Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose 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

$25.16

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.

$167.71

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.

$0.35 with SENTARA HEALTH vs $33.60 with AETNA — 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
SENTARA HEALTH SENTARA HEALTH $0.35 ↓ -99%
MEDCOST MEDCOST VHN $0.35 ↓ -99%
AETNA AETNA $0.64 ↓ -97%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $0.70 ↓ -97%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $0.75 ↓ -97%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $1.00 ↓ -96%
BLUE CROSS TENNCARE BLUE CARE $1.00 ↓ -96%
BLUE CROSS TENNCARE BLUE SELECT $1.00 ↓ -96%
CIGNA HEALTHCARE CIGNA HMO $1.00 ↓ -96%
CIGNA HEALTHCARE CIGNA PPO $1.00 ↓ -96%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $1.00 ↓ -96%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $1.00 ↓ -96%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $1.00 ↓ -96%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $1.00 ↓ -96%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $1.00 ↓ -96%
UNITED HEALTHCARE UHC HERITAGE SELECT $1.00 ↓ -96%
WELLCARE WELLCARE MEDICAID $1.00 ↓ -96%
UNITED HEALTHCARE UNITED HEALTHCARE $1.00 ↓ -96%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $32.30 ↑ +28%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $33.27 ↑ +32%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $33.59 ↑ +34%
AETNA AETNA BETTER HEALTH OF VIRGINIA $33.60 ↑ +34%

Visitor-reported prices

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Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im at other Tennessee hospitals

Hospital City Cash price Negotiated range
Franklin Woods Community Hospital JOHNSON CITY $23.12 $17.47 – $136.17
CHI Memorial Hospital Hixson Hixson $71.70 $12.59 – $54.96
62-1166050 BMH Carroll County Huntingdon $4.21 $20.00 – $26.74
CHI Memorial Hospital Chattanooga Chattanooga $102.46 $12.59 – $54.96
Hancock County Hospital SNEEDVILLE $35.45 $0.24 – $38.90
Greeneville Community Hospital GREENEVILLE $23.12 $6.99 – $124.31
Bristol Regional Medical Center BRISTOL $26.12 $11.65 – $38.90
Holston Valley Medical Center KINGSPORT $24.23 $11.65 – $38.90

All Tennessee hospitals for this procedure →