Sirolimus, oral at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$5.90
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.
$39.30
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.
$1.53 with CIGNA HEALTHCARE vs $85.67 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1.53 | ↓ -74% |
| CIGNA HEALTHCARE | CIGNA HMO | $2.04 | ↓ -65% |
| CIGNA HEALTHCARE | CIGNA PPO | $2.04 | ↓ -65% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2.04 | ↓ -65% |
| SENTARA HEALTH | SENTARA HEALTH | $5.29 | ↓ -10% |
| MEDCOST | MEDCOST VHN | $5.31 | ↓ -10% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $7.55 | ↑ +28% |
| AETNA | AETNA | $9.67 | ↑ +64% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $11.37 | ↑ +93% |
| WELLCARE | WELLCARE MEDICAID | $15.16 | ↑ +157% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $15.16 | ↑ +157% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $15.37 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $15.37 | ↑ +161% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $15.37 | ↑ +161% |
| BLUE CROSS | BLUE CROSS S NETWORK | $28.30 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $28.30 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $28.30 | ↑ +380% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $39.30 | ↑ +566% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $39.30 | ↑ +566% |
| NHC ADVANTAGE | NHC ADVANTAGE | $39.30 | ↑ +566% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $39.30 | ↑ +566% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $39.30 | ↑ +566% |
| AMERIGROUP | AMERIGROUP | $39.30 | ↑ +566% |
| HUMANA | HUMANA MEDICARE | $39.30 | ↑ +566% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $39.30 | ↑ +566% |
| SENTARA HEALTH | SENTARA MEDICARE | $39.30 | ↑ +566% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $39.30 | ↑ +566% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $39.30 | ↑ +566% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $39.30 | ↑ +566% |
| AETNA | AETNA HEALTHCARE MEDICARE | $39.30 | ↑ +566% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $39.30 | ↑ +566% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $39.30 | ↑ +566% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $39.30 | ↑ +566% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $39.30 | ↑ +566% |
| BLUE CROSS | BLUE CROSS MEDICARE | $40.87 | ↑ +593% |
| WELLCARE | WELLCARE MEDICARE | $41.66 | ↑ +606% |
| AMBETTER | AMBETTER | $85.67 | ↑ +1352% |
Visitor-reported prices
Comments
Sirolimus, oral at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $24.63 | $1.63 – $2.92 |
| 62-1166050 BMH Carroll County | Huntingdon | $279.97 | $1.33 – $3.23 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $13.29 | $1.63 – $13.98 |
| Holston Valley Medical Center | KINGSPORT | $5.58 | $1.53 – $7.55 |
| 62-0123940 BMH Collierville | Collierville | $255.62 | $1.33 – $1.33 |
| 62-1138045 BMH Union City | Union City | $243.45 | $1.33 – $3.23 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $68.86 | $1.66 – $2.57 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | $273.48 | $1.66 – $2.57 |