Cardiac perf spect sgl/ef/wm rst/strs at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$430.65
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.
$2,871.00
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.
$158.27 with BLUE CROSS vs $2,871.00 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 | $158.27 | ↓ -63% |
| BLUE CROSS | TENNCARE BLUE CARE | $172.87 | ↓ -60% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $232.96 | ↓ -46% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $468.52 | ↑ +9% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $605.23 | ↑ +41% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $821.28 | ↑ +91% |
| CIGNA HEALTHCARE | CIGNA PPO | $821.28 | ↑ +91% |
| CIGNA HEALTHCARE | CIGNA HMO | $821.28 | ↑ +91% |
| SENTARA HEALTH | SENTARA HEALTH | $831.73 | ↑ +93% |
| AMERIGROUP | AMERIGROUP | $1,004.69 | ↑ +133% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,158.08 | ↑ +169% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,175.47 | ↑ +173% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,175.47 | ↑ +173% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,175.47 | ↑ +173% |
| HUMANA | HUMANA MEDICARE | $1,175.47 | ↑ +173% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,175.47 | ↑ +173% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,175.47 | ↑ +173% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,175.47 | ↑ +173% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,175.47 | ↑ +173% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,175.47 | ↑ +173% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,175.47 | ↑ +173% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $1,175.47 | ↑ +173% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,180.89 | ↑ +174% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,180.89 | ↑ +174% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,210.74 | ↑ +181% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,222.49 | ↑ +184% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,222.49 | ↑ +184% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,234.25 | ↑ +187% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,234.25 | ↑ +187% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,234.25 | ↑ +187% |
| WELLCARE | WELLCARE MEDICARE | $1,246.00 | ↑ +189% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,252.56 | ↑ +191% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,252.56 | ↑ +191% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,302.66 | ↑ +202% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,302.66 | ↑ +202% |
| AETNA | AETNA | $1,831.70 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,086.00 | ↑ +384% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,381.00 | ↑ +453% |
| MEDCOST | MEDCOST VHN | $2,440.35 | ↑ +467% |
| AMBETTER | AMBETTER | $2,562.53 | ↑ +495% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,871.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,871.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $2,871.00 | ↑ +567% |
Visitor-reported prices
Comments
Cardiac perf spect sgl/ef/wm rst/strs at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $430.65 | $130.21 – $2,633.64 |
| Ascension Saint Thomas Midtown | Nashville | $1,895.22 | $112.25 – $2,035.50 |
| CHI Memorial Hospital Hixson | Hixson | $1,369.30 | $167.06 – $3,238.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,027.64 | $112.25 – $2,384.12 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,956.80 | $167.06 – $3,238.20 |
| Ascension Saint Thomas DeKalb | Smithville | $1,895.25 | $112.25 – $2,035.50 |
| Ascension Saint Thomas Highlands | Sparta | $1,895.25 | $112.25 – $2,035.50 |
| Ascension Saint Thomas River Park | McMinnville | $1,895.22 | $167.71 – $2,035.50 |