Treatment of ankle fracture at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$3,081.15
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.
$20,541.00
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.
$890.00 with BLUE CROSS vs $20,541.00 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 | TENNCARE BLUE CARE | $890.00 | ↓ -71% |
| BLUE CROSS | TENNCARE BLUE SELECT | $890.00 | ↓ -71% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,082.00 | ↓ -65% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,943.00 | ↓ -37% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,943.00 | ↓ -37% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,160.00 | ↓ -30% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,246.00 | ↓ -27% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $3,185.00 | ↑ +3% |
| AMERIGROUP | AMERIGROUP | $5,325.51 | ↑ +73% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $6,771.08 | ↑ +120% |
| AETNA | AETNA HEALTHCARE MEDICARE | $6,771.08 | ↑ +120% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $6,771.08 | ↑ +120% |
| HUMANA | HUMANA MEDICARE | $6,771.08 | ↑ +120% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $6,771.08 | ↑ +120% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $6,771.08 | ↑ +120% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $6,771.08 | ↑ +120% |
| SENTARA HEALTH | SENTARA MEDICARE | $6,771.08 | ↑ +120% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $6,771.08 | ↑ +120% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $6,771.08 | ↑ +120% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $6,899.03 | ↑ +124% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $6,974.22 | ↑ +126% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $6,974.22 | ↑ +126% |
| BLUE CROSS | BLUE CROSS MEDICARE | $7,041.93 | ↑ +129% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $7,041.93 | ↑ +129% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $7,106.00 | ↑ +131% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $7,106.00 | ↑ +131% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $7,109.64 | ↑ +131% |
| NHC ADVANTAGE | NHC ADVANTAGE | $7,109.64 | ↑ +131% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $7,109.64 | ↑ +131% |
| SENTARA HEALTH | SENTARA HEALTH | $7,166.75 | ↑ +133% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $7,174.99 | ↑ +133% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $7,174.99 | ↑ +133% |
| WELLCARE | WELLCARE MEDICARE | $7,177.35 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $7,189.35 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $8,387.00 | ↑ +172% |
| BLUE CROSS | BLUE CROSS E NETWORK | $9,590.00 | ↑ +211% |
| BLUE CROSS | BLUE CROSS P NETWORK | $9,792.00 | ↑ +218% |
| BLUE CROSS | BLUE CROSS S NETWORK | $9,792.00 | ↑ +218% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $10,407.00 | ↑ +238% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $12,407.00 | ↑ +303% |
| AETNA | AETNA | $13,105.16 | ↑ +325% |
| AMBETTER | AMBETTER | $14,760.96 | ↑ +379% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $15,405.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $20,541.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $20,541.00 | ↑ +567% |
Visitor-reported prices
Comments
Treatment of ankle fracture at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $3,081.15 | $4,683.48 – $14,362.43 |
| Hancock County Hospital | SNEEDVILLE | $3,023.58 | $7,710.90 – $7,886.35 |
| Greeneville Community Hospital | GREENEVILLE | $3,081.15 | $4,762.23 – $14,760.96 |
| Bristol Regional Medical Center | BRISTOL | $3,081.15 | $6,883.62 – $16,520.69 |
| Holston Valley Medical Center | KINGSPORT | $3,081.15 | $6,809.45 – $16,520.69 |
| Indian Path Community Hospital | KINGSPORT | $3,081.15 | $5,177.87 – $15,800.11 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $3,081.15 | $6,583.38 – $14,351.76 |
| Johnson County Community Hospital | MOUNTAIN CITY | $3,023.58 | $7,486.32 – $7,980.52 |