Pr removal drug delivery implant at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$128.40
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.
$856.00
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.
$118.58 with UNITED HEALTHCARE vs $884.21 with AMBETTER — 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 | $118.58 | ↓ -8% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $147.14 | ↑ +15% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $240.27 | ↑ +87% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $240.27 | ↑ +87% |
| SENTARA HEALTH | SENTARA HEALTH | $247.98 | ↑ +93% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $249.88 | ↑ +95% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $249.88 | ↑ +95% |
| AMERIGROUP | AMERIGROUP | $275.68 | ↑ +115% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $318.43 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA HMO | $332.13 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $332.13 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $334.70 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $334.70 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $397.18 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $405.60 | ↑ +216% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $405.60 | ↑ +216% |
| HUMANA | HUMANA MEDICARE | $405.60 | ↑ +216% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $405.60 | ↑ +216% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $405.60 | ↑ +216% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $405.60 | ↑ +216% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $405.60 | ↑ +216% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $405.60 | ↑ +216% |
| SENTARA HEALTH | SENTARA MEDICARE | $405.60 | ↑ +216% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $405.60 | ↑ +216% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $405.60 | ↑ +216% |
| CIGNA HEALTHCARE | CIGNA PPO | $407.46 | ↑ +217% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $417.77 | ↑ +225% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $421.83 | ↑ +229% |
| BLUE CROSS | BLUE CROSS MEDICARE | $421.83 | ↑ +229% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $425.88 | ↑ +232% |
| NHC ADVANTAGE | NHC ADVANTAGE | $425.88 | ↑ +232% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $425.88 | ↑ +232% |
| WELLCARE | WELLCARE MEDICARE | $429.94 | ↑ +235% |
| AETNA | AETNA | $546.13 | ↑ +325% |
| BLUE CROSS | BLUE CROSS S NETWORK | $616.32 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $616.32 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $616.32 | ↑ +380% |
| MEDCOST | MEDCOST VHN | $727.60 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $856.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $856.00 | ↑ +567% |
| AMBETTER | AMBETTER | $884.21 | ↑ +589% |
Visitor-reported prices
Comments
Pr removal drug delivery implant at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $128.40 | $118.58 – $908.75 |
| 62-1166050 BMH Carroll County | Huntingdon | $96.83 | $317.00 – $728.74 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $125.01 | $45.00 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $126.04 | $65.88 – $464.21 |
| Greeneville Community Hospital | GREENEVILLE | $128.40 | $47.43 – $908.75 |
| Bristol Regional Medical Center | BRISTOL | $128.40 | $79.05 – $923.85 |
| Holston Valley Medical Center | KINGSPORT | $128.40 | $79.05 – $923.85 |
| 62-0123940 BMH Collierville | Collierville | $97.86 | $347.13 – $730.80 |