External chromosome analysis 20-25 cells at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$218.25
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.
$1,455.00
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.
$72.31 with AMERIGROUP vs $1,455.00 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 | $72.31 | ↓ -67% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $144.61 | ↓ -34% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $144.61 | ↓ -34% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $144.61 | ↓ -34% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $144.61 | ↓ -34% |
| AETNA | AETNA HEALTHCARE MEDICARE | $144.61 | ↓ -34% |
| HUMANA | HUMANA MEDICARE | $144.61 | ↓ -34% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $144.61 | ↓ -34% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $144.61 | ↓ -34% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $144.61 | ↓ -34% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $144.61 | ↓ -34% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $144.61 | ↓ -34% |
| SENTARA HEALTH | SENTARA MEDICARE | $144.61 | ↓ -34% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $144.61 | ↓ -34% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $144.61 | ↓ -34% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $148.95 | ↓ -32% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $150.39 | ↓ -31% |
| BLUE CROSS | BLUE CROSS MEDICARE | $150.39 | ↓ -31% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $151.84 | ↓ -30% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $151.84 | ↓ -30% |
| NHC ADVANTAGE | NHC ADVANTAGE | $151.84 | ↓ -30% |
| WELLCARE | WELLCARE MEDICARE | $153.29 | ↓ -30% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $158.89 | ↓ -27% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $181.79 | ↓ -17% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $181.79 | ↓ -17% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $189.06 | ↓ -13% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $189.06 | ↓ -13% |
| BLUE CROSS | TENNCARE BLUE SELECT | $306.44 | ↑ +40% |
| AMBETTER | AMBETTER | $315.25 | ↑ +44% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $319.03 | ↑ +46% |
| BLUE CROSS | TENNCARE BLUE CARE | $334.69 | ↑ +53% |
| SENTARA HEALTH | SENTARA HEALTH | $421.51 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA HMO | $491.77 | ↑ +125% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $491.77 | ↑ +125% |
| CIGNA HEALTHCARE | CIGNA PPO | $491.77 | ↑ +125% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $496.56 | ↑ +128% |
| BLUE CROSS | BLUE CROSS E NETWORK | $695.46 | ↑ +219% |
| BLUE CROSS | BLUE CROSS S NETWORK | $709.07 | ↑ +225% |
| BLUE CROSS | BLUE CROSS P NETWORK | $709.07 | ↑ +225% |
| AETNA | AETNA | $928.29 | ↑ +325% |
| MEDCOST | MEDCOST VHN | $1,236.75 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $1,455.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,455.00 | ↑ +567% |
Visitor-reported prices
Comments
External chromosome analysis 20-25 cells at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $218.25 | $72.31 – $315.25 |
| Ascension Saint Thomas Midtown | Nashville | $657.29 | $52.06 – $481.98 |
| CHI Memorial Hospital Hixson | Hixson | $194.77 | $110.72 – $460.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $278.34 | $110.72 – $460.60 |
| Ascension Saint Thomas DeKalb | Smithville | $657.29 | $87.39 – $481.98 |
| Ascension Saint Thomas Highlands | Sparta | $657.29 | $87.39 – $481.98 |
| Ascension Saint Thomas River Park | McMinnville | $657.29 | $87.39 – $481.98 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $657.29 | $130.15 – $481.98 |