Pet image w/ct lmtd at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$1,405.50
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.
$9,370.00
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.
$933.26 with UNITED HEALTHCARE vs $9,370.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $933.26 | ↓ -34% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,066.40 | ↓ -24% |
| AMERIGROUP | AMERIGROUP | $1,148.24 | ↓ -18% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,164.72 | ↓ -17% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,298.32 | ↓ -8% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,298.32 | ↓ -8% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $1,298.32 | ↓ -8% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,298.32 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,298.32 | ↓ -8% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,298.32 | ↓ -8% |
| HUMANA | HUMANA MEDICARE | $1,298.32 | ↓ -8% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,298.32 | ↓ -8% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,298.32 | ↓ -8% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,298.32 | ↓ -8% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,298.32 | ↓ -8% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,337.27 | ↓ -5% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,346.49 | ↓ -4% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,350.25 | ↓ -4% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,350.25 | ↓ -4% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,363.24 | ↓ -3% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,363.24 | ↓ -3% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,363.24 | ↓ -3% |
| WELLCARE | WELLCARE MEDICARE | $1,376.22 | ↓ -2% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,814.00 | ↑ +29% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,921.25 | ↑ +37% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,921.25 | ↑ +37% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,998.10 | ↑ +42% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,998.10 | ↑ +42% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,170.00 | ↑ +54% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,170.00 | ↑ +54% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,170.00 | ↑ +54% |
| SENTARA HEALTH | SENTARA HEALTH | $2,714.49 | ↑ +93% |
| AMBETTER | AMBETTER | $2,830.34 | ↑ +101% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4,660.49 | ↑ +232% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,752.27 | ↑ +238% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,752.27 | ↑ +238% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5,915.00 | ↑ +321% |
| AETNA | AETNA | $5,978.06 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $6,751.00 | ↑ +380% |
| MEDCOST | MEDCOST VHN | $7,964.50 | ↑ +467% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $8,749.00 | ↑ +522% |
| WELLCARE | WELLCARE MEDICAID | $9,370.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $9,370.00 | ↑ +567% |
Visitor-reported prices
Comments
Pet image w/ct lmtd at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $1,405.50 | $877.32 – $2,908.87 |
| Greeneville Community Hospital | GREENEVILLE | $1,405.50 | $373.30 – $2,908.87 |
| Bristol Regional Medical Center | BRISTOL | $1,405.50 | $622.17 – $3,255.65 |
| Holston Valley Medical Center | KINGSPORT | $1,405.50 | $622.17 – $3,255.65 |
| Indian Path Community Hospital | KINGSPORT | $1,405.50 | $877.32 – $3,113.65 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,405.50 | $518.48 – $2,828.23 |
| Sycamore Shoals Hospital | ELIZABETHTON | $1,405.50 | $877.32 – $2,828.23 |
| Parkwest Medical Center | Knoxville | $1,609.20 | $616.17 – $3,228.00 |