Mitomycin 40 mg intravenous solution at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$704.73
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.
$4,698.22
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.
$15.75 with UNITED HEALTHCARE vs $4,698.07 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $15.75 | ↓ -98% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $26.10 | ↓ -96% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $26.10 | ↓ -96% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $26.10 | ↓ -96% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $26.10 | ↓ -96% |
| SENTARA HEALTH | SENTARA MEDICARE | $26.10 | ↓ -96% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $26.10 | ↓ -96% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $26.10 | ↓ -96% |
| HUMANA | HUMANA MEDICARE | $26.10 | ↓ -96% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $26.10 | ↓ -96% |
| AETNA | AETNA HEALTHCARE MEDICARE | $26.10 | ↓ -96% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $26.10 | ↓ -96% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $26.89 | ↓ -96% |
| BLUE CROSS | BLUE CROSS MEDICARE | $27.15 | ↓ -96% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $27.15 | ↓ -96% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $27.41 | ↓ -96% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $27.41 | ↓ -96% |
| NHC ADVANTAGE | NHC ADVANTAGE | $27.41 | ↓ -96% |
| WELLCARE | WELLCARE MEDICARE | $27.67 | ↓ -96% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $35.82 | ↓ -95% |
| CIGNA HEALTHCARE | CIGNA HMO | $47.62 | ↓ -93% |
| CIGNA HEALTHCARE | CIGNA PPO | $47.62 | ↓ -93% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $47.62 | ↓ -93% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $54.16 | ↓ -92% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $54.16 | ↓ -92% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $54.16 | ↓ -92% |
| AMBETTER | AMBETTER | $56.91 | ↓ -92% |
| BLUE CROSS | BLUE CROSS E NETWORK | $63.75 | ↓ -91% |
| BLUE CROSS | BLUE CROSS P NETWORK | $65.16 | ↓ -91% |
| BLUE CROSS | BLUE CROSS S NETWORK | $65.16 | ↓ -91% |
| AMERIGROUP | AMERIGROUP | $126.19 | ↓ -82% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $146.55 | ↓ -79% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $162.64 | ↓ -77% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $162.64 | ↓ -77% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $169.14 | ↓ -76% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $169.15 | ↓ -76% |
| BLUE CROSS | TENNCARE BLUE SELECT | $232.07 | ↓ -67% |
| BLUE CROSS | TENNCARE BLUE CARE | $253.47 | ↓ -64% |
| SENTARA HEALTH | SENTARA HEALTH | $1,361.03 | ↑ +93% |
| AETNA | AETNA | $2,997.37 | ↑ +325% |
| MEDCOST | MEDCOST VHN | $3,993.36 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $4,698.07 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,698.07 | ↑ +567% |
Visitor-reported prices
Comments
Mitomycin 40 mg intravenous solution at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $316.94 | $43.31 – $164.59 |
| CHI Memorial Hospital Hixson | Hixson | $827.26 | $27.90 – $527.47 |
| 62-1166050 BMH Carroll County | Huntingdon | $807.60 | $32.40 – $92.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,182.20 | $27.90 – $527.47 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $316.94 | $43.31 – $164.59 |
| Greeneville Community Hospital | GREENEVILLE | $1,404.41 | $6.30 – $162.64 |
| Bristol Regional Medical Center | BRISTOL | $1,404.45 | $10.50 – $152.52 |
| 62-0123940 BMH Collierville | Collierville | $737.37 | $32.40 – $92.70 |