Epoetin alfa-epbx 40,000 unit/ml injection solution at Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
$300.27
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.
$1,305.51
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.
$6.82 with UNITED HEALTHCARE vs $359.64 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 | UHC HERITAGE RIVER VALLEY | $6.82 | ↓ -98% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $6.82 | ↓ -98% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $6.82 | ↓ -98% |
| BLUE CROSS | BLUE CROSS E NETWORK | $10.27 | ↓ -97% |
| BLUE CROSS | BLUE CROSS S NETWORK | $10.50 | ↓ -97% |
| BLUE CROSS | BLUE CROSS P NETWORK | $10.50 | ↓ -97% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $10.52 | ↓ -96% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $13.82 | ↓ -95% |
| BLUE CROSS | TENNCARE BLUE CARE | $15.74 | ↓ -95% |
| BLUE CROSS | TENNCARE BLUE SELECT | $15.74 | ↓ -95% |
| CIGNA HEALTHCARE | CIGNA PPO | $18.37 | ↓ -94% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $19.63 | ↓ -93% |
| CIGNA HEALTHCARE | CIGNA HMO | $19.63 | ↓ -93% |
| AMERIGROUP | AMERIGROUP | $19.82 | ↓ -93% |
| AETNA | AETNA HEALTHCARE MEDICARE | $104.30 | ↓ -65% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $104.30 | ↓ -65% |
| WELLCARE | WELLCARE MEDICARE | $104.30 | ↓ -65% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $104.30 | ↓ -65% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $104.30 | ↓ -65% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $104.30 | ↓ -65% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $104.30 | ↓ -65% |
| SENTARA HEALTH | SENTARA MEDICARE | $104.30 | ↓ -65% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $104.30 | ↓ -65% |
| HUMANA | HUMANA MEDICARE | $105.97 | ↓ -65% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $107.43 | ↓ -64% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $108.47 | ↓ -64% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $109.52 | ↓ -64% |
| NHC ADVANTAGE | NHC ADVANTAGE | $109.52 | ↓ -64% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $109.52 | ↓ -64% |
| AMBETTER | AMBETTER | $115.08 | ↓ -62% |
| SENTARA HEALTH | SENTARA HEALTH | $122.03 | ↓ -59% |
| MEDCOST | MEDCOST VHN | $125.87 | ↓ -58% |
| AETNA | AETNA | $229.45 | ↓ -24% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $251.75 | ↓ -16% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $263.03 | ↓ -12% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $269.73 | ↓ -10% |
| BLUE CROSS | BLUE CROSS MEDICARE | $270.66 | ↓ -10% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $270.92 | ↓ -10% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $270.92 | ↓ -10% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $273.55 | ↓ -9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $273.55 | ↓ -9% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $359.64 | ↑ +20% |
Visitor-reported prices
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Epoetin alfa-epbx 40,000 unit/ml injection solution at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $636.32 | $6.82 – $242.39 |
| Greeneville Community Hospital | GREENEVILLE | $195.83 | $4.21 – $263.03 |
| Bristol Regional Medical Center | BRISTOL | $636.32 | $7.01 – $246.67 |
| Franklin Woods Community Hospital | JOHNSON CITY | $636.32 | $6.82 – $263.03 |
| Holston Valley Medical Center | KINGSPORT | $195.83 | $7.01 – $246.67 |
| Indian Path Community Hospital | KINGSPORT | $636.32 | $6.82 – $231.46 |
| Sycamore Shoals Hospital | ELIZABETHTON | $195.83 | $6.82 – $263.03 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | $122.63 | $8.46 – $20.06 |