Ballad Health · Johnson City, TN
35
In-network payers
545
Disclosed rate categories
501
Beds
1
Care quality
Johnson City Medical Center is a 501-bed voluntary non-profit - private hospital in Johnson City, TN, affiliated with Ballad Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 545 disclosed rate categories.
CCN (Medicare provider number)
440063
NPI
1972606465
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
501
Care Quality
1
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Johnson City Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$4,348 - $7,965
from 3 insurers · median $7,491
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$5,455 - $13,991
from 3 insurers · median $10,653
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$38,355 - $170,867
from 3 insurers · median $52,119
14 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$4,348 - $7,965
from 3 insurers · median $7,491
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$7,947 - $37,931
from 3 insurers · median $21,431
27 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$108,692 - $133,743
from 2 insurers · median $121,217
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 74177
$328 - $2,582
from 4 insurers · median $658
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$160 - $488
from 3 insurers · median $426
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,242 - $2,016
from 3 insurers · median $1,978
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$314 - $2,272
from 3 insurers · median $2,016
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$125 - $255
from 4 insurers · median $218
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,000 - $5,915
from 4 insurers · median $3,792
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,789 - $2,272
from 3 insurers · median $2,016
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$347 - $2,582
from 4 insurers · median $742
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$9,250 - $10,431
from 2 insurers · median $9,840
Typical for a hospital with this service line
CT imaging
CPT 74176
$206 - $2,582
from 4 insurers · median $520
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,978 - $2,016
from 2 insurers · median $1,997
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$235 - $1,877
from 4 insurers · median $507
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$8,060 - $10,431
from 2 insurers · median $9,245
21 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70553
$594 - $2,938
from 4 insurers · median $1,036
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$441 - $2,086
from 4 insurers · median $1,224
Common here, based on CMS Medicare volume
Gynecology
CPT 57288
$7,979 - $9,243
from 2 insurers · median $8,611
20 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
Gynecology
CPT 58661
$8,825 - $10,431
from 2 insurers · median $9,628
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 473
$10,058 - $33,218
from 3 insurers · median $27,418
Hospital reports neurosurgical services to CMS
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 21 | 215% | 7 | 10 |
| Insurer B* | 24 | 208% | 4 | 11 |
| Insurer C* | 18 | 146% | 1 | 13 |
| Insurer D* | 11 | 88% | 1 | 10 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Johnson City Medical Center.
400 North State Of Franklin Road, Johnson City, TN 37604
(423) 431-6111
The nearest hospitals of similar type and size. Their rates are compared with Johnson City Medical Center for the same insurers and services above.
Mission Hospital - Memorial Campus
▲ Rates typically 191% higher than Johnson City Medical Center (21 services)
Unc Health Blue Ridge - Morganton
▲ Rates typically 938% higher than Johnson City Medical Center (12 services)
Frye Regional Medical Center
Rates about the same as Johnson City Medical Center (21 services)
Catawba Valley Medical Center
▲ Rates typically 91% higher than Johnson City Medical Center (21 services)
Hazard Arh Regional Medical Center
Rates about the same as Johnson City Medical Center (15 services)
Pikeville Medical Center
▲ Rates typically 16% higher than Johnson City Medical Center (21 services)
Franklin Woods Community Hospital
Hawkins County Memorial Hospital
Greenvile Community Hospital West
Greenville Community Hospital East
About Johnson City Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Johnson City Medical Center range from $594 to $2,938 across 4 insurers. Aetna's rate is $594. The median at nearby comparable hospitals is $1,442. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Johnson City Medical Center range from $328 to $2,582 across 4 insurers. Aetna's rate is $328. The median at nearby comparable hospitals is $2,044. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Johnson City Medical Center range from $314 to $2,272 across 3 insurers. UnitedHealthcare's rate is $2,016. The median at nearby comparable hospitals is $4,318. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Johnson City Medical Center range from $4,348 to $7,965 across 3 insurers. Cigna's rate is $7,491. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Johnson City Medical Center range from $125 to $255 across 4 insurers. Cigna's rate is $188. The median at nearby comparable hospitals is $190. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Johnson City Medical Center range from $7,947 to $37,931 across 3 insurers. Blue Cross Blue Shield's rate is $37,931. The median at nearby comparable hospitals is $28,441. What a patient pays depends on their plan's deductible, coinsurance and network status.
Johnson City Medical Center has 501 beds. Facility type: Short Term Acute Care Hospital.
Johnson City Medical Center is located at 400 North State Of Franklin Road, Johnson City, TN 37604. Its main phone number is (423) 431-6111.
Johnson City Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440063.
The National Provider Identifier (NPI) on file for Johnson City Medical Center is 1972606465.
Johnson City Medical Center is affiliated with Ballad Health.
Johnson City Medical Center lists 35 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
545 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers