Ins lv lead exist pm/icd at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$2,714.40
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.
$18,096.00
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.
$502.02 with BLUE CROSS vs $20,687.93 with AMBETTER — 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 | $502.02 | ↓ -82% |
| SENTARA HEALTH | SENTARA HEALTH | $5,242.41 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $7,021.25 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $7,021.25 | ↑ +159% |
| AMERIGROUP | AMERIGROUP | $8,143.26 | ↑ +200% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $8,396.54 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $8,740.37 | ↑ +222% |
| SENTARA HEALTH | SENTARA MEDICARE | $9,489.88 | ↑ +250% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $9,489.88 | ↑ +250% |
| AETNA | AETNA HEALTHCARE MEDICARE | $9,489.88 | ↑ +250% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $9,489.88 | ↑ +250% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $9,489.88 | ↑ +250% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $9,489.88 | ↑ +250% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $9,489.88 | ↑ +250% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $9,489.88 | ↑ +250% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $9,489.88 | ↑ +250% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $9,489.88 | ↑ +250% |
| HUMANA | HUMANA MEDICARE | $9,489.88 | ↑ +250% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $9,774.57 | ↑ +260% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $9,869.47 | ↑ +264% |
| BLUE CROSS | BLUE CROSS MEDICARE | $9,869.47 | ↑ +264% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $9,883.00 | ↑ +264% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $9,964.37 | ↑ +267% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $9,964.37 | ↑ +267% |
| NHC ADVANTAGE | NHC ADVANTAGE | $9,964.37 | ↑ +267% |
| BLUE CROSS | BLUE CROSS E NETWORK | $10,051.00 | ↑ +270% |
| WELLCARE | WELLCARE MEDICARE | $10,059.27 | ↑ +271% |
| BLUE CROSS | BLUE CROSS P NETWORK | $10,263.00 | ↑ +278% |
| BLUE CROSS | BLUE CROSS S NETWORK | $10,263.00 | ↑ +278% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $10,895.13 | ↑ +301% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $10,895.13 | ↑ +301% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $11,330.93 | ↑ +317% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $11,330.94 | ↑ +317% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $11,360.00 | ↑ +319% |
| AETNA | AETNA | $11,545.25 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $12,967.00 | ↑ +378% |
| MEDCOST | MEDCOST VHN | $15,381.60 | ↑ +467% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $16,803.00 | ↑ +519% |
| WELLCARE | WELLCARE MEDICAID | $18,096.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $18,096.00 | ↑ +567% |
| AMBETTER | AMBETTER | $20,687.93 | ↑ +662% |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $2,714.40 | $502.02 – $21,261.99 |
| Ascension Saint Thomas Midtown | Nashville | $7,557.30 | $1,752.88 – $14,894.00 |
| CHI Memorial Hospital Hixson | Hixson | $2,517.78 | $1,701.20 – $5,954.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $12,478.19 | $3,431.00 – $19,112.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,598.04 | $1,786.26 – $5,954.20 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $7,557.30 | $1,869.19 – $6,935.50 |
| Greeneville Community Hospital | GREENEVILLE | $2,714.40 | $502.02 – $21,261.99 |
| Bristol Regional Medical Center | BRISTOL | $2,714.40 | $502.02 – $21,615.36 |