Ultrasound breast complete at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$101.55
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.
$677.00
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.
$60.69 with BLUE CROSS vs $645.00 with UNITED HEALTHCARE — 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 | $60.69 | ↓ -40% |
| BLUE CROSS | TENNCARE BLUE SELECT | $60.69 | ↓ -40% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $82.49 | ↓ -19% |
| SENTARA HEALTH | SENTARA MEDICARE | $97.56 | ↓ -4% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $97.56 | ↓ -4% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $97.56 | ↓ -4% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $97.56 | ↓ -4% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $97.56 | ↓ -4% |
| AETNA | AETNA HEALTHCARE MEDICARE | $97.56 | ↓ -4% |
| HUMANA | HUMANA MEDICARE | $97.56 | ↓ -4% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $97.56 | ↓ -4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $97.56 | ↓ -4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $97.56 | ↓ -4% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $100.48 | ↓ -1% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $100.48 | ↓ -1% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $101.46 | ↓ -0% |
| BLUE CROSS | BLUE CROSS MEDICARE | $101.46 | ↓ -0% |
| NHC ADVANTAGE | NHC ADVANTAGE | $102.43 | ↑ +1% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $102.43 | ↑ +1% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $102.43 | ↑ +1% |
| WELLCARE | WELLCARE MEDICARE | $103.41 | ↑ +2% |
| AMERIGROUP | AMERIGROUP | $108.72 | ↑ +7% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $128.15 | ↑ +26% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $138.31 | ↑ +36% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $142.46 | ↑ +40% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $142.46 | ↑ +40% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $143.84 | ↑ +42% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $143.84 | ↑ +42% |
| AMBETTER | AMBETTER | $212.67 | ↑ +109% |
| SENTARA HEALTH | SENTARA HEALTH | $225.04 | ↑ +122% |
| MEDCOST | MEDCOST VHN | $225.75 | ↑ +122% |
| BLUE CROSS | BLUE CROSS E NETWORK | $294.31 | ↑ +190% |
| BLUE CROSS | BLUE CROSS S NETWORK | $300.10 | ↑ +196% |
| BLUE CROSS | BLUE CROSS P NETWORK | $300.10 | ↑ +196% |
| AETNA | AETNA | $411.51 | ↑ +305% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $451.50 | ↑ +345% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $469.00 | ↑ +362% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $483.75 | ↑ +376% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $582.00 | ↑ +473% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $645.00 | ↑ +535% |
| WELLCARE | WELLCARE MEDICAID | $645.00 | ↑ +535% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $645.00 | ↑ +535% |
Visitor-reported prices
Comments
Ultrasound breast complete at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $101.55 | $73.77 – $206.93 |
| Ascension Saint Thomas Midtown | Nashville | $346.94 | $52.32 – $188.95 |
| CHI Memorial Hospital Hixson | Hixson | $997.23 | $59.85 – $1,887.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $189.52 | $52.32 – $194.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,425.09 | $59.85 – $1,887.90 |
| Ascension Saint Thomas DeKalb | Smithville | $346.94 | $45.37 – $188.95 |
| Ascension Saint Thomas Highlands | Sparta | $346.94 | $45.37 – $188.95 |
| Ascension Saint Thomas River Park | McMinnville | $346.94 | $45.37 – $188.95 |