Liver/spleen imag w/vasclr flow at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$498.60
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.
$3,324.00
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.
$138.98 with BLUE CROSS vs $3,324.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $138.98 | ↓ -72% |
| BLUE CROSS | TENNCARE BLUE CARE | $151.80 | ↓ -70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $191.06 | ↓ -62% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $207.11 | ↓ -58% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $264.02 | ↓ -47% |
| CIGNA HEALTHCARE | CIGNA PPO | $277.39 | ↓ -44% |
| CIGNA HEALTHCARE | CIGNA HMO | $277.39 | ↓ -44% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $277.39 | ↓ -44% |
| AMERIGROUP | AMERIGROUP | $291.91 | ↓ -41% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $362.97 | ↓ -27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $362.97 | ↓ -27% |
| AETNA | AETNA HEALTHCARE MEDICARE | $362.97 | ↓ -27% |
| HUMANA | HUMANA MEDICARE | $362.97 | ↓ -27% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $362.97 | ↓ -27% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $362.97 | ↓ -27% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $362.97 | ↓ -27% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $362.97 | ↓ -27% |
| SENTARA HEALTH | SENTARA MEDICARE | $362.97 | ↓ -27% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $362.97 | ↓ -27% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $362.97 | ↓ -27% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $373.86 | ↓ -25% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $377.49 | ↓ -24% |
| BLUE CROSS | BLUE CROSS MEDICARE | $377.49 | ↓ -24% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $381.12 | ↓ -24% |
| NHC ADVANTAGE | NHC ADVANTAGE | $381.12 | ↓ -24% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $381.12 | ↓ -24% |
| WELLCARE | WELLCARE MEDICARE | $384.75 | ↓ -23% |
| BLUE CROSS | BLUE CROSS E NETWORK | $399.51 | ↓ -20% |
| BLUE CROSS | BLUE CROSS P NETWORK | $407.38 | ↓ -18% |
| BLUE CROSS | BLUE CROSS S NETWORK | $407.38 | ↓ -18% |
| AMBETTER | AMBETTER | $791.28 | ↑ +59% |
| SENTARA HEALTH | SENTARA HEALTH | $962.96 | ↑ +93% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,252.56 | ↑ +151% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,252.56 | ↑ +151% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,302.66 | ↑ +161% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,302.66 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,086.00 | ↑ +318% |
| AETNA | AETNA | $2,120.71 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,381.00 | ↑ +378% |
| MEDCOST | MEDCOST VHN | $2,825.40 | ↑ +467% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,086.00 | ↑ +519% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,324.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $3,324.00 | ↑ +567% |
Visitor-reported prices
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Liver/spleen imag w/vasclr flow at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $498.60 | $114.34 – $1,154.30 |
| CHI Memorial Hospital Hixson | Hixson | $479.52 | $146.70 – $1,134.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $379.96 | $98.57 – $733.84 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $685.26 | $146.70 – $1,134.00 |
| Greeneville Community Hospital | GREENEVILLE | $498.60 | $105.61 – $1,252.56 |
| Bristol Regional Medical Center | BRISTOL | $498.60 | $114.34 – $1,174.63 |
| Holston Valley Medical Center | KINGSPORT | $498.60 | $114.34 – $1,174.63 |
| 62-0123940 BMH Collierville | Collierville | $301.35 | $98.57 – $735.92 |