Aep thrshld est mlt freq i&r at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$125.55
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.
?
What you pay up front if you don't use insurance.
$837.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$109.85 with OPTIMA HEALTH vs $837.00 with WELLCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $109.85 | ↓ -13% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $109.85 | ↓ -13% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $114.24 | ↓ -9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $114.24 | ↓ -9% |
| BLUE CROSS | TENNCARE BLUE SELECT | $136.54 | ↑ +9% |
| BLUE CROSS | TENNCARE BLUE CARE | $149.13 | ↑ +19% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $188.00 | ↑ +50% |
| SENTARA HEALTH | SENTARA MEDICARE | $196.05 | ↑ +56% |
| HUMANA | HUMANA MEDICARE | $196.05 | ↑ +56% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $196.05 | ↑ +56% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $196.05 | ↑ +56% |
| AETNA | AETNA HEALTHCARE MEDICARE | $196.05 | ↑ +56% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $196.05 | ↑ +56% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $196.05 | ↑ +56% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $196.05 | ↑ +56% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $196.05 | ↑ +56% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $196.05 | ↑ +56% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $196.05 | ↑ +56% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $201.93 | ↑ +61% |
| BLUE CROSS | BLUE CROSS MEDICARE | $203.89 | ↑ +62% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $203.89 | ↑ +62% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $205.85 | ↑ +64% |
| NHC ADVANTAGE | NHC ADVANTAGE | $205.85 | ↑ +64% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $205.85 | ↑ +64% |
| WELLCARE | WELLCARE MEDICARE | $207.81 | ↑ +66% |
| AMERIGROUP | AMERIGROUP | $207.87 | ↑ +66% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $215.00 | ↑ +71% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $238.01 | ↑ +90% |
| SENTARA HEALTH | SENTARA HEALTH | $242.48 | ↑ +93% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $279.00 | ↑ +122% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $324.76 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $324.76 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $388.37 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $404.27 | ↑ +222% |
| AMBETTER | AMBETTER | $427.38 | ↑ +240% |
| BLUE CROSS | BLUE CROSS P NETWORK | $525.74 | ↑ +319% |
| BLUE CROSS | BLUE CROSS S NETWORK | $525.74 | ↑ +319% |
| BLUE CROSS | BLUE CROSS E NETWORK | $525.74 | ↑ +319% |
| AETNA | AETNA | $534.01 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $585.90 | ↑ +367% |
| MEDCOST | MEDCOST VHN | $711.45 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $837.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $837.00 | ↑ +567% |
Visitor-reported prices
Comments
Aep thrshld est mlt freq i&r at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $125.55 | $101.23 – $439.24 |
| Greeneville Community Hospital | GREENEVILLE | $125.55 | $95.20 – $439.24 |
| Bristol Regional Medical Center | BRISTOL | $125.55 | $102.91 – $491.61 |
| Holston Valley Medical Center | KINGSPORT | $125.55 | $99.91 – $491.61 |
| 62-0123940 BMH Collierville | Collierville | $309.96 | $96.84 – $570.30 |
| Indian Path Community Hospital | KINGSPORT | $125.55 | $96.66 – $470.16 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $125.55 | $112.33 – $427.07 |
| Sycamore Shoals Hospital | ELIZABETHTON | $125.55 | $109.85 – $427.07 |