Unlisted px small intestine at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$1,100.70
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.
$7,338.00
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.
$704.00 with BLUE CROSS vs $7,338.00 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 BALLAD HEALTH EMPLOYEE | $704.00 | ↓ -36% |
| AMERIGROUP | AMERIGROUP | $706.24 | ↓ -36% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $846.35 | ↓ -23% |
| SENTARA HEALTH | SENTARA MEDICARE | $846.35 | ↓ -23% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $846.35 | ↓ -23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $846.35 | ↓ -23% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $846.35 | ↓ -23% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $846.35 | ↓ -23% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $846.35 | ↓ -23% |
| HUMANA | HUMANA MEDICARE | $846.35 | ↓ -23% |
| AETNA | AETNA HEALTHCARE MEDICARE | $846.35 | ↓ -23% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $846.35 | ↓ -23% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $871.74 | ↓ -21% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $871.74 | ↓ -21% |
| BLUE CROSS | BLUE CROSS MEDICARE | $880.20 | ↓ -20% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $880.20 | ↓ -20% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $888.66 | ↓ -19% |
| NHC ADVANTAGE | NHC ADVANTAGE | $888.66 | ↓ -19% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $888.66 | ↓ -19% |
| WELLCARE | WELLCARE MEDICARE | $897.13 | ↓ -18% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,083.00 | ↓ -2% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↑ +47% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,770.00 | ↑ +61% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,807.00 | ↑ +64% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,807.00 | ↑ +64% |
| AMBETTER | AMBETTER | $1,845.04 | ↑ +68% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,011.00 | ↑ +83% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↑ +118% |
| SENTARA HEALTH | SENTARA HEALTH | $2,560.23 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $2,568.30 | ↑ +133% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,608.96 | ↑ +137% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,687.23 | ↑ +144% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,687.23 | ↑ +144% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,713.32 | ↑ +147% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,713.32 | ↑ +147% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,774.00 | ↑ +152% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,774.00 | ↑ +152% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,083.00 | ↑ +180% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +191% |
| AETNA | AETNA | $4,681.64 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,503.50 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $7,338.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,338.00 | ↑ +567% |
Visitor-reported prices
Comments
Unlisted px small intestine at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $1,100.70 | $621.10 – $2,831.05 |
| CHI Memorial Hospital Hixson | Hixson | $918.49 | $620.60 – $2,172.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,312.57 | $651.63 – $2,172.10 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,201.23 | $808.11 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $1,080.31 | $1,045.84 – $2,972.60 |
| Greeneville Community Hospital | GREENEVILLE | $1,100.70 | $631.54 – $2,831.05 |
| Bristol Regional Medical Center | BRISTOL | $1,100.70 | $860.41 – $2,654.92 |
| Holston Valley Medical Center | KINGSPORT | $1,100.70 | $860.41 – $2,654.92 |