Albumin (human), 5%, 250 ml at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$54.19
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.
$361.26
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.
$49.30 with AMERIGROUP vs $437.47 with MOLINA HEALTHCARE — 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 | $49.30 | ↓ -9% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $53.08 | ↓ -2% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $53.08 | ↓ -2% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $53.08 | ↓ -2% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $53.08 | ↓ -2% |
| AETNA | AETNA HEALTHCARE MEDICARE | $53.08 | ↓ -2% |
| HUMANA | HUMANA MEDICARE | $53.08 | ↓ -2% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $53.08 | ↓ -2% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $53.08 | ↓ -2% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $53.08 | ↓ -2% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $53.08 | ↓ -2% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $53.08 | ↓ -2% |
| SENTARA HEALTH | SENTARA MEDICARE | $53.08 | ↓ -2% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $53.08 | ↓ -2% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $53.08 | ↓ -2% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $54.67 | ↑ +1% |
| BLUE CROSS | BLUE CROSS MEDICARE | $55.20 | ↑ +2% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $55.20 | ↑ +2% |
| NHC ADVANTAGE | NHC ADVANTAGE | $55.73 | ↑ +3% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $55.73 | ↑ +3% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $55.73 | ↑ +3% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $55.81 | ↑ +3% |
| SENTARA HEALTH | SENTARA HEALTH | $55.82 | ↑ +3% |
| WELLCARE | WELLCARE MEDICARE | $56.26 | ↑ +4% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $61.25 | ↑ +13% |
| BLUE CROSS | BLUE CROSS E NETWORK | $62.11 | ↑ +15% |
| BLUE CROSS | BLUE CROSS P NETWORK | $63.49 | ↑ +17% |
| BLUE CROSS | BLUE CROSS S NETWORK | $63.49 | ↑ +17% |
| BLUE CROSS | TENNCARE BLUE SELECT | $67.21 | ↑ +24% |
| BLUE CROSS | TENNCARE BLUE CARE | $73.41 | ↑ +35% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $83.58 | ↑ +54% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $111.13 | ↑ +105% |
| CIGNA HEALTHCARE | CIGNA PPO | $111.13 | ↑ +105% |
| CIGNA HEALTHCARE | CIGNA HMO | $111.13 | ↑ +105% |
| AMBETTER | AMBETTER | $115.71 | ↑ +114% |
| AETNA | AETNA | $122.92 | ↑ +127% |
| MEDCOST | MEDCOST VHN | $163.77 | ↑ +202% |
| WELLCARE | WELLCARE MEDICAID | $192.67 | ↑ +256% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $192.67 | ↑ +256% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $420.64 | ↑ +676% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $420.64 | ↑ +676% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $437.47 | ↑ +707% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $437.47 | ↑ +707% |
Visitor-reported prices
Comments
Albumin (human), 5%, 250 ml at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $41.70 | $53.08 – $387.64 |
| Ascension Saint Thomas Midtown | Nashville | $123.36 | $46.01 – $112.77 |
| 62-1166050 BMH Carroll County | Huntingdon | $51.06 | $46.18 – $106.16 |
| Ascension Saint Thomas Highlands | Sparta | $123.36 | $31.01 – $112.77 |
| Ascension Saint Thomas River Park | McMinnville | $123.36 | $31.01 – $73.13 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $123.36 | $46.01 – $227.80 |
| Bristol Regional Medical Center | BRISTOL | $174.16 | $37.21 – $394.47 |
| Holston Valley Medical Center | KINGSPORT | $54.19 | $37.21 – $394.47 |