Emg 2 ext w-w/o paraspinal area 95861 at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$87.75
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.
$585.00
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.
$30.05 with BLUE CROSS vs $585.00 with UNITED HEALTHCARE — 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $30.05 | ↓ -66% |
| BLUE CROSS | TENNCARE BLUE SELECT | $31.85 | ↓ -64% |
| BLUE CROSS | TENNCARE BLUE CARE | $34.79 | ↓ -60% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $75.70 | ↓ -14% |
| AMERIGROUP | AMERIGROUP | $87.75 | ↑ +0% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $120.80 | ↑ +38% |
| HUMANA | HUMANA MEDICARE | $120.80 | ↑ +38% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $120.80 | ↑ +38% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $120.80 | ↑ +38% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $120.80 | ↑ +38% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $120.80 | ↑ +38% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $120.80 | ↑ +38% |
| SENTARA HEALTH | SENTARA MEDICARE | $120.80 | ↑ +38% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $120.80 | ↑ +38% |
| AETNA | AETNA HEALTHCARE MEDICARE | $120.80 | ↑ +38% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $120.80 | ↑ +38% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $124.43 | ↑ +42% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $125.63 | ↑ +43% |
| BLUE CROSS | BLUE CROSS MEDICARE | $125.63 | ↑ +43% |
| NHC ADVANTAGE | NHC ADVANTAGE | $126.84 | ↑ +45% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $126.84 | ↑ +45% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $126.84 | ↑ +45% |
| WELLCARE | WELLCARE MEDICARE | $128.05 | ↑ +46% |
| CIGNA HEALTHCARE | CIGNA HMO | $169.21 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA PPO | $169.21 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $169.21 | ↑ +93% |
| SENTARA HEALTH | SENTARA HEALTH | $169.47 | ↑ +93% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $184.64 | ↑ +110% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $184.64 | ↑ +110% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $192.02 | ↑ +119% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $192.03 | ↑ +119% |
| AMBETTER | AMBETTER | $263.35 | ↑ +200% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $271.44 | ↑ +209% |
| AETNA | AETNA | $373.23 | ↑ +325% |
| BLUE CROSS | BLUE CROSS P NETWORK | $398.27 | ↑ +354% |
| BLUE CROSS | BLUE CROSS S NETWORK | $398.27 | ↑ +354% |
| BLUE CROSS | BLUE CROSS E NETWORK | $398.27 | ↑ +354% |
| MEDCOST | MEDCOST VHN | $497.25 | ↑ +467% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $585.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $585.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $585.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $585.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $585.00 | ↑ +567% |
Visitor-reported prices
Comments
Emg 2 ext w-w/o paraspinal area 95861 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $87.75 | $26.20 – $270.65 |
| Ascension Saint Thomas Midtown | Nashville | $165.53 | $22.59 – $193.66 |
| CHI Memorial Hospital Hixson | Hixson | $973.84 | $33.62 – $2,303.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,391.67 | $33.62 – $2,303.00 |
| Greeneville Community Hospital | GREENEVILLE | $87.75 | $26.20 – $270.65 |
| Bristol Regional Medical Center | BRISTOL | $87.75 | $26.20 – $302.92 |
| Holston Valley Medical Center | KINGSPORT | $87.75 | $26.20 – $302.92 |
| 62-0123940 BMH Collierville | Collierville | $299.46 | $22.59 – $236.06 |