Mayo adalimumab (humira) therapeutic drug level at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$33.45
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.
$223.00
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.
$13.80 with BLUE CROSS vs $223.00 with SEVEN CORNERS, INC. — 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 | ANTHEM HLTHKEEP MEDICIAD | $13.80 | ↓ -59% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $13.80 | ↓ -59% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $14.35 | ↓ -57% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $14.36 | ↓ -57% |
| AMERIGROUP | AMERIGROUP | $19.29 | ↓ -42% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $34.71 | ↑ +4% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $38.57 | ↑ +15% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $38.57 | ↑ +15% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $38.57 | ↑ +15% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $38.57 | ↑ +15% |
| AETNA | AETNA HEALTHCARE MEDICARE | $38.57 | ↑ +15% |
| HUMANA | HUMANA MEDICARE | $38.57 | ↑ +15% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $38.57 | ↑ +15% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $38.57 | ↑ +15% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $38.57 | ↑ +15% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $38.57 | ↑ +15% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $38.57 | ↑ +15% |
| SENTARA HEALTH | SENTARA MEDICARE | $38.57 | ↑ +15% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $38.57 | ↑ +15% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $38.57 | ↑ +15% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $39.73 | ↑ +19% |
| BLUE CROSS | BLUE CROSS MEDICARE | $40.11 | ↑ +20% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $40.11 | ↑ +20% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $40.50 | ↑ +21% |
| NHC ADVANTAGE | NHC ADVANTAGE | $40.50 | ↑ +21% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $40.50 | ↑ +21% |
| WELLCARE | WELLCARE MEDICARE | $40.88 | ↑ +22% |
| BLUE CROSS | TENNCARE BLUE SELECT | $44.18 | ↑ +32% |
| BLUE CROSS | TENNCARE BLUE CARE | $48.25 | ↑ +44% |
| SENTARA HEALTH | SENTARA HEALTH | $64.60 | ↑ +93% |
| AMBETTER | AMBETTER | $84.08 | ↑ +151% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $85.17 | ↑ +155% |
| CIGNA HEALTHCARE | CIGNA HMO | $86.52 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $86.52 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA PPO | $107.71 | ↑ +222% |
| AETNA | AETNA | $142.27 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $156.10 | ↑ +367% |
| BLUE CROSS | BLUE CROSS E NETWORK | $157.75 | ↑ +372% |
| BLUE CROSS | BLUE CROSS S NETWORK | $160.84 | ↑ +381% |
| BLUE CROSS | BLUE CROSS P NETWORK | $160.84 | ↑ +381% |
| MEDCOST | MEDCOST VHN | $189.55 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $223.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $223.00 | ↑ +567% |
Visitor-reported prices
Comments
Mayo adalimumab (humira) therapeutic drug level at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $33.45 | $12.72 – $84.08 |
| Ascension Saint Thomas Midtown | Nashville | $233.06 | $13.89 – $82.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $27.83 | $31.33 – $77.14 |
| Ascension Saint Thomas DeKalb | Smithville | $233.06 | $31.33 – $82.50 |
| Ascension Saint Thomas Highlands | Sparta | $233.06 | $31.33 – $82.50 |
| Ascension Saint Thomas River Park | McMinnville | $233.06 | $34.71 – $82.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $233.06 | $31.33 – $82.50 |
| Hancock County Hospital | SNEEDVILLE | $32.66 | $14.21 – $85.17 |