Abdominal paracentesis w/image guidance at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$324.60
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.
$2,164.00
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.
$621.10 with AMERIGROUP vs $2,164.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $621.10 | ↑ +91% |
| SENTARA HEALTH | SENTARA HEALTH | $626.91 | ↑ +93% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $823.50 | ↑ +154% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $823.50 | ↑ +154% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $823.50 | ↑ +154% |
| SENTARA HEALTH | SENTARA MEDICARE | $823.50 | ↑ +154% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $823.50 | ↑ +154% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $823.50 | ↑ +154% |
| AETNA | AETNA HEALTHCARE MEDICARE | $823.50 | ↑ +154% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $823.50 | ↑ +154% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $823.50 | ↑ +154% |
| HUMANA | HUMANA MEDICARE | $823.50 | ↑ +154% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $823.50 | ↑ +154% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $848.20 | ↑ +161% |
| BLUE CROSS | BLUE CROSS MEDICARE | $856.44 | ↑ +164% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $856.44 | ↑ +164% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $864.67 | ↑ +166% |
| NHC ADVANTAGE | NHC ADVANTAGE | $864.67 | ↑ +166% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $864.67 | ↑ +166% |
| WELLCARE | WELLCARE MEDICARE | $872.91 | ↑ +169% |
| BLUE CROSS | TENNCARE BLUE SELECT | $939.00 | ↑ +189% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,013.71 | ↑ +212% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,013.71 | ↑ +212% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,021.00 | ↑ +215% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,054.26 | ↑ +225% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,054.26 | ↑ +225% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,107.00 | ↑ +241% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,266.00 | ↑ +290% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,266.00 | ↑ +290% |
| AETNA | AETNA | $1,380.63 | ↑ +325% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,406.00 | ↑ +333% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +351% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +369% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↑ +399% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,770.00 | ↑ +445% |
| AMBETTER | AMBETTER | $1,795.22 | ↑ +453% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,807.00 | ↑ +457% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,807.00 | ↑ +457% |
| MEDCOST | MEDCOST VHN | $1,839.40 | ↑ +467% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,850.00 | ↑ +470% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,164.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $2,164.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,164.00 | ↑ +567% |
Visitor-reported prices
Comments
Abdominal paracentesis w/image guidance at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $324.60 | $706.24 – $1,845.04 |
| Ascension Saint Thomas Midtown | Nashville | $1,668.08 | $733.50 – $1,534.53 |
| CHI Memorial Hospital Hixson | Hixson | $1,461.65 | $987.60 – $3,456.60 |
| 62-1166050 BMH Carroll County | Huntingdon | $758.08 | $744.81 – $1,712.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,088.78 | $1,036.98 – $3,456.60 |
| Ascension Saint Thomas DeKalb | Smithville | $1,668.08 | $244.68 – $1,238.94 |
| Ascension Saint Thomas Highlands | Sparta | $1,668.08 | $244.68 – $1,238.94 |
| Ascension Saint Thomas River Park | McMinnville | $1,668.08 | $244.68 – $1,238.94 |