Lower Back (Lumbar Spine) CT scan (with contrast) at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$559.65
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.
$3,731.00
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.
$270.44 with UNITED HEALTHCARE vs $3,731.00 with UNITED HEALTHCARE — 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 | TENNCARE UNITED HEALTHCARE | $270.44 | ↓ -52% |
| BLUE CROSS | TENNCARE BLUE SELECT | $282.35 | ↓ -50% |
| BLUE CROSS | TENNCARE BLUE CARE | $308.39 | ↓ -45% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $316.76 | ↓ -43% |
| SENTARA HEALTH | SENTARA MEDICARE | $316.76 | ↓ -43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $316.76 | ↓ -43% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $316.76 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $316.76 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $316.76 | ↓ -43% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $316.76 | ↓ -43% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $316.76 | ↓ -43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $316.76 | ↓ -43% |
| AETNA | AETNA HEALTHCARE MEDICARE | $316.76 | ↓ -43% |
| HUMANA | HUMANA MEDICARE | $316.76 | ↓ -43% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $326.26 | ↓ -42% |
| BLUE CROSS | BLUE CROSS MEDICARE | $329.43 | ↓ -41% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $329.43 | ↓ -41% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $332.60 | ↓ -41% |
| NHC ADVANTAGE | NHC ADVANTAGE | $332.60 | ↓ -41% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $332.60 | ↓ -41% |
| WELLCARE | WELLCARE MEDICARE | $335.76 | ↓ -40% |
| AMERIGROUP | AMERIGROUP | $381.22 | ↓ -32% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $418.89 | ↓ -25% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $427.00 | ↓ -24% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $441.56 | ↓ -21% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $441.56 | ↓ -21% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $459.22 | ↓ -18% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $459.22 | ↓ -18% |
| CIGNA HEALTHCARE | CIGNA HMO | $488.00 | ↓ -13% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $488.00 | ↓ -13% |
| CIGNA HEALTHCARE | CIGNA PPO | $542.00 | ↓ -3% |
| AMBETTER | AMBETTER | $690.54 | ↑ +23% |
| BLUE CROSS | BLUE CROSS E NETWORK | $943.09 | ↑ +69% |
| BLUE CROSS | BLUE CROSS S NETWORK | $962.34 | ↑ +72% |
| BLUE CROSS | BLUE CROSS P NETWORK | $962.34 | ↑ +72% |
| SENTARA HEALTH | SENTARA HEALTH | $1,080.87 | ↑ +93% |
| AETNA | AETNA | $2,380.38 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,582.00 | ↑ +361% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,947.00 | ↑ +427% |
| MEDCOST | MEDCOST VHN | $3,171.35 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $3,731.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,731.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,731.00 | ↑ +567% |
Visitor-reported prices
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Lower Back (Lumbar Spine) CT scan (with contrast) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $559.65 | $232.29 – $709.70 |
| Ascension Saint Thomas Midtown | Nashville | $812.40 | $189.26 – $619.72 |
| CHI Memorial Hospital Hixson | Hixson | $1,158.84 | $157.26 – $2,740.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $827.08 | $200.25 – $652.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,656.05 | $157.26 – $2,740.50 |
| Ascension Saint Thomas DeKalb | Smithville | $1,009.76 | $148.75 – $619.72 |
| Ascension Saint Thomas Highlands | Sparta | $1,009.76 | $148.75 – $619.72 |
| Ascension Saint Thomas River Park | McMinnville | $961.67 | $148.75 – $619.72 |