Removal cerclage w/anes at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$896.70
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.
$5,978.00
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.
$890.00 with BLUE CROSS vs $6,585.13 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 | $890.00 | ↓ -1% |
| BLUE CROSS | TENNCARE BLUE CARE | $890.00 | ↓ -1% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +70% |
| SENTARA HEALTH | SENTARA HEALTH | $2,085.72 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $2,092.30 | ↑ +133% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,099.00 | ↑ +134% |
| AMERIGROUP | AMERIGROUP | $2,158.89 | ↑ +141% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,256.55 | ↑ +152% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,324.25 | ↑ +159% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,324.25 | ↑ +159% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,346.81 | ↑ +162% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,346.81 | ↑ +162% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,774.00 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,774.00 | ↑ +209% |
| HUMANA | HUMANA MEDICARE | $3,020.70 | ↑ +237% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,020.70 | ↑ +237% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,020.70 | ↑ +237% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,020.70 | ↑ +237% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,020.70 | ↑ +237% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,020.70 | ↑ +237% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,020.70 | ↑ +237% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,020.70 | ↑ +237% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,020.70 | ↑ +237% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $3,020.70 | ↑ +237% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,083.00 | ↑ +244% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,111.32 | ↑ +247% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,111.32 | ↑ +247% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,141.53 | ↑ +250% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,141.53 | ↑ +250% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,171.74 | ↑ +254% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,171.74 | ↑ +254% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,171.74 | ↑ +254% |
| WELLCARE | WELLCARE MEDICARE | $3,201.94 | ↑ +257% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +257% |
| AETNA | AETNA | $3,813.96 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,483.50 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5,125.00 | ↑ +472% |
| BLUE CROSS | BLUE CROSS E NETWORK | $5,829.00 | ↑ +550% |
| BLUE CROSS | BLUE CROSS S NETWORK | $5,952.00 | ↑ +564% |
| BLUE CROSS | BLUE CROSS P NETWORK | $5,952.00 | ↑ +564% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $5,978.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5,978.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $5,978.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $5,978.00 | ↑ +567% |
| AMBETTER | AMBETTER | $6,585.13 | ↑ +634% |
Visitor-reported prices
Comments
Removal cerclage w/anes at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $896.70 | $1,898.62 – $6,407.33 |
| Ascension Saint Thomas River Park | McMinnville | $2,146.38 | $923.10 – $2,298.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $2,172.77 | $1,869.19 – $2,298.50 |
| Indian Path Community Hospital | KINGSPORT | $896.70 | $2,099.04 – $6,402.58 |
| Sycamore Shoals Hospital | ELIZABETHTON | $896.70 | $2,099.04 – $6,402.58 |
| Ascension Saint Thomas Midtown | Nashville | not published | $1,752.88 – $2,298.50 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $923.10 – $2,298.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $923.10 – $2,298.50 |