Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$447.90
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.
$2,986.00
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.
$453.93 with AMERIGROUP vs $2,986.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $453.93 | ↑ +1% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $640.90 | ↑ +43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $640.90 | ↑ +43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $640.90 | ↑ +43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $640.90 | ↑ +43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $640.90 | ↑ +43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $640.90 | ↑ +43% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $640.90 | ↑ +43% |
| SENTARA HEALTH | SENTARA MEDICARE | $640.90 | ↑ +43% |
| HUMANA | HUMANA MEDICARE | $640.90 | ↑ +43% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $640.90 | ↑ +43% |
| AETNA | AETNA HEALTHCARE MEDICARE | $640.90 | ↑ +43% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $660.13 | ↑ +47% |
| BLUE CROSS | BLUE CROSS MEDICARE | $666.54 | ↑ +49% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $666.54 | ↑ +49% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $672.95 | ↑ +50% |
| NHC ADVANTAGE | NHC ADVANTAGE | $672.95 | ↑ +50% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $672.95 | ↑ +50% |
| WELLCARE | WELLCARE MEDICARE | $679.36 | ↑ +52% |
| SENTARA HEALTH | SENTARA HEALTH | $865.04 | ↑ +93% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $879.00 | ↑ +96% |
| BLUE CROSS | TENNCARE BLUE SELECT | $939.00 | ↑ +110% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,021.00 | ↑ +128% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,050.52 | ↑ +135% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,050.52 | ↑ +135% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,054.00 | ↑ +135% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,092.54 | ↑ +144% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,092.54 | ↑ +144% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,204.00 | ↑ +169% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,266.00 | ↑ +183% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,266.00 | ↑ +183% |
| AMBETTER | AMBETTER | $1,397.17 | ↑ +212% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,406.00 | ↑ +214% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +227% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +240% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,560.00 | ↑ +248% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,770.00 | ↑ +295% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,807.00 | ↑ +303% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,807.00 | ↑ +303% |
| AETNA | AETNA | $1,905.07 | ↑ +325% |
| MEDCOST | MEDCOST VHN | $2,538.10 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,986.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $2,986.00 | ↑ +567% |
Visitor-reported prices
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Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $447.90 | $516.15 – $1,435.94 |
| Ascension Saint Thomas Midtown | Nashville | $1,002.87 | $596.91 – $998.50 |
| CHI Memorial Hospital Hixson | Hixson | $392.80 | $265.40 – $928.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $434.93 | $550.14 – $1,264.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $561.33 | $278.67 – $928.90 |
| Ascension Saint Thomas DeKalb | Smithville | $984.14 | $588.30 – $1,004.50 |
| Ascension Saint Thomas Highlands | Sparta | $984.14 | $588.30 – $1,004.50 |
| Ascension Saint Thomas River Park | McMinnville | $984.14 | $588.30 – $1,004.50 |