Visit established high 40-54 minutes/level 5 at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$65.55
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.
$437.00
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.
$43.96 with SENTARA HEALTH vs $270.83 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $43.96 | ↓ -33% |
| MEDCOST | MEDCOST VHN | $44.10 | ↓ -33% |
| CIGNA HEALTHCARE | CIGNA HMO | $48.89 | ↓ -25% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $48.89 | ↓ -25% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $49.27 | ↓ -25% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $49.27 | ↓ -25% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $49.27 | ↓ -25% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $58.46 | ↓ -11% |
| CIGNA HEALTHCARE | CIGNA PPO | $59.98 | ↓ -8% |
| AETNA | AETNA | $80.39 | ↑ +23% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $83.28 | ↑ +27% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $88.20 | ↑ +35% |
| BLUE CROSS | BLUE CROSS S NETWORK | $90.72 | ↑ +38% |
| BLUE CROSS | BLUE CROSS P NETWORK | $90.72 | ↑ +38% |
| BLUE CROSS | BLUE CROSS E NETWORK | $90.72 | ↑ +38% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $94.50 | ↑ +44% |
| AMERIGROUP | AMERIGROUP | $107.99 | ↑ +65% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $124.24 | ↑ +90% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $124.24 | ↑ +90% |
| AETNA | AETNA HEALTHCARE MEDICARE | $124.24 | ↑ +90% |
| HUMANA | HUMANA MEDICARE | $124.24 | ↑ +90% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $124.24 | ↑ +90% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $124.24 | ↑ +90% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $124.24 | ↑ +90% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $124.24 | ↑ +90% |
| SENTARA HEALTH | SENTARA MEDICARE | $124.24 | ↑ +90% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $124.24 | ↑ +90% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $126.00 | ↑ +92% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $126.00 | ↑ +92% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $126.00 | ↑ +92% |
| WELLCARE | WELLCARE MEDICAID | $126.00 | ↑ +92% |
| NHC ADVANTAGE | NHC ADVANTAGE | $126.00 | ↑ +92% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $126.00 | ↑ +92% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $126.00 | ↑ +92% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $126.00 | ↑ +92% |
| BLUE CROSS | BLUE CROSS MEDICARE | $129.20 | ↑ +97% |
| WELLCARE | WELLCARE MEDICARE | $131.69 | ↑ +101% |
| AMBETTER | AMBETTER | $270.83 | ↑ +313% |
Visitor-reported prices
Comments
Visit established high 40-54 minutes/level 5 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $65.55 | $46.87 – $263.52 |
| Hancock County Hospital | SNEEDVILLE | $50.14 | $29.17 – $95.00 |
| Greeneville Community Hospital | GREENEVILLE | $65.55 | $33.31 – $270.83 |
| Bristol Regional Medical Center | BRISTOL | $65.55 | $38.68 – $275.33 |
| Holston Valley Medical Center | KINGSPORT | $65.55 | $38.68 – $275.33 |
| 62-0123940 BMH Collierville | Collierville | $44.10 | $112.11 – $236.02 |
| Indian Path Community Hospital | KINGSPORT | $65.55 | $46.87 – $263.32 |
| 62-1138045 BMH Union City | Union City | $56.00 | $102.37 – $235.34 |