Mitochondrial gene at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$4,265.70
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.
$28,438.00
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.
$1,662.00 with AMERIGROUP vs $28,438.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $1,662.00 | ↓ -61% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,664.57 | ↓ -38% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,664.57 | ↓ -38% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,771.15 | ↓ -35% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,771.15 | ↓ -35% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,991.60 | ↓ -30% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,324.00 | ↓ -22% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,324.00 | ↓ -22% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,324.00 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,324.00 | ↓ -22% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,324.00 | ↓ -22% |
| HUMANA | HUMANA MEDICARE | $3,324.00 | ↓ -22% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,324.00 | ↓ -22% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,324.00 | ↓ -22% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,324.00 | ↓ -22% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,324.00 | ↓ -22% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,324.00 | ↓ -22% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,324.00 | ↓ -22% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,324.00 | ↓ -22% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $3,324.00 | ↓ -22% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,423.72 | ↓ -20% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,456.96 | ↓ -19% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,456.96 | ↓ -19% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,490.20 | ↓ -18% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,490.20 | ↓ -18% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,490.20 | ↓ -18% |
| WELLCARE | WELLCARE MEDICARE | $3,523.44 | ↓ -17% |
| BLUE CROSS | TENNCARE BLUE SELECT | $3,807.79 | ↓ -11% |
| BLUE CROSS | TENNCARE BLUE CARE | $4,158.86 | ↓ -3% |
| AMBETTER | AMBETTER | $7,246.32 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $7,326.78 | ↑ +72% |
| SENTARA HEALTH | SENTARA HEALTH | $8,238.49 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA HMO | $11,033.94 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $11,033.94 | ↑ +159% |
| BLUE CROSS | BLUE CROSS E NETWORK | $13,595.16 | ↑ +219% |
| CIGNA HEALTHCARE | CIGNA PPO | $13,735.55 | ↑ +222% |
| BLUE CROSS | BLUE CROSS S NETWORK | $13,861.08 | ↑ +225% |
| BLUE CROSS | BLUE CROSS P NETWORK | $13,861.08 | ↑ +225% |
| AETNA | AETNA | $18,143.44 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $19,906.60 | ↑ +367% |
| MEDCOST | MEDCOST VHN | $24,172.30 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $28,438.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $28,438.00 | ↑ +567% |
Visitor-reported prices
Comments
Mitochondrial gene at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $4,265.70 | $1,662.00 – $7,246.32 |
| Hancock County Hospital | SNEEDVILLE | $4,186.00 | $1,662.00 – $7,326.78 |
| Greeneville Community Hospital | GREENEVILLE | $4,265.70 | $1,196.64 – $7,246.32 |
| Bristol Regional Medical Center | BRISTOL | $4,265.70 | $1,662.00 – $7,977.60 |
| Holston Valley Medical Center | KINGSPORT | $4,265.70 | $1,662.00 – $7,977.60 |
| Indian Path Community Hospital | KINGSPORT | $4,265.70 | $1,662.00 – $7,977.60 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $4,265.70 | $1,662.00 – $7,246.32 |
| Johnson County Community Hospital | MOUNTAIN CITY | $4,186.00 | $2,664.57 – $7,326.78 |