Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$49.05
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.
$327.00
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.
$12.89 with BLUE CROSS vs $337.22 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $12.89 | ↓ -74% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $42.36 | ↓ -14% |
| AMERIGROUP | AMERIGROUP | $57.40 | ↑ +17% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $65.38 | ↑ +33% |
| CIGNA HEALTHCARE | CIGNA PPO | $65.38 | ↑ +33% |
| CIGNA HEALTHCARE | CIGNA HMO | $65.38 | ↑ +33% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $72.90 | ↑ +49% |
| BLUE CROSS | BLUE CROSS E NETWORK | $90.80 | ↑ +85% |
| BLUE CROSS | BLUE CROSS S NETWORK | $92.57 | ↑ +89% |
| BLUE CROSS | BLUE CROSS P NETWORK | $92.57 | ↑ +89% |
| SENTARA HEALTH | SENTARA HEALTH | $94.73 | ↑ +93% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $118.38 | ↑ +141% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $118.38 | ↑ +141% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $123.11 | ↑ +151% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $123.12 | ↑ +151% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $143.50 | ↑ +193% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $143.50 | ↑ +193% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $143.50 | ↑ +193% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $154.69 | ↑ +215% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $154.69 | ↑ +215% |
| AETNA | AETNA HEALTHCARE MEDICARE | $154.69 | ↑ +215% |
| HUMANA | HUMANA MEDICARE | $154.69 | ↑ +215% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $154.69 | ↑ +215% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $154.69 | ↑ +215% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $154.69 | ↑ +215% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $154.69 | ↑ +215% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $154.69 | ↑ +215% |
| SENTARA HEALTH | SENTARA MEDICARE | $154.69 | ↑ +215% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $154.69 | ↑ +215% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $159.33 | ↑ +225% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $160.87 | ↑ +228% |
| BLUE CROSS | BLUE CROSS MEDICARE | $160.87 | ↑ +228% |
| NHC ADVANTAGE | NHC ADVANTAGE | $162.42 | ↑ +231% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $162.42 | ↑ +231% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $162.42 | ↑ +231% |
| WELLCARE | WELLCARE MEDICARE | $163.97 | ↑ +234% |
| AETNA | AETNA | $208.63 | ↑ +325% |
| MEDCOST | MEDCOST VHN | $277.95 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $327.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $327.00 | ↑ +567% |
| AMBETTER | AMBETTER | $337.22 | ↑ +588% |
Visitor-reported prices
Comments
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $49.05 | $12.89 – $346.58 |
| Greeneville Community Hospital | GREENEVILLE | $49.05 | $12.89 – $346.58 |
| Bristol Regional Medical Center | BRISTOL | $49.05 | $12.89 – $352.34 |
| Holston Valley Medical Center | KINGSPORT | $49.05 | $12.89 – $352.34 |
| 62-0123940 BMH Collierville | Collierville | $47.25 | $34.85 – $313.82 |
| Indian Path Community Hospital | KINGSPORT | $49.05 | $12.89 – $336.97 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $49.05 | $12.89 – $336.97 |
| Johnson County Community Hospital | MOUNTAIN CITY | $47.84 | $12.89 – $123.12 |