Bx breast perq without image 19100 at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$682.50
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.
$4,550.00
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.
$45.78 with BLUE CROSS vs $4,550.00 with WELLCARE — 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $45.78 | ↓ -93% |
| BLUE CROSS | TENNCARE BLUE CARE | $50.00 | ↓ -93% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↑ +3% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,107.00 | ↑ +62% |
| AMERIGROUP | AMERIGROUP | $1,126.11 | ↑ +65% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,266.00 | ↑ +85% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,266.00 | ↑ +85% |
| SENTARA HEALTH | SENTARA HEALTH | $1,318.14 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,406.00 | ↑ +106% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +114% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,499.57 | ↑ +120% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,499.57 | ↑ +120% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,499.57 | ↑ +120% |
| HUMANA | HUMANA MEDICARE | $1,499.57 | ↑ +120% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,499.57 | ↑ +120% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,499.57 | ↑ +120% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,499.57 | ↑ +120% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,499.57 | ↑ +120% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,499.57 | ↑ +120% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,499.57 | ↑ +120% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $1,499.57 | ↑ +120% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,544.55 | ↑ +126% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,559.55 | ↑ +129% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,559.55 | ↑ +129% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,574.54 | ↑ +131% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,574.54 | ↑ +131% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,574.54 | ↑ +131% |
| WELLCARE | WELLCARE MEDICARE | $1,589.54 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↑ +138% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,826.63 | ↑ +168% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,826.63 | ↑ +168% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,850.00 | ↑ +171% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,899.70 | ↑ +178% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,899.70 | ↑ +178% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↑ +251% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,469.00 | ↑ +262% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,521.00 | ↑ +269% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,521.00 | ↑ +269% |
| AETNA | AETNA | $2,902.90 | ↑ +325% |
| AMBETTER | AMBETTER | $3,269.05 | ↑ +379% |
| MEDCOST | MEDCOST VHN | $3,867.50 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,550.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $4,550.00 | ↑ +567% |
Visitor-reported prices
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Bx breast perq without image 19100 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $682.50 | $37.67 – $3,359.76 |
| Greeneville Community Hospital | GREENEVILLE | $682.50 | $37.67 – $3,359.76 |
| Bristol Regional Medical Center | BRISTOL | $682.50 | $37.67 – $3,760.30 |
| Holston Valley Medical Center | KINGSPORT | $682.50 | $37.67 – $3,760.30 |
| 62-0123940 BMH Collierville | Collierville | $546.42 | $55.02 – $2,967.30 |
| Indian Path Community Hospital | KINGSPORT | $682.50 | $37.67 – $3,596.29 |
| 62-1138045 BMH Union City | Union City | $397.60 | $1,287.14 – $2,958.94 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $682.50 | $37.67 – $3,266.63 |