Unsched dialysis esrd pt hos at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$166.80
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.
$1,112.00
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.
$83.00 with UNITED HEALTHCARE vs $1,396.14 with AMBETTER — 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 | UHC HERITAGE SELECT | $83.00 | ↓ -50% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $103.00 | ↓ -38% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $124.00 | ↓ -26% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $225.00 | ↑ +35% |
| SENTARA HEALTH | SENTARA HEALTH | $387.98 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $389.20 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $515.97 | ↑ +209% |
| AMERIGROUP | AMERIGROUP | $568.07 | ↑ +241% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $640.43 | ↑ +284% |
| AETNA | AETNA HEALTHCARE MEDICARE | $640.43 | ↑ +284% |
| HUMANA | HUMANA MEDICARE | $640.43 | ↑ +284% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $640.43 | ↑ +284% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $640.43 | ↑ +284% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $640.43 | ↑ +284% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $640.43 | ↑ +284% |
| SENTARA HEALTH | SENTARA MEDICARE | $640.43 | ↑ +284% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $640.43 | ↑ +284% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $640.43 | ↑ +284% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $659.64 | ↑ +295% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $659.64 | ↑ +295% |
| BLUE CROSS | BLUE CROSS MEDICARE | $666.05 | ↑ +299% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $666.05 | ↑ +299% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $672.45 | ↑ +303% |
| NHC ADVANTAGE | NHC ADVANTAGE | $672.45 | ↑ +303% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $672.45 | ↑ +303% |
| WELLCARE | WELLCARE MEDICARE | $678.86 | ↑ +307% |
| AETNA | AETNA | $709.46 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $778.40 | ↑ +367% |
| BLUE CROSS | BLUE CROSS P NETWORK | $800.64 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $800.64 | ↑ +380% |
| BLUE CROSS | BLUE CROSS S NETWORK | $800.64 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $834.00 | ↑ +400% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,112.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,112.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,112.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,112.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,112.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,112.00 | ↑ +567% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,125.46 | ↑ +575% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,159.22 | ↑ +595% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,170.48 | ↑ +602% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,170.48 | ↑ +602% |
| AMBETTER | AMBETTER | $1,396.14 | ↑ +737% |
Visitor-reported prices
Comments
Unsched dialysis esrd pt hos at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $166.80 | $83.00 – $1,358.44 |
| Greeneville Community Hospital | GREENEVILLE | $166.80 | $81.00 – $1,396.14 |
| Bristol Regional Medical Center | BRISTOL | $166.80 | $81.00 – $1,419.34 |
| Holston Valley Medical Center | KINGSPORT | $166.80 | $81.00 – $1,419.34 |
| 62-0123940 BMH Collierville | Collierville | $308.07 | $608.69 – $1,281.46 |
| Indian Path Community Hospital | KINGSPORT | $166.80 | $83.00 – $1,357.43 |
| 62-1138045 BMH Union City | Union City | $234.80 | $555.87 – $1,277.86 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $166.80 | $81.00 – $1,357.43 |