Sm-153 lexidron ther at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$2,660.10
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.
$17,734.00
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.
$3,159.80 with AETNA vs $18,028.51 with AETNA — 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 |
|---|---|---|---|
| AETNA | AETNA HEALTHCARE MEDICARE | $3,159.80 | ↑ +19% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $3,159.80 | ↑ +19% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,159.80 | ↑ +19% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,159.80 | ↑ +19% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,159.80 | ↑ +19% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,159.80 | ↑ +19% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,159.80 | ↑ +19% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,159.80 | ↑ +19% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,159.80 | ↑ +19% |
| HUMANA | HUMANA MEDICARE | $3,159.80 | ↑ +19% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,254.59 | ↑ +22% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,254.59 | ↑ +22% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,286.19 | ↑ +24% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,286.19 | ↑ +24% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,317.79 | ↑ +25% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,317.79 | ↑ +25% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,317.79 | ↑ +25% |
| WELLCARE | WELLCARE MEDICARE | $3,349.39 | ↑ +26% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $6,014.17 | ↑ +126% |
| SENTARA HEALTH | SENTARA HEALTH | $6,187.39 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $6,206.90 | ↑ +133% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $6,832.80 | ↑ +157% |
| CIGNA HEALTHCARE | CIGNA HMO | $6,880.79 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $6,880.79 | ↑ +159% |
| AMBETTER | AMBETTER | $6,888.36 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA PPO | $8,565.52 | ↑ +222% |
| AETNA | AETNA | $11,314.29 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $13,300.50 | ↑ +400% |
| AMERIGROUP | AMERIGROUP | $15,244.76 | ↑ +473% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $17,259.85 | ↑ +549% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $17,259.85 | ↑ +549% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $17,259.85 | ↑ +549% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $17,335.11 | ↑ +552% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $17,734.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $17,734.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $17,734.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $17,734.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $17,734.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $17,734.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $17,734.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS E NETWORK | $17,734.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $17,734.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $17,855.16 | ↑ +571% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $18,028.51 | ↑ +578% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $18,028.51 | ↑ +578% |
Visitor-reported prices
Comments
Sm-153 lexidron ther at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $2,660.10 | $3,159.80 – $18,810.78 |
| Ascension Saint Thomas Midtown | Nashville | $18,839.64 | $16,282.88 – $37,108.68 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $17,839.89 | $16,282.88 – $37,108.68 |
| Greeneville Community Hospital | GREENEVILLE | $2,932.80 | $2,733.12 – $18,810.78 |
| Bristol Regional Medical Center | BRISTOL | $2,932.80 | $3,159.80 – $17,640.44 |
| Holston Valley Medical Center | KINGSPORT | $2,932.80 | $3,159.80 – $17,640.44 |
| 62-0123940 BMH Collierville | Collierville | $3,823.89 | $4,099.16 – $8,629.82 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $2,932.80 | $3,159.80 – $19,393.91 |