Insertion subcutaneous cardiac rhythm monitor at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$4,215.15
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.
$28,101.00
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.
$1,279.00 with UNITED HEALTHCARE vs $28,101.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,279.00 | ↓ -70% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,460.00 | ↓ -65% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,892.00 | ↓ -55% |
| AMERIGROUP | AMERIGROUP | $6,157.56 | ↑ +46% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $6,663.70 | ↑ +58% |
| AETNA | AETNA HEALTHCARE MEDICARE | $7,513.63 | ↑ +78% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $7,513.63 | ↑ +78% |
| HUMANA | HUMANA MEDICARE | $7,513.63 | ↑ +78% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $7,513.63 | ↑ +78% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $7,513.63 | ↑ +78% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $7,513.63 | ↑ +78% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,513.63 | ↑ +78% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $7,513.63 | ↑ +78% |
| SENTARA HEALTH | SENTARA MEDICARE | $7,513.63 | ↑ +78% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $7,513.63 | ↑ +78% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $7,513.63 | ↑ +78% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $7,739.04 | ↑ +84% |
| BLUE CROSS | BLUE CROSS MEDICARE | $7,814.17 | ↑ +85% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $7,814.17 | ↑ +85% |
| NHC ADVANTAGE | NHC ADVANTAGE | $7,889.31 | ↑ +87% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $7,889.31 | ↑ +87% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $7,889.31 | ↑ +87% |
| WELLCARE | WELLCARE MEDICARE | $7,964.45 | ↑ +89% |
| SENTARA HEALTH | SENTARA HEALTH | $8,140.86 | ↑ +93% |
| BLUE CROSS | BLUE CROSS E NETWORK | $9,590.00 | ↑ +128% |
| BLUE CROSS | BLUE CROSS S NETWORK | $9,792.00 | ↑ +132% |
| BLUE CROSS | BLUE CROSS P NETWORK | $9,792.00 | ↑ +132% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $10,895.13 | ↑ +158% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $10,895.13 | ↑ +158% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $10,903.19 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $10,903.19 | ↑ +159% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $11,330.93 | ↑ +169% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $11,330.94 | ↑ +169% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $13,038.86 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $13,572.78 | ↑ +222% |
| AMBETTER | AMBETTER | $16,379.71 | ↑ +289% |
| AETNA | AETNA | $17,928.44 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $19,670.70 | ↑ +367% |
| MEDCOST | MEDCOST VHN | $23,885.85 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $28,101.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $28,101.00 | ↑ +567% |
Visitor-reported prices
Comments
Insertion subcutaneous cardiac rhythm monitor at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $4,215.15 | $1,279.00 – $16,834.22 |
| Ascension Saint Thomas Midtown | Nashville | $3,523.34 | $2,118.00 – $14,894.00 |
| CHI Memorial Hospital Hixson | Hixson | $5,713.10 | $3,860.20 – $13,510.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $5,735.74 | $2,685.00 – $15,113.92 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $8,164.33 | $4,053.21 – $13,510.70 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $3,523.34 | $2,118.00 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $4,215.15 | $1,571.00 – $16,834.22 |
| Bristol Regional Medical Center | BRISTOL | $4,215.15 | $1,571.00 – $18,841.11 |