Ultrasound hips infant dynamic 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.
$49.56 with BLUE CROSS vs $677.00 with WELLCARE — 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 | $49.56 | ↓ -51% |
| BLUE CROSS | TENNCARE BLUE SELECT | $49.56 | ↓ -51% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $56.63 | ↓ -44% |
| AMERIGROUP | AMERIGROUP | $59.01 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $81.21 | ↓ -20% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $81.21 | ↓ -20% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $81.21 | ↓ -20% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $81.21 | ↓ -20% |
| AETNA | AETNA HEALTHCARE MEDICARE | $81.21 | ↓ -20% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $81.21 | ↓ -20% |
| HUMANA | HUMANA MEDICARE | $81.21 | ↓ -20% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $81.21 | ↓ -20% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $81.21 | ↓ -20% |
| SENTARA HEALTH | SENTARA MEDICARE | $81.21 | ↓ -20% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $83.64 | ↓ -18% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $83.64 | ↓ -18% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $84.46 | ↓ -17% |
| BLUE CROSS | BLUE CROSS MEDICARE | $84.46 | ↓ -17% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $85.27 | ↓ -16% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $85.27 | ↓ -16% |
| NHC ADVANTAGE | NHC ADVANTAGE | $85.27 | ↓ -16% |
| WELLCARE | WELLCARE MEDICARE | $86.08 | ↓ -15% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $89.73 | ↓ -12% |
| 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 | $177.03 | ↑ +74% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $189.29 | ↑ +86% |
| SENTARA HEALTH | SENTARA HEALTH | $236.21 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $236.95 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA PPO | $320.82 | ↑ +216% |
| CIGNA HEALTHCARE | CIGNA HMO | $320.82 | ↑ +216% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $320.82 | ↑ +216% |
| AETNA | AETNA | $431.93 | ↑ +325% |
| BLUE CROSS | BLUE CROSS E NETWORK | $462.48 | ↑ +355% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $469.00 | ↑ +362% |
| BLUE CROSS | BLUE CROSS S NETWORK | $471.59 | ↑ +364% |
| BLUE CROSS | BLUE CROSS P NETWORK | $471.59 | ↑ +364% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $507.75 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $582.00 | ↑ +473% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $677.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $677.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $677.00 | ↑ +567% |
Visitor-reported prices
Comments
Ultrasound hips infant dynamic at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $101.55 | $51.89 – $172.25 |
| Greeneville Community Hospital | GREENEVILLE | $101.55 | $22.65 – $177.03 |
| Bristol Regional Medical Center | BRISTOL | $101.55 | $37.75 – $198.14 |
| Holston Valley Medical Center | KINGSPORT | $101.55 | $37.75 – $198.14 |
| 62-0123940 BMH Collierville | Collierville | $172.62 | $42.72 – $161.26 |
| Indian Path Community Hospital | KINGSPORT | $101.55 | $49.56 – $189.49 |
| 62-1138045 BMH Union City | Union City | $165.40 | $69.95 – $160.80 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $101.55 | $31.46 – $172.12 |