New Patient Office Visit (level 3) at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$39.15
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.
$261.00
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.
$75.61 with SENTARA HEALTH vs $261.00 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $75.61 | ↑ +93% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $77.03 | ↑ +97% |
| BLUE CROSS | TENNCARE BLUE SELECT | $79.51 | ↑ +103% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $85.61 | ↑ +119% |
| BLUE CROSS | TENNCARE BLUE CARE | $86.84 | ↑ +122% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $97.09 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA HMO | $101.27 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $101.27 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $102.05 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $102.05 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $121.10 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $124.24 | ↑ +217% |
| AETNA | AETNA | $166.52 | ↑ +325% |
| BLUE CROSS | BLUE CROSS S NETWORK | $187.92 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $187.92 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $187.92 | ↑ +380% |
| MEDCOST | MEDCOST VHN | $221.85 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $261.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $261.00 | ↑ +567% |
Visitor-reported prices
Comments
New Patient Office Visit (level 3) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $39.15 | $65.41 – $85.61 |
| CHI Memorial Hospital Hixson | Hixson | $155.70 | $83.93 – $368.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $93.38 | $56.39 – $66.34 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $222.50 | $83.93 – $368.20 |
| Hancock County Hospital | SNEEDVILLE | $38.64 | $47.56 – $65.41 |
| Greeneville Community Hospital | GREENEVILLE | $39.15 | $34.24 – $65.41 |
| Bristol Regional Medical Center | BRISTOL | $39.15 | $57.07 – $65.41 |
| Holston Valley Medical Center | KINGSPORT | $39.15 | $57.07 – $65.41 |