Resuscitation delivery/birthing room at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$130.20
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.
$868.00
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.
$12.00 with BLUE CROSS vs $1,344.53 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 CARE | $12.00 | ↓ -91% |
| BLUE CROSS | TENNCARE BLUE SELECT | $12.00 | ↓ -91% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $139.41 | ↑ +7% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $140.46 | ↑ +8% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $274.00 | ↑ +110% |
| SENTARA HEALTH | SENTARA HEALTH | $302.85 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $303.80 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $336.78 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $336.78 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $339.00 | ↑ +160% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $402.75 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $405.00 | ↑ +211% |
| CIGNA HEALTHCARE | CIGNA PPO | $419.24 | ↑ +222% |
| AMERIGROUP | AMERIGROUP | $486.97 | ↑ +274% |
| AETNA | AETNA | $553.78 | ↑ +325% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $616.76 | ↑ +374% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $616.76 | ↑ +374% |
| AETNA | AETNA HEALTHCARE MEDICARE | $616.76 | ↑ +374% |
| HUMANA | HUMANA MEDICARE | $616.76 | ↑ +374% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $616.76 | ↑ +374% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $616.76 | ↑ +374% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $616.76 | ↑ +374% |
| SENTARA HEALTH | SENTARA MEDICARE | $616.76 | ↑ +374% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $616.76 | ↑ +374% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $616.76 | ↑ +374% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $635.26 | ↑ +388% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $635.26 | ↑ +388% |
| BLUE CROSS | BLUE CROSS MEDICARE | $641.43 | ↑ +393% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $641.43 | ↑ +393% |
| NHC ADVANTAGE | NHC ADVANTAGE | $647.59 | ↑ +397% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $647.59 | ↑ +397% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $647.59 | ↑ +397% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $651.00 | ↑ +400% |
| WELLCARE | WELLCARE MEDICARE | $653.76 | ↑ +402% |
| WELLCARE | WELLCARE MEDICAID | $868.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $868.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $868.00 | ↑ +567% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $941.20 | ↑ +623% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $969.44 | ↑ +645% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $978.85 | ↑ +652% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $978.85 | ↑ +652% |
| AMBETTER | AMBETTER | $1,344.53 | ↑ +933% |
Visitor-reported prices
Comments
Resuscitation delivery/birthing room at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $130.20 | $17.00 – $1,308.23 |
| Ascension Saint Thomas River Park | McMinnville | $388.95 | $78.04 – $864.74 |
| Greeneville Community Hospital | GREENEVILLE | $130.20 | $12.00 – $1,344.53 |
| Bristol Regional Medical Center | BRISTOL | $130.20 | $12.00 – $1,366.87 |
| Holston Valley Medical Center | KINGSPORT | $130.20 | $12.00 – $1,366.87 |
| Indian Path Community Hospital | KINGSPORT | $130.20 | $12.00 – $1,307.25 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $130.20 | $12.00 – $1,307.25 |
| Sycamore Shoals Hospital | ELIZABETHTON | $130.20 | $12.00 – $1,307.25 |