Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$1,970.95
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.
$8,569.34
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.
$2.84 with UNITED HEALTHCARE vs $3,427.74 with SEVEN CORNERS, INC. — 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 | TENNCARE UNITED HEALTHCARE | $2.84 | ↓ -100% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2.99 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3.06 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3.06 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3.06 | ↓ -100% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4.08 | ↓ -100% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4.17 | ↓ -100% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4.17 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $5.00 | ↓ -100% |
| AMERIGROUP | AMERIGROUP | $6.40 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA PPO | $6.65 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $7.10 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA HMO | $7.10 | ↓ -100% |
| BLUE CROSS | TENNCARE BLUE SELECT | $11.04 | ↓ -99% |
| BLUE CROSS | TENNCARE BLUE CARE | $11.04 | ↓ -99% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $661.83 | ↓ -66% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $681.69 | ↓ -65% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $681.69 | ↓ -65% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $688.30 | ↓ -65% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $688.31 | ↓ -65% |
| AETNA | AETNA HEALTHCARE MEDICARE | $994.04 | ↓ -50% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $994.04 | ↓ -50% |
| WELLCARE | WELLCARE MEDICARE | $994.04 | ↓ -50% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $994.04 | ↓ -50% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $994.04 | ↓ -50% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $994.04 | ↓ -50% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $994.04 | ↓ -50% |
| SENTARA HEALTH | SENTARA MEDICARE | $994.04 | ↓ -50% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $994.04 | ↓ -50% |
| HUMANA | HUMANA MEDICARE | $1,009.94 | ↓ -49% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,023.86 | ↓ -48% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,033.80 | ↓ -48% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,043.74 | ↓ -47% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,043.74 | ↓ -47% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,043.74 | ↓ -47% |
| AMBETTER | AMBETTER | $1,096.88 | ↓ -44% |
| SENTARA HEALTH | SENTARA HEALTH | $1,163.03 | ↓ -41% |
| MEDCOST | MEDCOST VHN | $1,199.71 | ↓ -39% |
| AETNA | AETNA | $2,186.90 | ↑ +11% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,570.81 | ↑ +30% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,579.72 | ↑ +31% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,427.74 | ↑ +74% |
Visitor-reported prices
Comments
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $8,097.13 | $2.73 – $4,027.09 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $11,571.23 | $2.73 – $4,027.09 |
| Johnson City Medical Center | JOHNSON CITY | $2,570.80 | $2.84 – $609.91 |
| Bristol Regional Medical Center | BRISTOL | $2,570.80 | $1.89 – $620.66 |
| Franklin Woods Community Hospital | JOHNSON CITY | $856.93 | $2.84 – $661.83 |
| Indian Path Community Hospital | KINGSPORT | $2,570.80 | $2.84 – $582.39 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $2,570.80 | $1.58 – $682.35 |
| Sycamore Shoals Hospital | ELIZABETHTON | $2,570.80 | $2.84 – $661.83 |