Splint finger frog med at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$7.05
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.
$47.00
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.
$7.52 with UNITED HEALTHCARE vs $89.10 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $7.52 | ↑ +7% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $8.18 | ↑ +16% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $8.18 | ↑ +16% |
| SENTARA HEALTH | SENTARA HEALTH | $16.40 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $16.45 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $16.50 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA HMO | $16.50 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $18.80 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA PPO | $21.10 | ↑ +199% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $23.50 | ↑ +233% |
| AETNA | AETNA | $29.99 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $35.25 | ↑ +400% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $40.87 | ↑ +480% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $40.87 | ↑ +480% |
| AETNA | AETNA HEALTHCARE MEDICARE | $40.87 | ↑ +480% |
| HUMANA | HUMANA MEDICARE | $40.87 | ↑ +480% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $40.87 | ↑ +480% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $40.87 | ↑ +480% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $40.87 | ↑ +480% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $40.87 | ↑ +480% |
| SENTARA HEALTH | SENTARA MEDICARE | $40.87 | ↑ +480% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $40.87 | ↑ +480% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $42.10 | ↑ +497% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $42.10 | ↑ +497% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $42.51 | ↑ +503% |
| BLUE CROSS | BLUE CROSS MEDICARE | $42.51 | ↑ +503% |
| AMERIGROUP | AMERIGROUP | $42.51 | ↑ +503% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $42.92 | ↑ +509% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $42.92 | ↑ +509% |
| NHC ADVANTAGE | NHC ADVANTAGE | $42.92 | ↑ +509% |
| WELLCARE | WELLCARE MEDICARE | $43.32 | ↑ +514% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $47.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $47.00 | ↑ +567% |
| AMBETTER | AMBETTER | $89.10 | ↑ +1164% |
Visitor-reported prices
Comments
Splint finger frog med at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $7.05 | $38.42 – $89.10 |
| Hancock County Hospital | SNEEDVILLE | $6.90 | $30.00 – $30.00 |
| Greeneville Community Hospital | GREENEVILLE | $7.05 | $38.01 – $89.10 |
| Bristol Regional Medical Center | BRISTOL | $7.05 | $38.01 – $89.10 |
| Holston Valley Medical Center | KINGSPORT | $7.05 | $38.01 – $89.10 |
| Indian Path Community Hospital | KINGSPORT | $7.05 | $39.34 – $89.10 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $7.05 | $38.01 – $89.10 |
| Sycamore Shoals Hospital | ELIZABETHTON | $7.05 | $40.87 – $89.10 |