M/phmtrc alys ishquant/semiq at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$105.75
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.
$705.00
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.
$57.40 with AMERIGROUP vs $705.00 with CIGNA 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $57.40 | ↓ -46% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $143.50 | ↑ +36% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $143.50 | ↑ +36% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $143.50 | ↑ +36% |
| BLUE CROSS | TENNCARE BLUE SELECT | $152.48 | ↑ +44% |
| AETNA | AETNA HEALTHCARE MEDICARE | $154.69 | ↑ +46% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $154.69 | ↑ +46% |
| HUMANA | HUMANA MEDICARE | $154.69 | ↑ +46% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $154.69 | ↑ +46% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $154.69 | ↑ +46% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $154.69 | ↑ +46% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $154.69 | ↑ +46% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $154.69 | ↑ +46% |
| SENTARA HEALTH | SENTARA MEDICARE | $154.69 | ↑ +46% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $154.69 | ↑ +46% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $154.69 | ↑ +46% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $159.33 | ↑ +51% |
| BLUE CROSS | BLUE CROSS MEDICARE | $160.87 | ↑ +52% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $160.87 | ↑ +52% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $162.42 | ↑ +54% |
| NHC ADVANTAGE | NHC ADVANTAGE | $162.42 | ↑ +54% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $162.42 | ↑ +54% |
| WELLCARE | WELLCARE MEDICARE | $163.97 | ↑ +55% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $165.26 | ↑ +56% |
| BLUE CROSS | TENNCARE BLUE CARE | $166.54 | ↑ +57% |
| SENTARA HEALTH | SENTARA HEALTH | $204.24 | ↑ +93% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $221.03 | ↑ +109% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $221.03 | ↑ +109% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $229.87 | ↑ +117% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $229.87 | ↑ +117% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $273.54 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $273.54 | ↑ +159% |
| AMBETTER | AMBETTER | $337.22 | ↑ +219% |
| CIGNA HEALTHCARE | CIGNA PPO | $340.52 | ↑ +222% |
| AETNA | AETNA | $449.79 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $493.50 | ↑ +367% |
| BLUE CROSS | BLUE CROSS E NETWORK | $544.42 | ↑ +415% |
| BLUE CROSS | BLUE CROSS P NETWORK | $555.07 | ↑ +425% |
| BLUE CROSS | BLUE CROSS S NETWORK | $555.07 | ↑ +425% |
| MEDCOST | MEDCOST VHN | $599.25 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $705.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $705.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $705.00 | ↑ +567% |
Visitor-reported prices
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M/phmtrc alys ishquant/semiq at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $105.75 | $58.99 – $346.58 |
| Ascension Saint Thomas Midtown | Nashville | $600.21 | $108.14 – $1,098.46 |
| Ascension Saint Thomas DeKalb | Smithville | $600.21 | $90.89 – $1,098.46 |
| Ascension Saint Thomas Highlands | Sparta | $600.21 | $90.89 – $1,098.46 |
| Ascension Saint Thomas River Park | McMinnville | $600.21 | $90.89 – $1,098.46 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $600.21 | $108.14 – $1,098.46 |
| Hancock County Hospital | SNEEDVILLE | $103.50 | $91.81 – $450.00 |
| Greeneville Community Hospital | GREENEVILLE | $105.75 | $53.09 – $346.58 |