Hla i low res one antigen equiv ea at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$152.10
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.
$1,014.00
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.
$37.17 with AMERIGROUP vs $1,014.00 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 | $37.17 | ↓ -76% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $49.44 | ↓ -67% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $49.44 | ↓ -67% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $51.42 | ↓ -66% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $51.42 | ↓ -66% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $74.33 | ↓ -51% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $74.33 | ↓ -51% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $74.33 | ↓ -51% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $74.33 | ↓ -51% |
| AETNA | AETNA HEALTHCARE MEDICARE | $74.33 | ↓ -51% |
| HUMANA | HUMANA MEDICARE | $74.33 | ↓ -51% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $74.33 | ↓ -51% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $74.33 | ↓ -51% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $74.33 | ↓ -51% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $74.33 | ↓ -51% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $74.33 | ↓ -51% |
| SENTARA HEALTH | SENTARA MEDICARE | $74.33 | ↓ -51% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $74.33 | ↓ -51% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $74.33 | ↓ -51% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $76.56 | ↓ -50% |
| BLUE CROSS | BLUE CROSS MEDICARE | $77.30 | ↓ -49% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $77.30 | ↓ -49% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $78.05 | ↓ -49% |
| NHC ADVANTAGE | NHC ADVANTAGE | $78.05 | ↓ -49% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $78.05 | ↓ -49% |
| WELLCARE | WELLCARE MEDICARE | $78.79 | ↓ -48% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $89.33 | ↓ -41% |
| BLUE CROSS | TENNCARE BLUE SELECT | $140.90 | ↓ -7% |
| BLUE CROSS | TENNCARE BLUE CARE | $153.89 | ↑ +1% |
| AMBETTER | AMBETTER | $162.04 | ↑ +7% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $163.84 | ↑ +8% |
| SENTARA HEALTH | SENTARA HEALTH | $293.76 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $393.43 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $393.43 | ↑ +159% |
| BLUE CROSS | BLUE CROSS E NETWORK | $405.93 | ↑ +167% |
| BLUE CROSS | BLUE CROSS P NETWORK | $413.87 | ↑ +172% |
| BLUE CROSS | BLUE CROSS S NETWORK | $413.87 | ↑ +172% |
| CIGNA HEALTHCARE | CIGNA PPO | $489.76 | ↑ +222% |
| AETNA | AETNA | $646.93 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $709.80 | ↑ +367% |
| MEDCOST | MEDCOST VHN | $861.90 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $1,014.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,014.00 | ↑ +567% |
Visitor-reported prices
Comments
Hla i low res one antigen equiv ea at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $152.10 | $37.17 – $162.04 |
| Ascension Saint Thomas Midtown | Nashville | $62.61 | $26.76 – $281.04 |
| CHI Memorial Hospital Hixson | Hixson | $113.37 | $64.62 – $268.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $162.01 | $64.62 – $268.10 |
| Ascension Saint Thomas DeKalb | Smithville | $62.61 | $49.13 – $281.04 |
| Ascension Saint Thomas Highlands | Sparta | $62.61 | $49.13 – $281.04 |
| Ascension Saint Thomas River Park | McMinnville | $62.61 | $49.13 – $281.04 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $62.61 | $66.90 – $281.04 |