Interrog&prgrmg ipnss polysm at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$147.00
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.
$980.00
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.
$49.44 with OPTIMA HEALTH vs $980.00 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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $49.44 | ↓ -66% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $49.44 | ↓ -66% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $51.42 | ↓ -65% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $51.42 | ↓ -65% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $95.00 | ↓ -35% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $110.00 | ↓ -25% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $141.00 | ↓ -4% |
| AMERIGROUP | AMERIGROUP | $218.78 | ↑ +49% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $256.13 | ↑ +74% |
| AETNA | AETNA HEALTHCARE MEDICARE | $278.87 | ↑ +90% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $278.87 | ↑ +90% |
| HUMANA | HUMANA MEDICARE | $278.87 | ↑ +90% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $278.87 | ↑ +90% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $278.87 | ↑ +90% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $278.87 | ↑ +90% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $278.87 | ↑ +90% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $278.87 | ↑ +90% |
| SENTARA HEALTH | SENTARA MEDICARE | $278.87 | ↑ +90% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $278.87 | ↑ +90% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $278.87 | ↑ +90% |
| SENTARA HEALTH | SENTARA HEALTH | $283.91 | ↑ +93% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $287.23 | ↑ +95% |
| BLUE CROSS | BLUE CROSS MEDICARE | $290.02 | ↑ +97% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $290.02 | ↑ +97% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $292.81 | ↑ +99% |
| NHC ADVANTAGE | NHC ADVANTAGE | $292.81 | ↑ +99% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $292.81 | ↑ +99% |
| WELLCARE | WELLCARE MEDICARE | $295.60 | ↑ +101% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $380.24 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $380.24 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $454.72 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $473.34 | ↑ +222% |
| AMBETTER | AMBETTER | $607.93 | ↑ +314% |
| AETNA | AETNA | $625.24 | ↑ +325% |
| BLUE CROSS | BLUE CROSS S NETWORK | $677.24 | ↑ +361% |
| BLUE CROSS | BLUE CROSS E NETWORK | $677.24 | ↑ +361% |
| BLUE CROSS | BLUE CROSS P NETWORK | $677.24 | ↑ +361% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $686.00 | ↑ +367% |
| MEDCOST | MEDCOST VHN | $833.00 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $980.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $980.00 | ↑ +567% |
Visitor-reported prices
Comments
Interrog&prgrmg ipnss polysm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $147.00 | $45.56 – $624.79 |
| Hancock County Hospital | SNEEDVILLE | $144.21 | $50.92 – $368.39 |
| Greeneville Community Hospital | GREENEVILLE | $147.00 | $49.44 – $624.79 |
| Bristol Regional Medical Center | BRISTOL | $147.00 | $46.32 – $699.28 |
| Holston Valley Medical Center | KINGSPORT | $147.00 | $44.97 – $699.28 |
| 62-0123940 BMH Collierville | Collierville | $168.21 | $260.90 – $549.26 |
| Indian Path Community Hospital | KINGSPORT | $147.00 | $43.51 – $668.78 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $147.00 | $50.93 – $607.47 |