Vaccine hepatitis a (hepa) adult im at Johnson City Medical Center

400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$68.06

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$453.74

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$32.30 with OPTIMA HEALTH vs $453.74 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 →

Payer
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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
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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
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $32.30 ↓ -53%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $33.27 ↓ -51%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $33.27 ↓ -51%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $33.59 ↓ -51%
AETNA AETNA BETTER HEALTH OF VIRGINIA $33.60 ↓ -51%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $55.65 ↓ -18%
BLUE CROSS TENNCARE BLUE CARE $94.11 ↑ +38%
BLUE CROSS TENNCARE BLUE SELECT $94.11 ↑ +38%
SENTARA HEALTH SENTARA HEALTH $158.31 ↑ +133%
MEDCOST MEDCOST VHN $158.81 ↑ +133%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $165.05 ↑ +143%
CIGNA HEALTHCARE CIGNA PPO $219.45 ↑ +222%
CIGNA HEALTHCARE CIGNA HMO $219.45 ↑ +222%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $219.45 ↑ +222%
AETNA AETNA $289.49 ↑ +325%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $340.31 ↑ +400%
WELLCARE WELLCARE MEDICAID $453.74 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $453.74 ↑ +567%

Visitor-reported prices

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Vaccine hepatitis a (hepa) adult im at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $177.83 $81.13 – $140.26
CHI Memorial Hospital Hixson Hixson $98.28 $12.46 – $62.27
CHI Memorial Hospital Chattanooga Chattanooga $140.45 $13.08 – $62.27
Bristol Regional Medical Center BRISTOL $68.06 $32.84 – $165.05
Indian Path Community Hospital KINGSPORT $136.12 $30.85 – $165.05
SKYLINE MADISON CAMPUS NASHVILLE $1,200.09 $104.05 – $194.88
SUMMIT MEDICAL CENTER MT JULIET $484.23 $104.05 – $194.88
Claiborne Medical Center Tazewell $22.40 $16.80 – $105.97

All Tennessee hospitals for this procedure →