Insert cath pleura with image at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$517.35
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.
$3,449.00
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.
$821.15 with AMERIGROUP vs $3,449.00 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 | $821.15 | ↑ +59% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $879.00 | ↑ +70% |
| BLUE CROSS | TENNCARE BLUE SELECT | $939.00 | ↑ +82% |
| SENTARA HEALTH | SENTARA HEALTH | $999.18 | ↑ +93% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,021.00 | ↑ +97% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,054.00 | ↑ +104% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,204.00 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,266.00 | ↑ +145% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,266.00 | ↑ +145% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,390.68 | ↑ +169% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,390.68 | ↑ +169% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,406.00 | ↑ +172% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $1,429.25 | ↑ +176% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,429.25 | ↑ +176% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,429.25 | ↑ +176% |
| HUMANA | HUMANA MEDICARE | $1,429.25 | ↑ +176% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,429.25 | ↑ +176% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,429.25 | ↑ +176% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,429.25 | ↑ +176% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,429.25 | ↑ +176% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,429.25 | ↑ +176% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,429.25 | ↑ +176% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,429.25 | ↑ +176% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,446.31 | ↑ +180% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,446.31 | ↑ +180% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +183% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,472.13 | ↑ +185% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,486.42 | ↑ +187% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,486.42 | ↑ +187% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,500.71 | ↑ +190% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,500.71 | ↑ +190% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,500.71 | ↑ +190% |
| WELLCARE | WELLCARE MEDICARE | $1,515.01 | ↑ +193% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +194% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,560.00 | ↑ +202% |
| AETNA | AETNA | $2,200.46 | ↑ +325% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,469.00 | ↑ +377% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,521.00 | ↑ +387% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,521.00 | ↑ +387% |
| MEDCOST | MEDCOST VHN | $2,931.65 | ↑ +467% |
| AMBETTER | AMBETTER | $3,115.77 | ↑ +502% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,449.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $3,449.00 | ↑ +567% |
Visitor-reported prices
Comments
Insert cath pleura with image at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $517.35 | $933.72 – $3,202.23 |
| Ascension Saint Thomas Midtown | Nashville | $1,808.93 | $733.50 – $1,534.53 |
| CHI Memorial Hospital Hixson | Hixson | $1,384.99 | $935.80 – $3,275.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,979.22 | $982.59 – $3,275.30 |
| Ascension Saint Thomas River Park | McMinnville | $1,808.99 | $244.68 – $1,004.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,808.99 | $954.50 – $1,636.56 |
| Hancock County Hospital | SNEEDVILLE | $507.84 | $1,382.71 – $1,460.21 |
| Greeneville Community Hospital | GREENEVILLE | $517.35 | $834.96 – $3,202.23 |