Ins picad w subq port 5yr> at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$855.60
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.
$5,704.00
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.
$939.00 with BLUE CROSS vs $6,249.69 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 | TENNCARE BLUE SELECT | $939.00 | ↑ +10% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,021.00 | ↑ +19% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,082.00 | ↑ +26% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,621.00 | ↑ +89% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,621.00 | ↑ +89% |
| SENTARA HEALTH | SENTARA HEALTH | $1,652.45 | ↑ +93% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,685.84 | ↑ +97% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,685.84 | ↑ +97% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,943.00 | ↑ +127% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,943.00 | ↑ +127% |
| AMERIGROUP | AMERIGROUP | $2,082.38 | ↑ +143% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,146.00 | ↑ +151% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,160.00 | ↑ +152% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,246.00 | ↑ +163% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $2,866.83 | ↑ +235% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,866.83 | ↑ +235% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,866.83 | ↑ +235% |
| HUMANA | HUMANA MEDICARE | $2,866.83 | ↑ +235% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,866.83 | ↑ +235% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,866.83 | ↑ +235% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,866.83 | ↑ +235% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,866.83 | ↑ +235% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,866.83 | ↑ +235% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,866.83 | ↑ +235% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,866.83 | ↑ +235% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,952.84 | ↑ +245% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,981.50 | ↑ +248% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,981.50 | ↑ +248% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,010.17 | ↑ +252% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,010.17 | ↑ +252% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,010.17 | ↑ +252% |
| WELLCARE | WELLCARE MEDICARE | $3,038.84 | ↑ +255% |
| AETNA | AETNA | $3,639.15 | ↑ +325% |
| MEDCOST | MEDCOST VHN | $4,848.40 | ↑ +467% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5,125.00 | ↑ +499% |
| WELLCARE | WELLCARE MEDICAID | $5,704.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $5,704.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $5,704.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $5,704.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5,704.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS E NETWORK | $5,704.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $5,704.00 | ↑ +567% |
| AMBETTER | AMBETTER | $6,249.69 | ↑ +630% |
Visitor-reported prices
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Ins picad w subq port 5yr> at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $855.60 | $1,493.83 – $6,423.11 |
| Ascension Saint Thomas Midtown | Nashville | $3,160.46 | $1,468.50 – $1,543.50 |
| CHI Memorial Hospital Hixson | Hixson | $2,156.66 | $1,457.20 – $5,100.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,081.98 | $1,530.06 – $5,100.20 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $3,160.46 | $1,468.50 – $1,636.56 |
| 62-0123940 BMH Collierville | Collierville | $1,090.11 | $1,275.14 – $5,764.34 |
| Indian Path Community Hospital | KINGSPORT | $855.60 | $1,426.42 – $6,245.05 |
| Sycamore Shoals Hospital | ELIZABETHTON | $855.60 | $1,621.00 – $6,245.05 |