Repair rpr lip full thickness vermilion only at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$316.35
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.
$2,109.00
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.
$161.00 with UNITED HEALTHCARE vs $2,109.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $161.00 | ↓ -49% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $235.07 | ↓ -26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $242.12 | ↓ -23% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $242.12 | ↓ -23% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $244.47 | ↓ -23% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $244.47 | ↓ -23% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $255.92 | ↓ -19% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↑ +26% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $494.00 | ↑ +56% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $503.27 | ↑ +59% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $503.27 | ↑ +59% |
| AETNA | AETNA HEALTHCARE MEDICARE | $503.27 | ↑ +59% |
| HUMANA | HUMANA MEDICARE | $503.27 | ↑ +59% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $503.27 | ↑ +59% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $503.27 | ↑ +59% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $503.27 | ↑ +59% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $503.27 | ↑ +59% |
| SENTARA HEALTH | SENTARA MEDICARE | $503.27 | ↑ +59% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $503.27 | ↑ +59% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $518.37 | ↑ +64% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $518.37 | ↑ +64% |
| BLUE CROSS | BLUE CROSS MEDICARE | $523.40 | ↑ +65% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $523.40 | ↑ +65% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $528.43 | ↑ +67% |
| NHC ADVANTAGE | NHC ADVANTAGE | $528.43 | ↑ +67% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $528.43 | ↑ +67% |
| WELLCARE | WELLCARE MEDICARE | $533.47 | ↑ +69% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +86% |
| SENTARA HEALTH | SENTARA HEALTH | $735.83 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $738.15 | ↑ +133% |
| AMBETTER | AMBETTER | $1,097.13 | ↑ +247% |
| AETNA | AETNA | $1,345.54 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,581.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $2,109.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,109.00 | ↑ +567% |
Visitor-reported prices
Comments
Repair rpr lip full thickness vermilion only at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $316.35 | $255.08 – $1,067.51 |
| 62-1166050 BMH Carroll County | Huntingdon | $327.52 | $404.56 – $930.02 |
| Hancock County Hospital | SNEEDVILLE | $310.27 | $255.92 – $267.83 |
| Greeneville Community Hospital | GREENEVILLE | $316.35 | $255.08 – $1,097.13 |
| Bristol Regional Medical Center | BRISTOL | $316.35 | $238.98 – $1,227.92 |
| Holston Valley Medical Center | KINGSPORT | $316.35 | $232.02 – $1,227.92 |
| 62-0123940 BMH Collierville | Collierville | $311.64 | $443.00 – $932.64 |
| Indian Path Community Hospital | KINGSPORT | $316.35 | $224.46 – $1,174.37 |