Echo exam of fetal heart at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$144.00
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.
$960.00
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.
$28.34 with BLUE CROSS vs $960.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $28.34 | ↓ -80% |
| BLUE CROSS | TENNCARE BLUE CARE | $30.95 | ↓ -79% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $74.87 | ↓ -48% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $137.62 | ↓ -4% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $137.62 | ↓ -4% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $143.12 | ↓ -1% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $143.13 | ↓ -1% |
| AMERIGROUP | AMERIGROUP | $194.07 | ↑ +35% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $199.05 | ↑ +38% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $216.64 | ↑ +50% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $216.64 | ↑ +50% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $216.64 | ↑ +50% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $216.64 | ↑ +50% |
| SENTARA HEALTH | SENTARA MEDICARE | $216.64 | ↑ +50% |
| AETNA | AETNA HEALTHCARE MEDICARE | $216.64 | ↑ +50% |
| HUMANA | HUMANA MEDICARE | $216.64 | ↑ +50% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $216.64 | ↑ +50% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $216.64 | ↑ +50% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $216.64 | ↑ +50% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $216.64 | ↑ +50% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $221.23 | ↑ +54% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $223.14 | ↑ +55% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $225.30 | ↑ +56% |
| BLUE CROSS | BLUE CROSS MEDICARE | $225.30 | ↑ +56% |
| NHC ADVANTAGE | NHC ADVANTAGE | $227.47 | ↑ +58% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $227.47 | ↑ +58% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $227.47 | ↑ +58% |
| WELLCARE | WELLCARE MEDICARE | $229.64 | ↑ +59% |
| CIGNA HEALTHCARE | CIGNA HMO | $252.60 | ↑ +75% |
| CIGNA HEALTHCARE | CIGNA PPO | $252.60 | ↑ +75% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $252.60 | ↑ +75% |
| SENTARA HEALTH | SENTARA HEALTH | $278.11 | ↑ +93% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $469.00 | ↑ +226% |
| AMBETTER | AMBETTER | $472.27 | ↑ +228% |
| BLUE CROSS | BLUE CROSS E NETWORK | $508.05 | ↑ +253% |
| BLUE CROSS | BLUE CROSS S NETWORK | $518.05 | ↑ +260% |
| BLUE CROSS | BLUE CROSS P NETWORK | $518.05 | ↑ +260% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $535.00 | ↑ +272% |
| AETNA | AETNA | $612.48 | ↑ +325% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $692.00 | ↑ +381% |
| MEDCOST | MEDCOST VHN | $816.00 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $960.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $960.00 | ↑ +567% |
Visitor-reported prices
Comments
Echo exam of fetal heart at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $144.00 | $23.32 – $485.38 |
| Indian Path Community Hospital | KINGSPORT | $144.00 | $23.32 – $519.55 |
| Sycamore Shoals Hospital | ELIZABETHTON | $144.00 | $23.32 – $471.92 |
| Fort Sanders Regional Medical Center | Knoxville | $112.86 | $71.82 – $495.77 |
| Ascension Saint Thomas Midtown | Nashville | not published | $20.10 – $372.86 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $20.10 – $372.86 |
| Ascension Saint Thomas Highlands | Sparta | not published | $20.10 – $372.86 |
| Ascension Saint Thomas River Park | McMinnville | not published | $30.03 – $372.86 |