Tib/per revasc stent & ather 37231 at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$7,850.85
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.
$52,339.00
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.
$10,792.00 with BLUE CROSS vs $52,339.00 with SEVEN CORNERS, INC. — 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS E NETWORK | $10,792.00 | ↑ +37% |
| BLUE CROSS | BLUE CROSS S NETWORK | $11,019.00 | ↑ +40% |
| BLUE CROSS | BLUE CROSS P NETWORK | $11,019.00 | ↑ +40% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $12,697.12 | ↑ +62% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $13,931.04 | ↑ +77% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $14,200.00 | ↑ +81% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $14,348.97 | ↑ +83% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $14,348.97 | ↑ +83% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $14,488.28 | ↑ +85% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $14,488.28 | ↑ +85% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $16,058.00 | ↑ +105% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $17,622.00 | ↑ +124% |
| SENTARA HEALTH | SENTARA HEALTH | $18,261.08 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $18,318.65 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $20,307.53 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $20,307.53 | ↑ +159% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $21,005.00 | ↑ +168% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $24,285.30 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $25,279.74 | ↑ +222% |
| AETNA | AETNA | $33,392.28 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $39,254.25 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $52,339.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $52,339.00 | ↑ +567% |
Visitor-reported prices
Comments
Tib/per revasc stent & ather 37231 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $7,850.85 | $12,697.12 – $15,721.62 |
| Ascension Saint Thomas Midtown | Nashville | $26,362.29 | $2,118.00 – $3,422.09 |
| CHI Memorial Hospital Hixson | Hixson | $19,821.05 | $13,392.60 – $46,874.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $16,917.88 | $4,693.00 – $32,793.28 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $28,325.35 | $14,062.23 – $46,874.10 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $26,362.29 | $2,118.00 – $3,648.60 |
| Greeneville Community Hospital | GREENEVILLE | $7,850.85 | $12,697.12 – $15,116.94 |
| Bristol Regional Medical Center | BRISTOL | $7,850.85 | $12,697.12 – $14,437.68 |