Ghs layer closure 2.6 - 5.0 cm - 12052 at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$174.90
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.
?
What you pay up front if you don't use insurance.
$1,166.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$171.00 with UNITED HEALTHCARE vs $1,166.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↓ -2% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $171.16 | ↓ -2% |
| SENTARA HEALTH | SENTARA HEALTH | $337.79 | ↑ +93% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $369.09 | ↑ +111% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $369.09 | ↑ +111% |
| AETNA | AETNA HEALTHCARE MEDICARE | $369.09 | ↑ +111% |
| HUMANA | HUMANA MEDICARE | $369.09 | ↑ +111% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $369.09 | ↑ +111% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $369.09 | ↑ +111% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $369.09 | ↑ +111% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $369.09 | ↑ +111% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $369.09 | ↑ +111% |
| SENTARA HEALTH | SENTARA MEDICARE | $369.09 | ↑ +111% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $369.09 | ↑ +111% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $380.17 | ↑ +117% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $383.86 | ↑ +119% |
| BLUE CROSS | BLUE CROSS MEDICARE | $383.86 | ↑ +119% |
| NHC ADVANTAGE | NHC ADVANTAGE | $387.55 | ↑ +122% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $387.55 | ↑ +122% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $387.55 | ↑ +122% |
| WELLCARE | WELLCARE MEDICARE | $391.24 | ↑ +124% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↑ +128% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↑ +160% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $539.27 | ↑ +208% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $539.27 | ↑ +208% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $560.84 | ↑ +221% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $560.84 | ↑ +221% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +237% |
| AETNA | AETNA | $743.91 | ↑ +325% |
| AMBETTER | AMBETTER | $804.63 | ↑ +360% |
| MEDCOST | MEDCOST VHN | $991.10 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $1,166.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,166.00 | ↑ +567% |
Visitor-reported prices
Comments
Ghs layer closure 2.6 - 5.0 cm - 12052 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $174.90 | $171.16 – $826.95 |
| 62-1166050 BMH Carroll County | Huntingdon | $99.13 | $317.39 – $729.64 |
| Hancock County Hospital | SNEEDVILLE | $171.58 | $171.16 – $566.23 |
| Greeneville Community Hospital | GREENEVILLE | $174.90 | $171.16 – $826.95 |
| Bristol Regional Medical Center | BRISTOL | $174.90 | $171.16 – $925.54 |
| Holston Valley Medical Center | KINGSPORT | $174.90 | $171.16 – $925.54 |
| 62-0123940 BMH Collierville | Collierville | $90.51 | $347.56 – $731.70 |
| Indian Path Community Hospital | KINGSPORT | $174.90 | $171.16 – $885.17 |