Mlh1 gene dup/delete variant at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$149.70
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.
$998.00
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.
$101.20 with AMERIGROUP vs $998.00 with WELLCARE — 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 | $101.20 | ↓ -32% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.61 | ↑ +15% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $181.79 | ↑ +21% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $181.79 | ↑ +21% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $189.06 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $189.06 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $202.40 | ↑ +35% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $202.40 | ↑ +35% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $202.40 | ↑ +35% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $202.40 | ↑ +35% |
| AETNA | AETNA HEALTHCARE MEDICARE | $202.40 | ↑ +35% |
| HUMANA | HUMANA MEDICARE | $202.40 | ↑ +35% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $202.40 | ↑ +35% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $202.40 | ↑ +35% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $202.40 | ↑ +35% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $202.40 | ↑ +35% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $202.40 | ↑ +35% |
| SENTARA HEALTH | SENTARA MEDICARE | $202.40 | ↑ +35% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $202.40 | ↑ +35% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $202.40 | ↑ +35% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $208.47 | ↑ +39% |
| BLUE CROSS | BLUE CROSS MEDICARE | $210.50 | ↑ +41% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $210.50 | ↑ +41% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $212.52 | ↑ +42% |
| NHC ADVANTAGE | NHC ADVANTAGE | $212.52 | ↑ +42% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $212.52 | ↑ +42% |
| WELLCARE | WELLCARE MEDICARE | $214.54 | ↑ +43% |
| SENTARA HEALTH | SENTARA HEALTH | $289.12 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $387.22 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $387.22 | ↑ +159% |
| AMBETTER | AMBETTER | $441.23 | ↑ +195% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $446.06 | ↑ +198% |
| CIGNA HEALTHCARE | CIGNA PPO | $482.03 | ↑ +222% |
| BLUE CROSS | TENNCARE BLUE SELECT | $515.50 | ↑ +244% |
| BLUE CROSS | TENNCARE BLUE CARE | $563.02 | ↑ +276% |
| AETNA | AETNA | $636.72 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $698.60 | ↑ +367% |
| BLUE CROSS | BLUE CROSS E NETWORK | $779.88 | ↑ +421% |
| BLUE CROSS | BLUE CROSS P NETWORK | $795.14 | ↑ +431% |
| BLUE CROSS | BLUE CROSS S NETWORK | $795.14 | ↑ +431% |
| MEDCOST | MEDCOST VHN | $848.30 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $998.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $998.00 | ↑ +567% |
Visitor-reported prices
Comments
Mlh1 gene dup/delete variant at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $149.70 | $101.20 – $441.23 |
| Hancock County Hospital | SNEEDVILLE | $146.97 | $95.34 – $446.06 |
| Greeneville Community Hospital | GREENEVILLE | $149.70 | $68.64 – $441.23 |
| Bristol Regional Medical Center | BRISTOL | $149.70 | $101.20 – $485.76 |
| Holston Valley Medical Center | KINGSPORT | $149.70 | $101.20 – $485.76 |
| Indian Path Community Hospital | KINGSPORT | $149.70 | $101.20 – $485.76 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $149.70 | $95.34 – $441.23 |
| Johnson County Community Hospital | MOUNTAIN CITY | $146.97 | $171.61 – $446.06 |