Neurolysis celiac plexus at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$528.15
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.
$3,521.00
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.
$561.52 with AMERIGROUP vs $3,521.00 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 | $561.52 | ↑ +6% |
| BLUE CROSS | TENNCARE BLUE SELECT | $701.00 | ↑ +33% |
| BLUE CROSS | TENNCARE BLUE CARE | $762.00 | ↑ +44% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $803.06 | ↑ +52% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $803.06 | ↑ +52% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $803.06 | ↑ +52% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $803.06 | ↑ +52% |
| SENTARA HEALTH | SENTARA MEDICARE | $803.06 | ↑ +52% |
| AETNA | AETNA HEALTHCARE MEDICARE | $803.06 | ↑ +52% |
| HUMANA | HUMANA MEDICARE | $803.06 | ↑ +52% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $803.06 | ↑ +52% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $803.06 | ↑ +52% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $803.06 | ↑ +52% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $803.06 | ↑ +52% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $827.15 | ↑ +57% |
| BLUE CROSS | BLUE CROSS MEDICARE | $835.18 | ↑ +58% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $835.18 | ↑ +58% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $843.21 | ↑ +60% |
| NHC ADVANTAGE | NHC ADVANTAGE | $843.21 | ↑ +60% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $843.21 | ↑ +60% |
| WELLCARE | WELLCARE MEDICARE | $851.24 | ↑ +61% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $879.00 | ↑ +66% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $948.00 | ↑ +79% |
| SENTARA HEALTH | SENTARA HEALTH | $1,020.03 | ↑ +93% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,054.00 | ↑ +100% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,204.00 | ↑ +128% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,560.00 | ↑ +195% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,695.00 | ↑ +221% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,695.00 | ↑ +221% |
| AMBETTER | AMBETTER | $1,750.66 | ↑ +231% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,770.00 | ↑ +235% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,807.00 | ↑ +242% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,807.00 | ↑ +242% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,882.00 | ↑ +256% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,956.00 | ↑ +270% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,020.47 | ↑ +283% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,020.47 | ↑ +283% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,101.29 | ↑ +298% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,101.29 | ↑ +298% |
| AETNA | AETNA | $2,246.40 | ↑ +325% |
| MEDCOST | MEDCOST VHN | $2,992.85 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $3,521.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,521.00 | ↑ +567% |
Visitor-reported prices
Comments
Neurolysis celiac plexus at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $528.15 | $638.50 – $1,861.97 |
| Ascension Saint Thomas Midtown | Nashville | $1,402.59 | $767.37 – $1,534.53 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,076.61 | $767.37 – $1,636.56 |
| Greeneville Community Hospital | GREENEVILLE | $528.15 | $570.97 – $2,020.47 |
| Bristol Regional Medical Center | BRISTOL | $528.15 | $839.06 – $2,013.74 |
| Holston Valley Medical Center | KINGSPORT | $528.15 | $839.06 – $2,013.74 |
| 62-0123940 BMH Collierville | Collierville | $501.06 | $774.48 – $1,630.48 |
| Indian Path Community Hospital | KINGSPORT | $528.15 | $620.80 – $1,925.90 |