392.70 | $4,357.60 – $36,257.38 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $3,392.70 | $5,100.56 – $36,257.38 |