Cell marker study at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$83.70
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.
$558.00
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.
$18.63 with BLUE CROSS vs $558.00 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 | $18.63 | ↓ -78% |
| AMERIGROUP | AMERIGROUP | $19.86 | ↓ -76% |
| BLUE CROSS | TENNCARE BLUE CARE | $20.34 | ↓ -76% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $33.13 | ↓ -60% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $45.09 | ↓ -46% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $45.09 | ↓ -46% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $46.89 | ↓ -44% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $46.90 | ↓ -44% |
| AETNA | AETNA HEALTHCARE MEDICARE | $47.31 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $47.31 | ↓ -43% |
| HUMANA | HUMANA MEDICARE | $47.31 | ↓ -43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $47.31 | ↓ -43% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $47.31 | ↓ -43% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $47.31 | ↓ -43% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $47.31 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $47.31 | ↓ -43% |
| SENTARA HEALTH | SENTARA MEDICARE | $47.31 | ↓ -43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $47.31 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $47.31 | ↓ -43% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $48.73 | ↓ -42% |
| BLUE CROSS | BLUE CROSS MEDICARE | $49.21 | ↓ -41% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $49.21 | ↓ -41% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $49.47 | ↓ -41% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $49.47 | ↓ -41% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $49.47 | ↓ -41% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $49.68 | ↓ -41% |
| NHC ADVANTAGE | NHC ADVANTAGE | $49.68 | ↓ -41% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $49.68 | ↓ -41% |
| WELLCARE | WELLCARE MEDICARE | $50.15 | ↓ -40% |
| AMBETTER | AMBETTER | $103.15 | ↑ +23% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $143.82 | ↑ +72% |
| SENTARA HEALTH | SENTARA HEALTH | $161.65 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $188.32 | ↑ +125% |
| CIGNA HEALTHCARE | CIGNA PPO | $188.32 | ↑ +125% |
| CIGNA HEALTHCARE | CIGNA HMO | $188.32 | ↑ +125% |
| BLUE CROSS | BLUE CROSS E NETWORK | $266.75 | ↑ +219% |
| BLUE CROSS | BLUE CROSS S NETWORK | $271.97 | ↑ +225% |
| BLUE CROSS | BLUE CROSS P NETWORK | $271.97 | ↑ +225% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $280.08 | ↑ +235% |
| AETNA | AETNA | $356.00 | ↑ +325% |
| MEDCOST | MEDCOST VHN | $474.30 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $558.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $558.00 | ↑ +567% |
Visitor-reported prices
Comments
Cell marker study at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $83.70 | $15.32 – $106.01 |
| Hancock County Hospital | SNEEDVILLE | $82.11 | $15.32 – $280.08 |
| Greeneville Community Hospital | GREENEVILLE | $83.70 | $13.25 – $106.01 |
| Bristol Regional Medical Center | BRISTOL | $83.70 | $15.32 – $118.65 |
| Holston Valley Medical Center | KINGSPORT | $83.70 | $15.32 – $118.65 |
| 62-0123940 BMH Collierville | Collierville | $37.17 | $13.21 – $97.86 |
| Indian Path Community Hospital | KINGSPORT | $83.70 | $15.32 – $113.47 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $83.70 | $15.32 – $103.07 |