Whfo w/joint(s) custom fab at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$95.55
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.
$637.00
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.
$101.92 with UNITED HEALTHCARE vs $1,168.57 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $101.92 | ↑ +7% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $110.84 | ↑ +16% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $110.84 | ↑ +16% |
| SENTARA HEALTH | SENTARA HEALTH | $222.25 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $222.95 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $223.59 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA HMO | $223.59 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $254.80 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA PPO | $286.01 | ↑ +199% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $318.50 | ↑ +233% |
| AETNA | AETNA | $406.41 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $477.75 | ↑ +400% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $536.04 | ↑ +461% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $536.04 | ↑ +461% |
| AETNA | AETNA HEALTHCARE MEDICARE | $536.04 | ↑ +461% |
| HUMANA | HUMANA MEDICARE | $536.04 | ↑ +461% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $536.04 | ↑ +461% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $536.04 | ↑ +461% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $536.04 | ↑ +461% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $536.04 | ↑ +461% |
| SENTARA HEALTH | SENTARA MEDICARE | $536.04 | ↑ +461% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $536.04 | ↑ +461% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $552.12 | ↑ +478% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $552.12 | ↑ +478% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $557.48 | ↑ +483% |
| BLUE CROSS | BLUE CROSS MEDICARE | $557.48 | ↑ +483% |
| AMERIGROUP | AMERIGROUP | $557.48 | ↑ +483% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $562.84 | ↑ +489% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $562.84 | ↑ +489% |
| NHC ADVANTAGE | NHC ADVANTAGE | $562.84 | ↑ +489% |
| WELLCARE | WELLCARE MEDICARE | $568.20 | ↑ +495% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $637.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $637.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,168.57 | ↑ +1123% |
Visitor-reported prices
Comments
Whfo w/joint(s) custom fab at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $95.55 | $503.88 – $1,168.57 |
| Hancock County Hospital | SNEEDVILLE | $93.84 | $408.00 – $408.00 |
| Greeneville Community Hospital | GREENEVILLE | $95.55 | $498.52 – $1,168.57 |
| Bristol Regional Medical Center | BRISTOL | $95.55 | $498.52 – $1,168.57 |
| Holston Valley Medical Center | KINGSPORT | $95.55 | $498.52 – $1,168.57 |
| Indian Path Community Hospital | KINGSPORT | $95.55 | $510.80 – $1,168.57 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $95.55 | $498.52 – $1,168.57 |
| Sycamore Shoals Hospital | ELIZABETHTON | $95.55 | $536.04 – $1,168.57 |