Tocilizumab 162 mg/0.9 ml subcutaneous pen injector at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$3,541.70
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.
$23,611.36
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.
$3.12 with UNITED HEALTHCARE vs $7,975.61 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $3.12 | ↓ -100% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $3.48 | ↓ -100% |
| AMERIGROUP | AMERIGROUP | $4.92 | ↓ -100% |
| SENTARA HEALTH | SENTARA MEDICARE | $5.61 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $5.61 | ↓ -100% |
| HUMANA | HUMANA MEDICARE | $5.61 | ↓ -100% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $5.61 | ↓ -100% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $5.61 | ↓ -100% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $5.61 | ↓ -100% |
| AETNA | AETNA HEALTHCARE MEDICARE | $5.61 | ↓ -100% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $5.61 | ↓ -100% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $5.61 | ↓ -100% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $5.61 | ↓ -100% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $5.78 | ↓ -100% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $5.78 | ↓ -100% |
| BLUE CROSS | BLUE CROSS MEDICARE | $5.83 | ↓ -100% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $5.83 | ↓ -100% |
| NHC ADVANTAGE | NHC ADVANTAGE | $5.89 | ↓ -100% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $5.89 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $5.89 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5.95 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $5.95 | ↓ -100% |
| WELLCARE | WELLCARE MEDICARE | $5.95 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5.95 | ↓ -100% |
| BLUE CROSS | BLUE CROSS E NETWORK | $8.21 | ↓ -100% |
| BLUE CROSS | BLUE CROSS P NETWORK | $8.39 | ↓ -100% |
| BLUE CROSS | BLUE CROSS S NETWORK | $8.39 | ↓ -100% |
| BLUE CROSS | TENNCARE BLUE SELECT | $9.48 | ↓ -100% |
| BLUE CROSS | TENNCARE BLUE CARE | $9.48 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $10.05 | ↓ -100% |
| AMBETTER | AMBETTER | $12.23 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $13.36 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA PPO | $13.36 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA HMO | $13.36 | ↓ -100% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,213.89 | ↓ -66% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,250.31 | ↓ -65% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,250.31 | ↓ -65% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,262.45 | ↓ -64% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,262.45 | ↓ -64% |
| SENTARA HEALTH | SENTARA HEALTH | $2,782.69 | ↓ -21% |
| MEDCOST | MEDCOST VHN | $2,791.46 | ↓ -21% |
| AETNA | AETNA | $5,088.44 | ↑ +44% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,981.71 | ↑ +69% |
| WELLCARE | WELLCARE MEDICAID | $7,975.61 | ↑ +125% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,975.61 | ↑ +125% |
Visitor-reported prices
Comments
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bristol Regional Medical Center | BRISTOL | $3,541.70 | $2.08 – $1,235.27 |
| Holston Valley Medical Center | KINGSPORT | $1,770.85 | $2.08 – $1,235.27 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $3,541.70 | $1.74 – $1,358.06 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | $11,151.37 | $7.19 – $14.87 |
| Parkwest Medical Center | Knoxville | $2,715.31 | $2.13 – $1,629.17 |
| Roane County Medical Center | Harriman | $2,986.84 | $2.13 – $1,629.17 |
| LeConte Medical Center | Sevierville | $2,624.80 | $2.13 – $3,603.37 |
| Fort Loudoun Medical Center | Lenoir City | $2,986.84 | $2.13 – $1,629.17 |