Warde somatomedin at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$36.00
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.
$240.00
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.
$10.63 with AMERIGROUP vs $240.00 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 | $10.63 | ↓ -70% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $13.88 | ↓ -61% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $14.29 | ↓ -60% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $14.30 | ↓ -60% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $14.43 | ↓ -60% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $14.44 | ↓ -60% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $21.26 | ↓ -41% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $21.26 | ↓ -41% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $21.26 | ↓ -41% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $21.26 | ↓ -41% |
| AETNA | AETNA HEALTHCARE MEDICARE | $21.26 | ↓ -41% |
| HUMANA | HUMANA MEDICARE | $21.26 | ↓ -41% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $21.26 | ↓ -41% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $21.26 | ↓ -41% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $21.26 | ↓ -41% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $21.26 | ↓ -41% |
| SENTARA HEALTH | SENTARA MEDICARE | $21.26 | ↓ -41% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $21.26 | ↓ -41% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $21.26 | ↓ -41% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $21.90 | ↓ -39% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $21.90 | ↓ -39% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $22.11 | ↓ -39% |
| BLUE CROSS | BLUE CROSS MEDICARE | $22.11 | ↓ -39% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $22.32 | ↓ -38% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $22.32 | ↓ -38% |
| NHC ADVANTAGE | NHC ADVANTAGE | $22.32 | ↓ -38% |
| WELLCARE | WELLCARE MEDICARE | $22.54 | ↓ -37% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $27.10 | ↓ -25% |
| AMBETTER | AMBETTER | $46.35 | ↑ +29% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $46.92 | ↑ +30% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $76.50 | ↑ +113% |
| BLUE CROSS | TENNCARE BLUE CARE | $78.01 | ↑ +117% |
| BLUE CROSS | TENNCARE BLUE SELECT | $78.01 | ↑ +117% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $83.38 | ↑ +132% |
| CIGNA HEALTHCARE | CIGNA PPO | $83.38 | ↑ +132% |
| CIGNA HEALTHCARE | CIGNA HMO | $83.38 | ↑ +132% |
| SENTARA HEALTH | SENTARA HEALTH | $83.74 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $84.00 | ↑ +133% |
| BLUE CROSS | BLUE CROSS E NETWORK | $112.31 | ↑ +212% |
| BLUE CROSS | BLUE CROSS S NETWORK | $114.51 | ↑ +218% |
| BLUE CROSS | BLUE CROSS P NETWORK | $114.51 | ↑ +218% |
| AETNA | AETNA | $153.12 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $180.00 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $240.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $240.00 | ↑ +567% |
Visitor-reported prices
Comments
Warde somatomedin at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $36.00 | $10.63 – $46.35 |
| CHI Memorial Hospital Hixson | Hixson | $34.04 | $18.89 – $60.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $13.57 | $18.50 – $42.52 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $48.65 | $18.06 – $60.20 |
| Hancock County Hospital | SNEEDVILLE | $35.42 | $15.06 – $46.92 |
| Greeneville Community Hospital | GREENEVILLE | $36.00 | $9.57 – $46.35 |
| Bristol Regional Medical Center | BRISTOL | $36.00 | $10.63 – $51.02 |
| Holston Valley Medical Center | KINGSPORT | $36.00 | $10.63 – $51.02 |