In-111 autol wbc diag per dose at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$654.30
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.
$4,362.00
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.
$928.25 with UNITED HEALTHCARE vs $3,956.00 with CIGNA 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 | $928.25 | ↑ +42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,103.19 | ↑ +69% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $1,103.19 | ↑ +69% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,103.19 | ↑ +69% |
| HUMANA | HUMANA MEDICARE | $1,103.19 | ↑ +69% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,103.19 | ↑ +69% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,103.19 | ↑ +69% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,103.19 | ↑ +69% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,103.19 | ↑ +69% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,103.19 | ↑ +69% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,103.19 | ↑ +69% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,103.19 | ↑ +69% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,136.29 | ↑ +74% |
| SENTARA HEALTH | SENTARA HEALTH | $1,146.05 | ↑ +75% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,147.32 | ↑ +75% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,147.32 | ↑ +75% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,158.35 | ↑ +77% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,158.35 | ↑ +77% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,158.35 | ↑ +77% |
| WELLCARE | WELLCARE MEDICARE | $1,169.38 | ↑ +79% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,534.93 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,534.93 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,910.75 | ↑ +192% |
| AMBETTER | AMBETTER | $2,404.95 | ↑ +268% |
| AETNA | AETNA | $2,523.93 | ↑ +286% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2,769.20 | ↑ +323% |
| MEDCOST | MEDCOST VHN | $3,362.60 | ↑ +414% |
| WELLCARE | WELLCARE MEDICAID | $3,956.00 | ↑ +505% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,956.00 | ↑ +505% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,956.00 | ↑ +505% |
Visitor-reported prices
Comments
In-111 autol wbc diag per dose at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $654.30 | $928.25 – $2,404.95 |
| Ascension Saint Thomas Midtown | Nashville | $3,926.46 | $5,062.13 – $7,763.56 |
| CHI Memorial Hospital Hixson | Hixson | $2,444.37 | $1,651.60 – $5,780.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,493.14 | $1,734.18 – $5,780.60 |
| Ascension Saint Thomas DeKalb | Smithville | $3,704.00 | $5,062.13 – $7,763.56 |
| Ascension Saint Thomas Highlands | Sparta | $3,704.00 | $5,062.13 – $7,763.56 |
| Ascension Saint Thomas River Park | McMinnville | $3,704.00 | $5,062.13 – $7,763.56 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $3,926.84 | $5,062.13 – $7,763.56 |