Hepagam b im injection at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$293.28
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.
$1,955.21
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.
$43.97 with UNITED HEALTHCARE vs $1,955.21 with WELLCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $43.97 | ↓ -85% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $59.25 | ↓ -80% |
| AMERIGROUP | AMERIGROUP | $60.36 | ↓ -79% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $62.78 | ↓ -79% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $62.78 | ↓ -79% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $62.78 | ↓ -79% |
| AETNA | AETNA HEALTHCARE MEDICARE | $69.59 | ↓ -76% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $69.59 | ↓ -76% |
| HUMANA | HUMANA MEDICARE | $69.59 | ↓ -76% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $69.59 | ↓ -76% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $69.59 | ↓ -76% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $69.59 | ↓ -76% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $69.59 | ↓ -76% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $69.59 | ↓ -76% |
| SENTARA HEALTH | SENTARA MEDICARE | $69.59 | ↓ -76% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $69.59 | ↓ -76% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $69.59 | ↓ -76% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $71.67 | ↓ -76% |
| BLUE CROSS | BLUE CROSS MEDICARE | $72.37 | ↓ -75% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $72.37 | ↓ -75% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $73.06 | ↓ -75% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $73.06 | ↓ -75% |
| NHC ADVANTAGE | NHC ADVANTAGE | $73.06 | ↓ -75% |
| WELLCARE | WELLCARE MEDICARE | $73.76 | ↓ -75% |
| BLUE CROSS | BLUE CROSS E NETWORK | $90.69 | ↓ -69% |
| BLUE CROSS | BLUE CROSS P NETWORK | $92.71 | ↓ -68% |
| BLUE CROSS | BLUE CROSS S NETWORK | $92.71 | ↓ -68% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $117.29 | ↓ -60% |
| AMBETTER | AMBETTER | $151.70 | ↓ -48% |
| BLUE CROSS | TENNCARE BLUE SELECT | $154.34 | ↓ -47% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $155.94 | ↓ -47% |
| CIGNA HEALTHCARE | CIGNA HMO | $155.94 | ↓ -47% |
| CIGNA HEALTHCARE | CIGNA PPO | $155.94 | ↓ -47% |
| BLUE CROSS | TENNCARE BLUE CARE | $168.57 | ↓ -43% |
| SENTARA HEALTH | SENTARA HEALTH | $566.42 | ↑ +93% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $661.83 | ↑ +126% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $661.83 | ↑ +126% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $688.30 | ↑ +135% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $688.31 | ↑ +135% |
| AETNA | AETNA | $1,247.42 | ↑ +325% |
| MEDCOST | MEDCOST VHN | $1,661.93 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,955.21 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,955.21 | ↑ +567% |
Visitor-reported prices
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Hepagam b im injection at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $293.28 | $43.97 – $609.91 |
| Parkwest Medical Center | Knoxville | $207.91 | $29.28 – $623.71 |
| Roane County Medical Center | Harriman | $228.70 | $29.28 – $623.71 |
| LeConte Medical Center | Sevierville | $200.98 | $29.28 – $72.64 |
| Fort Loudoun Medical Center | Lenoir City | $228.70 | $29.28 – $623.71 |
| Fort Sanders Regional Medical Center | Knoxville | $228.70 | $29.28 – $72.64 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $228.70 | $29.28 – $623.71 |
| Cumberland Medical Center, Inc. | Crossville | $221.77 | $35.13 – $72.64 |