Screening Mammogram at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$74.10
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.
$494.00
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.
$29.72 with OPTIMA HEALTH vs $469.00 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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $29.72 | ↓ -60% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $30.61 | ↓ -59% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $30.61 | ↓ -59% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $30.91 | ↓ -58% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $30.91 | ↓ -58% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $82.76 | ↑ +12% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $82.76 | ↑ +12% |
| AETNA | AETNA HEALTHCARE MEDICARE | $82.76 | ↑ +12% |
| HUMANA | HUMANA MEDICARE | $82.76 | ↑ +12% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $82.76 | ↑ +12% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $82.76 | ↑ +12% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $82.76 | ↑ +12% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $82.76 | ↑ +12% |
| SENTARA HEALTH | SENTARA MEDICARE | $82.76 | ↑ +12% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $82.76 | ↑ +12% |
| BLUE CROSS | TENNCARE BLUE SELECT | $85.10 | ↑ +15% |
| BLUE CROSS | TENNCARE BLUE CARE | $85.10 | ↑ +15% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $85.24 | ↑ +15% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $85.24 | ↑ +15% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $86.07 | ↑ +16% |
| AMERIGROUP | AMERIGROUP | $86.07 | ↑ +16% |
| BLUE CROSS | BLUE CROSS MEDICARE | $86.07 | ↑ +16% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $86.90 | ↑ +17% |
| NHC ADVANTAGE | NHC ADVANTAGE | $86.90 | ↑ +17% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $86.90 | ↑ +17% |
| WELLCARE | WELLCARE MEDICARE | $87.73 | ↑ +18% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $91.37 | ↑ +23% |
| SENTARA HEALTH | SENTARA HEALTH | $163.63 | ↑ +121% |
| MEDCOST | MEDCOST VHN | $164.15 | ↑ +122% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $173.25 | ↑ +134% |
| AMBETTER | AMBETTER | $180.42 | ↑ +143% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $255.00 | ↑ +244% |
| AETNA | AETNA | $299.22 | ↑ +304% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $316.00 | ↑ +326% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $328.30 | ↑ +343% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $351.75 | ↑ +375% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $377.00 | ↑ +409% |
| BLUE CROSS | BLUE CROSS E NETWORK | $412.67 | ↑ +457% |
| BLUE CROSS | BLUE CROSS P NETWORK | $420.80 | ↑ +468% |
| BLUE CROSS | BLUE CROSS S NETWORK | $420.80 | ↑ +468% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $469.00 | ↑ +533% |
| WELLCARE | WELLCARE MEDICAID | $469.00 | ↑ +533% |
Visitor-reported prices
Comments
Screening Mammogram at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $74.10 | $32.25 – $180.42 |
| Ascension Saint Thomas Midtown | Nashville | $189.54 | $72.15 – $263.95 |
| CHI Memorial Hospital Hixson | Hixson | $98.28 | $66.27 – $232.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $109.25 | $73.36 – $106.14 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $140.44 | $66.27 – $232.40 |
| Ascension Saint Thomas DeKalb | Smithville | $189.54 | $72.15 – $263.95 |
| Ascension Saint Thomas Highlands | Sparta | $189.54 | $72.15 – $263.95 |
| Ascension Saint Thomas River Park | McMinnville | $189.54 | $72.15 – $263.95 |