Ghs moderate sedation < 5 yr, 30 min at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$121.65
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.
$811.00
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.
$30.03 with OPTIMA HEALTH vs $811.00 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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $30.03 | ↓ -75% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $30.03 | ↓ -75% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $31.23 | ↓ -74% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $31.24 | ↓ -74% |
| SENTARA HEALTH | SENTARA HEALTH | $234.95 | ↑ +93% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $301.69 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $314.67 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $314.67 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $317.10 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $317.10 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $376.30 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $391.71 | ↑ +222% |
| AETNA | AETNA | $517.42 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $567.70 | ↑ +367% |
| BLUE CROSS | BLUE CROSS S NETWORK | $583.92 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $583.92 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $583.92 | ↑ +380% |
| MEDCOST | MEDCOST VHN | $689.35 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $811.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $811.00 | ↑ +567% |
Visitor-reported prices
Comments
Ghs moderate sedation < 5 yr, 30 min at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $121.65 | $27.68 – $28.79 |
| 62-1166050 BMH Carroll County | Huntingdon | $232.53 | $25.82 – $25.82 |
| Hancock County Hospital | SNEEDVILLE | $119.37 | $30.93 – $31.53 |
| Greeneville Community Hospital | GREENEVILLE | $121.65 | $30.03 – $30.03 |
| Bristol Regional Medical Center | BRISTOL | $121.65 | $28.14 – $28.69 |
| Holston Valley Medical Center | KINGSPORT | $121.65 | $27.32 – $28.69 |
| 62-0123940 BMH Collierville | Collierville | $212.31 | $25.82 – $25.82 |
| Indian Path Community Hospital | KINGSPORT | $121.65 | $26.43 – $27.49 |