Urinalysis (with microscopy) at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$5.70
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.
$38.00
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.
$1.59 with AMERIGROUP vs $38.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $1.59 | ↓ -72% |
| BLUE CROSS | TENNCARE BLUE SELECT | $2.58 | ↓ -55% |
| BLUE CROSS | TENNCARE BLUE CARE | $2.58 | ↓ -55% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3.08 | ↓ -46% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3.17 | ↓ -44% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3.17 | ↓ -44% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3.17 | ↓ -44% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3.17 | ↓ -44% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3.17 | ↓ -44% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3.17 | ↓ -44% |
| HUMANA | HUMANA MEDICARE | $3.17 | ↓ -44% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3.17 | ↓ -44% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3.17 | ↓ -44% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3.17 | ↓ -44% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3.17 | ↓ -44% |
| SENTARA HEALTH | SENTARA MEDICARE | $3.17 | ↓ -44% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3.17 | ↓ -44% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $3.17 | ↓ -44% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3.18 | ↓ -44% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3.20 | ↓ -44% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3.21 | ↓ -44% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3.27 | ↓ -43% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3.27 | ↓ -43% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3.30 | ↓ -42% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3.30 | ↓ -42% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3.33 | ↓ -42% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3.33 | ↓ -42% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3.33 | ↓ -42% |
| WELLCARE | WELLCARE MEDICARE | $3.36 | ↓ -41% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $4.03 | ↓ -29% |
| AMBETTER | AMBETTER | $6.91 | ↑ +21% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $7.22 | ↑ +27% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $11.25 | ↑ +97% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $12.32 | ↑ +116% |
| CIGNA HEALTHCARE | CIGNA PPO | $12.32 | ↑ +116% |
| CIGNA HEALTHCARE | CIGNA HMO | $12.32 | ↑ +116% |
| SENTARA HEALTH | SENTARA HEALTH | $13.26 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $13.30 | ↑ +133% |
| BLUE CROSS | BLUE CROSS E NETWORK | $17.67 | ↑ +210% |
| BLUE CROSS | BLUE CROSS P NETWORK | $18.01 | ↑ +216% |
| BLUE CROSS | BLUE CROSS S NETWORK | $18.01 | ↑ +216% |
| AETNA | AETNA | $24.24 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $28.50 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $38.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $38.00 | ↑ +567% |
Visitor-reported prices
Comments
Urinalysis (with microscopy) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $5.70 | $1.59 – $6.91 |
| Ascension Saint Thomas Midtown | Nashville | $48.14 | $1.14 – $12.42 |
| CHI Memorial Hospital Hixson | Hixson | $10.07 | $2.81 – $23.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $31.05 | $2.22 – $6.34 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $14.39 | $2.81 – $23.80 |
| Ascension Saint Thomas DeKalb | Smithville | $48.14 | $2.22 – $12.42 |
| Ascension Saint Thomas Highlands | Sparta | $48.14 | $2.22 – $12.42 |
| Ascension Saint Thomas River Park | McMinnville | $48.14 | $2.22 – $12.42 |