Clsd tx/patellar fx without manip 27520 at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$109.20
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.
$728.00
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.
$179.52 with AMERIGROUP vs $728.00 with SEVEN CORNERS, INC. — 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 | $179.52 | ↑ +64% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $192.45 | ↑ +76% |
| SENTARA HEALTH | SENTARA HEALTH | $210.90 | ↑ +93% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $223.96 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $223.96 | ↑ +105% |
| AETNA | AETNA HEALTHCARE MEDICARE | $223.96 | ↑ +105% |
| HUMANA | HUMANA MEDICARE | $223.96 | ↑ +105% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $223.96 | ↑ +105% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $223.96 | ↑ +105% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $223.96 | ↑ +105% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $223.96 | ↑ +105% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $223.96 | ↑ +105% |
| SENTARA HEALTH | SENTARA MEDICARE | $223.96 | ↑ +105% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $223.96 | ↑ +105% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $230.68 | ↑ +111% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $232.92 | ↑ +113% |
| BLUE CROSS | BLUE CROSS MEDICARE | $232.92 | ↑ +113% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $235.16 | ↑ +115% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $235.16 | ↑ +115% |
| NHC ADVANTAGE | NHC ADVANTAGE | $235.16 | ↑ +115% |
| WELLCARE | WELLCARE MEDICARE | $237.40 | ↑ +117% |
| CIGNA HEALTHCARE | CIGNA HMO | $282.46 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $282.46 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $337.79 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $346.53 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $346.56 | ↑ +217% |
| AETNA | AETNA | $464.46 | ↑ +325% |
| AMBETTER | AMBETTER | $488.24 | ↑ +347% |
| BLUE CROSS | BLUE CROSS S NETWORK | $524.16 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $524.16 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $524.16 | ↑ +380% |
| MEDCOST | MEDCOST VHN | $618.80 | ↑ +467% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $669.87 | ↑ +513% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $669.87 | ↑ +513% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $696.66 | ↑ +538% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $696.66 | ↑ +538% |
| WELLCARE | WELLCARE MEDICAID | $728.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $728.00 | ↑ +567% |
Visitor-reported prices
Comments
Clsd tx/patellar fx without manip 27520 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $109.20 | $192.45 – $617.32 |
| 62-1166050 BMH Carroll County | Huntingdon | $72.22 | $190.56 – $438.08 |
| Hancock County Hospital | SNEEDVILLE | $106.95 | $106.92 – $703.36 |
| Greeneville Community Hospital | GREENEVILLE | $109.20 | $76.98 – $669.87 |
| Bristol Regional Medical Center | BRISTOL | $109.20 | $128.30 – $628.19 |
| Holston Valley Medical Center | KINGSPORT | $109.20 | $128.30 – $628.19 |
| 62-0123940 BMH Collierville | Collierville | $65.94 | $208.68 – $439.32 |
| Indian Path Community Hospital | KINGSPORT | $109.20 | $192.45 – $589.46 |