Mr sfty implt&/fb asmt stf 1 at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$11.10
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.
$74.00
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.
$10.81 with BLUE CROSS vs $74.00 with UNITED HEALTHCARE — 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 | TENNCARE BLUE SELECT | $10.81 | ↓ -3% |
| BLUE CROSS | TENNCARE BLUE CARE | $11.81 | ↑ +6% |
| AMERIGROUP | AMERIGROUP | $14.59 | ↑ +31% |
| SENTARA HEALTH | SENTARA HEALTH | $21.44 | ↑ +93% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $22.04 | ↑ +99% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $26.26 | ↑ +137% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $26.26 | ↑ +137% |
| AETNA | AETNA HEALTHCARE MEDICARE | $26.26 | ↑ +137% |
| HUMANA | HUMANA MEDICARE | $26.26 | ↑ +137% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $26.26 | ↑ +137% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $26.26 | ↑ +137% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $26.26 | ↑ +137% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $26.26 | ↑ +137% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $26.26 | ↑ +137% |
| SENTARA HEALTH | SENTARA MEDICARE | $26.26 | ↑ +137% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $26.26 | ↑ +137% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $27.05 | ↑ +144% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $27.31 | ↑ +146% |
| BLUE CROSS | BLUE CROSS MEDICARE | $27.31 | ↑ +146% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $27.57 | ↑ +148% |
| NHC ADVANTAGE | NHC ADVANTAGE | $27.57 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $27.57 | ↑ +148% |
| WELLCARE | WELLCARE MEDICARE | $27.84 | ↑ +151% |
| AETNA | AETNA | $47.21 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $51.80 | ↑ +367% |
| AMBETTER | AMBETTER | $57.25 | ↑ +416% |
| MEDCOST | MEDCOST VHN | $62.90 | ↑ +467% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $74.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $74.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $74.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA PPO | $74.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $74.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $74.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $74.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $74.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $74.00 | ↑ +567% |
Visitor-reported prices
Comments
Mr sfty implt&/fb asmt stf 1 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $11.10 | $8.90 – $58.84 |
| Ascension Saint Thomas Midtown | Nashville | $21.11 | $11.15 – $32.83 |
| Ascension Saint Thomas DeKalb | Smithville | $19.61 | $16.92 – $32.37 |
| Ascension Saint Thomas Highlands | Sparta | $21.11 | $16.92 – $32.37 |
| Ascension Saint Thomas River Park | McMinnville | $21.11 | $16.92 – $32.37 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $21.11 | $16.07 – $32.83 |
| Hancock County Hospital | SNEEDVILLE | $10.81 | $8.90 – $47.00 |
| Greeneville Community Hospital | GREENEVILLE | $11.10 | $8.82 – $58.84 |