Incision of tongue fold at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$670.95
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.
$4,473.00
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.
$701.00 with BLUE CROSS vs $4,473.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $701.00 | ↑ +4% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↑ +5% |
| BLUE CROSS | TENNCARE BLUE CARE | $762.00 | ↑ +14% |
| AMERIGROUP | AMERIGROUP | $950.73 | ↑ +42% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,107.00 | ↑ +65% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,266.00 | ↑ +89% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,266.00 | ↑ +89% |
| SENTARA HEALTH | SENTARA HEALTH | $1,295.83 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,406.00 | ↑ +110% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,408.76 | ↑ +110% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,408.76 | ↑ +110% |
| HUMANA | HUMANA MEDICARE | $1,408.76 | ↑ +110% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,408.76 | ↑ +110% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,408.76 | ↑ +110% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,408.76 | ↑ +110% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,408.76 | ↑ +110% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,408.76 | ↑ +110% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,408.76 | ↑ +110% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,408.76 | ↑ +110% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $1,408.76 | ↑ +110% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,451.02 | ↑ +116% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +118% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,465.11 | ↑ +118% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,465.11 | ↑ +118% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,479.20 | ↑ +120% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,479.20 | ↑ +120% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,479.20 | ↑ +120% |
| WELLCARE | WELLCARE MEDICARE | $1,493.28 | ↑ +123% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↑ +142% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,850.00 | ↑ +176% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,958.40 | ↑ +192% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,958.40 | ↑ +192% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,036.73 | ↑ +204% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,036.74 | ↑ +204% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↑ +257% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,469.00 | ↑ +268% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,521.00 | ↑ +276% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,521.00 | ↑ +276% |
| AETNA | AETNA | $2,853.77 | ↑ +325% |
| AMBETTER | AMBETTER | $3,071.09 | ↑ +358% |
| MEDCOST | MEDCOST VHN | $3,802.05 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $4,473.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,473.00 | ↑ +567% |
Visitor-reported prices
Comments
Incision of tongue fold at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $670.95 | $1,081.06 – $3,156.31 |
| Greeneville Community Hospital | GREENEVILLE | $670.95 | $966.71 – $3,156.31 |
| Bristol Regional Medical Center | BRISTOL | $670.95 | $1,471.91 – $3,532.59 |
| Holston Valley Medical Center | KINGSPORT | $670.95 | $1,471.91 – $3,532.59 |
| 62-0123940 BMH Collierville | Collierville | $860.79 | $832.24 – $2,712.82 |
| Indian Path Community Hospital | KINGSPORT | $670.95 | $1,051.09 – $3,378.51 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $670.95 | $1,407.71 – $3,068.81 |
| Sycamore Shoals Hospital | ELIZABETHTON | $670.95 | $1,051.09 – $3,068.81 |