Rpl non-tun cvc wo sbq prt/pmp at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$778.20
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.
$5,188.00
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 $5,188.00 with WELLCARE — 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 | $578.00 | ↓ -26% |
| BLUE CROSS | TENNCARE BLUE SELECT | $578.00 | ↓ -26% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↓ -10% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $860.00 | ↑ +11% |
| AMERIGROUP | AMERIGROUP | $933.72 | ↑ +20% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,054.00 | ↑ +35% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,266.00 | ↑ +63% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,266.00 | ↑ +63% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,308.00 | ↑ +68% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,406.00 | ↑ +81% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +88% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,468.91 | ↑ +89% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $1,468.91 | ↑ +89% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,468.91 | ↑ +89% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,468.91 | ↑ +89% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,468.91 | ↑ +89% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,468.91 | ↑ +89% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,468.91 | ↑ +89% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,468.91 | ↑ +89% |
| HUMANA | HUMANA MEDICARE | $1,468.91 | ↑ +89% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,468.91 | ↑ +89% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,493.83 | ↑ +92% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,512.98 | ↑ +94% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,512.98 | ↑ +94% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,527.67 | ↑ +96% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,527.67 | ↑ +96% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,538.64 | ↑ +98% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,538.65 | ↑ +98% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,542.36 | ↑ +98% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,542.36 | ↑ +98% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,542.36 | ↑ +98% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,553.58 | ↑ +100% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,553.58 | ↑ +100% |
| WELLCARE | WELLCARE MEDICARE | $1,557.05 | ↑ +100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,560.00 | ↑ +100% |
| SENTARA HEALTH | SENTARA HEALTH | $1,810.09 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $1,815.80 | ↑ +133% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,469.00 | ↑ +217% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,521.00 | ↑ +224% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,521.00 | ↑ +224% |
| AMBETTER | AMBETTER | $3,202.23 | ↑ +311% |
| AETNA | AETNA | $3,309.94 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,891.00 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $5,188.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $5,188.00 | ↑ +567% |
Visitor-reported prices
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Rpl non-tun cvc wo sbq prt/pmp at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $778.20 | $821.15 – $3,115.77 |
| Ascension Saint Thomas Midtown | Nashville | $2,419.55 | $733.50 – $1,141.72 |
| CHI Memorial Hospital Hixson | Hixson | $1,898.55 | $1,282.80 – $4,489.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $480.01 | $1,234.08 – $2,836.96 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,713.13 | $1,346.94 – $4,489.80 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $2,419.55 | $954.50 – $1,217.22 |
| Greeneville Community Hospital | GREENEVILLE | $778.20 | $834.96 – $3,202.23 |
| Bristol Regional Medical Center | BRISTOL | $778.20 | $1,493.32 – $3,583.98 |