X-ray colon abdominal radiograph(s) & delayed images single contrast study at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$85.50
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.
?
What you pay up front if you don't use insurance.
$570.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$55.94 with BLUE CROSS vs $570.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $55.94 | ↓ -35% |
| BLUE CROSS | TENNCARE BLUE SELECT | $55.94 | ↓ -35% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $77.25 | ↓ -10% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $103.46 | ↑ +21% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $147.49 | ↑ +73% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $151.91 | ↑ +78% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $151.91 | ↑ +78% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $153.39 | ↑ +79% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $153.39 | ↑ +79% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $163.67 | ↑ +91% |
| HUMANA | HUMANA MEDICARE | $163.67 | ↑ +91% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $163.67 | ↑ +91% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $163.67 | ↑ +91% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $163.67 | ↑ +91% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $163.67 | ↑ +91% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $163.67 | ↑ +91% |
| SENTARA HEALTH | SENTARA MEDICARE | $163.67 | ↑ +91% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $163.67 | ↑ +91% |
| AETNA | AETNA HEALTHCARE MEDICARE | $163.67 | ↑ +91% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $168.58 | ↑ +97% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $168.58 | ↑ +97% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $170.22 | ↑ +99% |
| BLUE CROSS | BLUE CROSS MEDICARE | $170.22 | ↑ +99% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $171.86 | ↑ +101% |
| NHC ADVANTAGE | NHC ADVANTAGE | $171.86 | ↑ +101% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $171.86 | ↑ +101% |
| WELLCARE | WELLCARE MEDICARE | $173.49 | ↑ +103% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $197.05 | ↑ +130% |
| SENTARA HEALTH | SENTARA HEALTH | $198.87 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $199.50 | ↑ +133% |
| AMERIGROUP | AMERIGROUP | $240.08 | ↑ +181% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↑ +274% |
| CIGNA HEALTHCARE | CIGNA PPO | $349.25 | ↑ +308% |
| CIGNA HEALTHCARE | CIGNA HMO | $349.25 | ↑ +308% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $349.25 | ↑ +308% |
| AMBETTER | AMBETTER | $356.81 | ↑ +317% |
| AETNA | AETNA | $363.66 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $397.00 | ↑ +364% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $427.50 | ↑ +400% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $472.00 | ↑ +452% |
| BLUE CROSS | BLUE CROSS E NETWORK | $518.33 | ↑ +506% |
| BLUE CROSS | BLUE CROSS P NETWORK | $528.54 | ↑ +518% |
| BLUE CROSS | BLUE CROSS S NETWORK | $528.54 | ↑ +518% |
| WELLCARE | WELLCARE MEDICAID | $570.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $570.00 | ↑ +567% |
Visitor-reported prices
Comments
X-ray colon abdominal radiograph(s) & delayed images single contrast study at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $85.50 | $67.99 – $347.18 |
| Ascension Saint Thomas Midtown | Nashville | $179.36 | $48.22 – $305.21 |
| CHI Memorial Hospital Hixson | Hixson | $338.92 | $71.77 – $801.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $199.64 | $48.22 – $325.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $484.34 | $71.77 – $801.50 |
| Ascension Saint Thomas DeKalb | Smithville | $293.31 | $42.49 – $305.21 |
| Ascension Saint Thomas Highlands | Sparta | $293.31 | $42.49 – $305.21 |
| Ascension Saint Thomas River Park | McMinnville | $279.33 | $42.49 – $305.21 |