Mopath procedure level 9 at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$1,296.75
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.
$8,645.00
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.
$1,000.00 with AMERIGROUP vs $8,645.00 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 | $1,000.00 | ↓ -23% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,800.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,000.00 | ↑ +54% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,000.00 | ↑ +54% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,000.00 | ↑ +54% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,000.00 | ↑ +54% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,000.00 | ↑ +54% |
| HUMANA | HUMANA MEDICARE | $2,000.00 | ↑ +54% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,000.00 | ↑ +54% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,000.00 | ↑ +54% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,000.00 | ↑ +54% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,000.00 | ↑ +54% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,000.00 | ↑ +54% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,000.00 | ↑ +54% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,000.00 | ↑ +54% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $2,000.00 | ↑ +54% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,060.00 | ↑ +59% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,080.00 | ↑ +60% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,080.00 | ↑ +60% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,100.00 | ↑ +62% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,100.00 | ↑ +62% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,100.00 | ↑ +62% |
| WELLCARE | WELLCARE MEDICARE | $2,120.00 | ↑ +63% |
| SENTARA HEALTH | SENTARA HEALTH | $2,504.46 | ↑ +93% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,664.57 | ↑ +105% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,664.57 | ↑ +105% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,771.15 | ↑ +114% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,771.15 | ↑ +114% |
| BLUE CROSS | TENNCARE BLUE SELECT | $3,322.07 | ↑ +156% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $3,354.26 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $3,354.26 | ↑ +159% |
| BLUE CROSS | TENNCARE BLUE CARE | $3,628.36 | ↑ +180% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,175.54 | ↑ +222% |
| AMBETTER | AMBETTER | $4,360.00 | ↑ +236% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $4,408.63 | ↑ +240% |
| AETNA | AETNA | $5,515.51 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $6,051.50 | ↑ +367% |
| BLUE CROSS | BLUE CROSS E NETWORK | $6,748.50 | ↑ +420% |
| BLUE CROSS | BLUE CROSS P NETWORK | $6,880.50 | ↑ +431% |
| BLUE CROSS | BLUE CROSS S NETWORK | $6,880.50 | ↑ +431% |
| MEDCOST | MEDCOST VHN | $7,348.25 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $8,645.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $8,645.00 | ↑ +567% |
Visitor-reported prices
Comments
Mopath procedure level 9 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $1,296.75 | $1,000.00 – $4,360.00 |
| CHI Memorial Hospital Hixson | Hixson | $2,439.04 | $1,305.50 – $5,768.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,485.52 | $1,305.50 – $5,768.00 |
| Hancock County Hospital | SNEEDVILLE | $1,272.59 | $1,000.00 – $4,408.63 |
| Greeneville Community Hospital | GREENEVILLE | $1,296.75 | $720.00 – $4,360.00 |
| Bristol Regional Medical Center | BRISTOL | $1,296.75 | $1,000.00 – $4,800.00 |
| Holston Valley Medical Center | KINGSPORT | $1,296.75 | $1,000.00 – $4,800.00 |
| 62-0123940 BMH Collierville | Collierville | $1,021.86 | $1,900.00 – $4,000.00 |