Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$178.20
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.
$1,188.00
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.
$150.00 with CIGNA HEALTHCARE vs $1,188.00 with BLUE CROSS — 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA HMO | $150.00 | ↓ -16% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $150.00 | ↓ -16% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $157.00 | ↓ -12% |
| CIGNA HEALTHCARE | CIGNA PPO | $168.00 | ↓ -6% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $175.00 | ↓ -2% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $180.00 | ↑ +1% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $193.00 | ↑ +8% |
| AMERIGROUP | AMERIGROUP | $204.42 | ↑ +15% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $231.00 | ↑ +30% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $278.70 | ↑ +56% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $278.70 | ↑ +56% |
| AETNA | AETNA HEALTHCARE MEDICARE | $278.70 | ↑ +56% |
| HUMANA | HUMANA MEDICARE | $278.70 | ↑ +56% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $278.70 | ↑ +56% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $278.70 | ↑ +56% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $278.70 | ↑ +56% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $278.70 | ↑ +56% |
| SENTARA HEALTH | SENTARA MEDICARE | $278.70 | ↑ +56% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $278.70 | ↑ +56% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $278.70 | ↑ +56% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $287.06 | ↑ +61% |
| BLUE CROSS | BLUE CROSS MEDICARE | $289.84 | ↑ +63% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $289.84 | ↑ +63% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $292.63 | ↑ +64% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $292.63 | ↑ +64% |
| NHC ADVANTAGE | NHC ADVANTAGE | $292.63 | ↑ +64% |
| WELLCARE | WELLCARE MEDICARE | $295.42 | ↑ +66% |
| SENTARA HEALTH | SENTARA HEALTH | $344.16 | ↑ +93% |
| AMBETTER | AMBETTER | $607.56 | ↑ +241% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $614.23 | ↑ +245% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $614.23 | ↑ +245% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $638.80 | ↑ +258% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $638.80 | ↑ +258% |
| AETNA | AETNA | $757.94 | ↑ +325% |
| MEDCOST | MEDCOST VHN | $1,009.80 | ↑ +467% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,188.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,188.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,188.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,188.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,188.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,188.00 | ↑ +567% |
Visitor-reported prices
Comments
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $178.20 | $232.44 – $624.42 |
| Ascension Saint Thomas Midtown | Nashville | $860.48 | $45.00 – $2,225.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $860.48 | $45.00 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $174.57 | $344.21 – $644.94 |
| Greeneville Community Hospital | GREENEVILLE | $178.20 | $207.85 – $624.42 |
| Bristol Regional Medical Center | BRISTOL | $178.20 | $291.19 – $698.86 |
| Holston Valley Medical Center | KINGSPORT | $178.20 | $291.19 – $698.86 |
| 62-0123940 BMH Collierville | Collierville | $436.59 | $256.79 – $540.62 |