Target gsa panel organ neop at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$373.65
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.
$2,491.00
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.
$80.85 with UNITED HEALTHCARE vs $2,491.00 with BLUE CROSS — 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 | TENNCARE UNITED HEALTHCARE | $80.85 | ↓ -78% |
| AMERIGROUP | AMERIGROUP | $298.96 | ↓ -20% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $373.46 | ↓ -0% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $384.66 | ↑ +3% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $384.66 | ↑ +3% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $388.40 | ↑ +4% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $388.40 | ↑ +4% |
| BLUE CROSS | TENNCARE BLUE SELECT | $563.49 | ↑ +51% |
| BLUE CROSS | TENNCARE BLUE CARE | $563.49 | ↑ +51% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $597.91 | ↑ +60% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $597.91 | ↑ +60% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $597.91 | ↑ +60% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $597.91 | ↑ +60% |
| AETNA | AETNA HEALTHCARE MEDICARE | $597.91 | ↑ +60% |
| HUMANA | HUMANA MEDICARE | $597.91 | ↑ +60% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $597.91 | ↑ +60% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $597.91 | ↑ +60% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $597.91 | ↑ +60% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $597.91 | ↑ +60% |
| SENTARA HEALTH | SENTARA MEDICARE | $597.91 | ↑ +60% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $597.91 | ↑ +60% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $597.91 | ↑ +60% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $615.85 | ↑ +65% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $615.85 | ↑ +65% |
| BLUE CROSS | BLUE CROSS MEDICARE | $621.83 | ↑ +66% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $621.83 | ↑ +66% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $627.81 | ↑ +68% |
| NHC ADVANTAGE | NHC ADVANTAGE | $627.81 | ↑ +68% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $627.81 | ↑ +68% |
| WELLCARE | WELLCARE MEDICARE | $633.78 | ↑ +70% |
| SENTARA HEALTH | SENTARA HEALTH | $869.11 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $871.85 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $966.51 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $966.51 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,203.15 | ↑ +222% |
| AMBETTER | AMBETTER | $1,303.44 | ↑ +249% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,317.97 | ↑ +253% |
| AETNA | AETNA | $1,589.26 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,743.70 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,868.25 | ↑ +400% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,445.45 | ↑ +554% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,491.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $2,491.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,491.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,491.00 | ↑ +567% |
Visitor-reported prices
Comments
Target gsa panel organ neop at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $373.65 | $80.85 – $1,303.44 |
| Hancock County Hospital | SNEEDVILLE | $366.62 | $44.92 – $1,317.97 |
| Greeneville Community Hospital | GREENEVILLE | $373.65 | $32.34 – $1,303.44 |
| Bristol Regional Medical Center | BRISTOL | $373.65 | $53.90 – $1,434.98 |
| Holston Valley Medical Center | KINGSPORT | $373.65 | $53.90 – $1,434.98 |
| 62-0123940 BMH Collierville | Collierville | $441.00 | $485.77 – $1,195.82 |
| Indian Path Community Hospital | KINGSPORT | $373.65 | $80.85 – $1,434.98 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $373.65 | $44.92 – $1,303.44 |