Ihc/icc per specimen initial single antibody stain at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$54.90
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.
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What you pay up front if you don't use insurance.
$366.00
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.
$26.61 with BLUE CROSS vs $366.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $26.61 | ↓ -52% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $33.13 | ↓ -40% |
| AMERIGROUP | AMERIGROUP | $57.40 | ↑ +5% |
| SENTARA HEALTH | SENTARA HEALTH | $106.03 | ↑ +93% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $143.50 | ↑ +161% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $143.50 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $143.50 | ↑ +161% |
| AETNA | AETNA HEALTHCARE MEDICARE | $154.69 | ↑ +182% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $154.69 | ↑ +182% |
| HUMANA | HUMANA MEDICARE | $154.69 | ↑ +182% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $154.69 | ↑ +182% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $154.69 | ↑ +182% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $154.69 | ↑ +182% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $154.69 | ↑ +182% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $154.69 | ↑ +182% |
| SENTARA HEALTH | SENTARA MEDICARE | $154.69 | ↑ +182% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $154.69 | ↑ +182% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $154.69 | ↑ +182% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $156.34 | ↑ +185% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $159.33 | ↑ +190% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $160.87 | ↑ +193% |
| BLUE CROSS | BLUE CROSS MEDICARE | $160.87 | ↑ +193% |
| NHC ADVANTAGE | NHC ADVANTAGE | $162.42 | ↑ +196% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $162.42 | ↑ +196% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $162.42 | ↑ +196% |
| WELLCARE | WELLCARE MEDICARE | $163.97 | ↑ +199% |
| BLUE CROSS | BLUE CROSS E NETWORK | $174.97 | ↑ +219% |
| BLUE CROSS | BLUE CROSS P NETWORK | $178.39 | ↑ +225% |
| BLUE CROSS | BLUE CROSS S NETWORK | $178.39 | ↑ +225% |
| CIGNA HEALTHCARE | CIGNA PPO | $179.64 | ↑ +227% |
| CIGNA HEALTHCARE | CIGNA HMO | $179.64 | ↑ +227% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $179.64 | ↑ +227% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $221.03 | ↑ +303% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $221.03 | ↑ +303% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $229.87 | ↑ +319% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $229.87 | ↑ +319% |
| AETNA | AETNA | $233.51 | ↑ +325% |
| MEDCOST | MEDCOST VHN | $311.10 | ↑ +467% |
| AMBETTER | AMBETTER | $337.22 | ↑ +514% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $366.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $366.00 | ↑ +567% |
Visitor-reported prices
Comments
Ihc/icc per specimen initial single antibody stain at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $54.90 | $26.61 – $346.58 |
| Ascension Saint Thomas Midtown | Nashville | $174.12 | $9.00 – $232.05 |
| CHI Memorial Hospital Hixson | Hixson | $207.20 | $13.39 – $490.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $115.23 | $9.00 – $312.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $296.10 | $13.39 – $490.00 |
| Ascension Saint Thomas DeKalb | Smithville | $174.12 | $9.00 – $232.05 |
| Ascension Saint Thomas Highlands | Sparta | $174.12 | $9.00 – $232.05 |
| Ascension Saint Thomas River Park | McMinnville | $174.12 | $13.45 – $232.05 |