Contrast x-ray of elbow at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$182.55
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.
$1,217.00
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.
$83.85 with BLUE CROSS vs $1,217.00 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 | $83.85 | ↓ -54% |
| BLUE CROSS | TENNCARE BLUE CARE | $91.58 | ↓ -50% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $121.01 | ↓ -34% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $140.05 | ↓ -23% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $160.04 | ↓ -12% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $160.04 | ↓ -12% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $166.44 | ↓ -9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $166.44 | ↓ -9% |
| CIGNA HEALTHCARE | CIGNA PPO | $209.96 | ↑ +15% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $209.96 | ↑ +15% |
| CIGNA HEALTHCARE | CIGNA HMO | $209.96 | ↑ +15% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $252.52 | ↑ +38% |
| BLUE CROSS | BLUE CROSS E NETWORK | $305.18 | ↑ +67% |
| BLUE CROSS | BLUE CROSS P NETWORK | $311.19 | ↑ +70% |
| BLUE CROSS | BLUE CROSS S NETWORK | $311.19 | ↑ +70% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $316.76 | ↑ +74% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $316.76 | ↑ +74% |
| AETNA | AETNA HEALTHCARE MEDICARE | $316.76 | ↑ +74% |
| HUMANA | HUMANA MEDICARE | $316.76 | ↑ +74% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $316.76 | ↑ +74% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $316.76 | ↑ +74% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $316.76 | ↑ +74% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $316.76 | ↑ +74% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $316.76 | ↑ +74% |
| SENTARA HEALTH | SENTARA MEDICARE | $316.76 | ↑ +74% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $316.76 | ↑ +74% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↑ +75% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $326.26 | ↑ +79% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $329.43 | ↑ +80% |
| BLUE CROSS | BLUE CROSS MEDICARE | $329.43 | ↑ +80% |
| NHC ADVANTAGE | NHC ADVANTAGE | $332.60 | ↑ +82% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $332.60 | ↑ +82% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $332.60 | ↑ +82% |
| WELLCARE | WELLCARE MEDICARE | $335.76 | ↑ +84% |
| SENTARA HEALTH | SENTARA HEALTH | $352.56 | ↑ +93% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $364.00 | ↑ +99% |
| AMERIGROUP | AMERIGROUP | $381.22 | ↑ +109% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $472.00 | ↑ +159% |
| AMBETTER | AMBETTER | $690.54 | ↑ +278% |
| AETNA | AETNA | $776.45 | ↑ +325% |
| MEDCOST | MEDCOST VHN | $1,034.45 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,217.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,217.00 | ↑ +567% |
Visitor-reported prices
Comments
Contrast x-ray of elbow at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $182.55 | $68.99 – $709.70 |
| Ascension Saint Thomas Midtown | Nashville | $205.79 | $59.47 – $610.96 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $205.79 | $59.47 – $610.96 |
| Greeneville Community Hospital | GREENEVILLE | $182.55 | $68.99 – $709.70 |
| Bristol Regional Medical Center | BRISTOL | $182.55 | $68.99 – $794.30 |
| Holston Valley Medical Center | KINGSPORT | $182.55 | $68.99 – $794.30 |
| Indian Path Community Hospital | KINGSPORT | $182.55 | $68.99 – $759.66 |
| 62-1138045 BMH Union City | Union City | $254.80 | $104.84 – $668.74 |