X-ray hip with pelvis when performed bilateral >= 5 views at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$72.75
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.
$485.00
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.
$34.12 with BLUE CROSS vs $485.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $34.12 | ↓ -53% |
| BLUE CROSS | TENNCARE BLUE SELECT | $34.12 | ↓ -53% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $70.54 | ↓ -3% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $72.66 | ↓ -0% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $72.66 | ↓ -0% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $73.36 | ↑ +1% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $73.37 | ↑ +1% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $88.07 | ↑ +21% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $97.56 | ↑ +34% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $97.56 | ↑ +34% |
| AETNA | AETNA HEALTHCARE MEDICARE | $97.56 | ↑ +34% |
| HUMANA | HUMANA MEDICARE | $97.56 | ↑ +34% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $97.56 | ↑ +34% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $97.56 | ↑ +34% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $97.56 | ↑ +34% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $97.56 | ↑ +34% |
| SENTARA HEALTH | SENTARA MEDICARE | $97.56 | ↑ +34% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $97.56 | ↑ +34% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $100.48 | ↑ +38% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $100.48 | ↑ +38% |
| BLUE CROSS | BLUE CROSS MEDICARE | $101.46 | ↑ +39% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $101.46 | ↑ +39% |
| NHC ADVANTAGE | NHC ADVANTAGE | $102.43 | ↑ +41% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $102.43 | ↑ +41% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $102.43 | ↑ +41% |
| WELLCARE | WELLCARE MEDICARE | $103.41 | ↑ +42% |
| AMERIGROUP | AMERIGROUP | $108.72 | ↑ +49% |
| BLUE CROSS | BLUE CROSS E NETWORK | $165.43 | ↑ +127% |
| BLUE CROSS | BLUE CROSS S NETWORK | $168.69 | ↑ +132% |
| BLUE CROSS | BLUE CROSS P NETWORK | $168.69 | ↑ +132% |
| SENTARA HEALTH | SENTARA HEALTH | $169.22 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $169.75 | ↑ +133% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $172.77 | ↑ +137% |
| AMBETTER | AMBETTER | $212.67 | ↑ +192% |
| AETNA | AETNA | $309.43 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↑ +340% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $339.50 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $363.75 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $397.00 | ↑ +446% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $472.00 | ↑ +549% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $485.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $485.00 | ↑ +567% |
Visitor-reported prices
Comments
X-ray hip with pelvis when performed bilateral >= 5 views at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $72.75 | $41.47 – $206.93 |
| 62-1166050 BMH Carroll County | Huntingdon | $151.57 | $29.41 – $194.20 |
| Hancock County Hospital | SNEEDVILLE | $71.53 | $34.12 – $161.01 |
| Greeneville Community Hospital | GREENEVILLE | $72.75 | $34.12 – $212.67 |
| Bristol Regional Medical Center | BRISTOL | $72.75 | $34.12 – $238.03 |
| Holston Valley Medical Center | KINGSPORT | $72.75 | $34.12 – $238.03 |
| 62-0123940 BMH Collierville | Collierville | $138.39 | $29.41 – $194.76 |
| Indian Path Community Hospital | KINGSPORT | $72.75 | $34.12 – $227.64 |