Prq trluml c athrc 1 art&/br at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$4,357.65
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.
$29,051.00
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.
$609.44 with BLUE CROSS vs $29,051.00 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 CARE | $609.44 | ↓ -86% |
| BLUE CROSS | TENNCARE BLUE SELECT | $609.44 | ↓ -86% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $948.00 | ↓ -78% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $7,023.00 | ↑ +61% |
| AMERIGROUP | AMERIGROUP | $9,983.83 | ↑ +129% |
| SENTARA HEALTH | SENTARA HEALTH | $10,135.89 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $10,167.85 | ↑ +133% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $10,772.38 | ↑ +147% |
| AETNA | AETNA HEALTHCARE MEDICARE | $10,772.38 | ↑ +147% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $10,772.38 | ↑ +147% |
| HUMANA | HUMANA MEDICARE | $10,772.38 | ↑ +147% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $10,772.38 | ↑ +147% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $10,772.38 | ↑ +147% |
| SENTARA HEALTH | SENTARA MEDICARE | $10,772.38 | ↑ +147% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $10,772.38 | ↑ +147% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $10,772.38 | ↑ +147% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $10,772.38 | ↑ +147% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $10,841.15 | ↑ +149% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $11,095.55 | ↑ +155% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $11,095.55 | ↑ +155% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $11,166.38 | ↑ +156% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $11,166.38 | ↑ +156% |
| BLUE CROSS | BLUE CROSS MEDICARE | $11,203.27 | ↑ +157% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $11,203.27 | ↑ +157% |
| CIGNA HEALTHCARE | CIGNA HMO | $11,271.79 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $11,271.79 | ↑ +159% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $11,274.79 | ↑ +159% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $11,274.80 | ↑ +159% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $11,311.00 | ↑ +160% |
| NHC ADVANTAGE | NHC ADVANTAGE | $11,311.00 | ↑ +160% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $11,311.00 | ↑ +160% |
| WELLCARE | WELLCARE MEDICARE | $11,418.72 | ↑ +162% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $11,749.00 | ↑ +170% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $13,479.66 | ↑ +209% |
| BLUE CROSS | BLUE CROSS E NETWORK | $13,864.00 | ↑ +218% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $14,004.00 | ↑ +221% |
| CIGNA HEALTHCARE | CIGNA PPO | $14,031.63 | ↑ +222% |
| BLUE CROSS | BLUE CROSS P NETWORK | $14,156.00 | ↑ +225% |
| BLUE CROSS | BLUE CROSS S NETWORK | $14,156.00 | ↑ +225% |
| AETNA | AETNA | $18,534.54 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $20,335.70 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $21,788.25 | ↑ +400% |
| AMBETTER | AMBETTER | $23,483.78 | ↑ +439% |
| WELLCARE | WELLCARE MEDICAID | $29,051.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $29,051.00 | ↑ +567% |
Visitor-reported prices
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Prq trluml c athrc 1 art&/br at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $4,357.65 | $740.79 – $22,849.74 |
| Ascension Saint Thomas Midtown | Nashville | $14,166.38 | $525.38 – $28,332.75 |
| CHI Memorial Hospital Hixson | Hixson | $10,810.81 | $781.92 – $25,566.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $7,801.83 | $3,431.00 – $20,710.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $15,449.23 | $781.92 – $25,566.10 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $14,166.38 | $525.38 – $28,332.75 |
| Greeneville Community Hospital | GREENEVILLE | $4,357.65 | $609.44 – $23,483.78 |
| Bristol Regional Medical Center | BRISTOL | $4,357.65 | $609.44 – $26,283.39 |