Hepatobiliary system imaging at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$452.25
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.
$3,015.00
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.
$264.02 with UNITED HEALTHCARE vs $3,015.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $264.02 | ↓ -42% |
| AMERIGROUP | AMERIGROUP | $291.91 | ↓ -35% |
| BLUE CROSS | TENNCARE BLUE SELECT | $301.39 | ↓ -33% |
| BLUE CROSS | TENNCARE BLUE CARE | $329.18 | ↓ -27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $362.97 | ↓ -20% |
| SENTARA HEALTH | SENTARA MEDICARE | $362.97 | ↓ -20% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $362.97 | ↓ -20% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $362.97 | ↓ -20% |
| AETNA | AETNA HEALTHCARE MEDICARE | $362.97 | ↓ -20% |
| HUMANA | HUMANA MEDICARE | $362.97 | ↓ -20% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $362.97 | ↓ -20% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $362.97 | ↓ -20% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $362.97 | ↓ -20% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $362.97 | ↓ -20% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $362.97 | ↓ -20% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $373.86 | ↓ -17% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $377.49 | ↓ -17% |
| BLUE CROSS | BLUE CROSS MEDICARE | $377.49 | ↓ -17% |
| NHC ADVANTAGE | NHC ADVANTAGE | $381.12 | ↓ -16% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $381.12 | ↓ -16% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $381.12 | ↓ -16% |
| WELLCARE | WELLCARE MEDICARE | $384.75 | ↓ -15% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $491.70 | ↑ +9% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $508.23 | ↑ +12% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $508.23 | ↑ +12% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $528.56 | ↑ +17% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $528.56 | ↑ +17% |
| CIGNA HEALTHCARE | CIGNA HMO | $787.63 | ↑ +74% |
| CIGNA HEALTHCARE | CIGNA PPO | $787.63 | ↑ +74% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $787.63 | ↑ +74% |
| AMBETTER | AMBETTER | $791.28 | ↑ +75% |
| SENTARA HEALTH | SENTARA HEALTH | $873.45 | ↑ +93% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,234.54 | ↑ +173% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,258.85 | ↑ +178% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,258.85 | ↑ +178% |
| AETNA | AETNA | $1,923.57 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,086.00 | ↑ +361% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2,110.50 | ↑ +367% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,381.00 | ↑ +426% |
| MEDCOST | MEDCOST VHN | $2,562.75 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $3,015.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,015.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,015.00 | ↑ +567% |
Visitor-reported prices
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Hepatobiliary system imaging at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $452.25 | $247.95 – $813.24 |
| Ascension Saint Thomas Midtown | Nashville | $647.19 | $213.75 – $811.16 |
| CHI Memorial Hospital Hixson | Hixson | $823.18 | $243.51 – $1,946.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $507.38 | $213.75 – $733.84 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,176.37 | $243.51 – $1,946.70 |
| Ascension Saint Thomas DeKalb | Smithville | $906.38 | $145.21 – $811.16 |
| Ascension Saint Thomas Highlands | Sparta | $906.38 | $145.21 – $811.16 |
| Ascension Saint Thomas River Park | McMinnville | $906.36 | $145.21 – $811.16 |