Pt application of modality >=1 area electrical stimulation each 15 minutes at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$18.45
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.
$123.00
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.
$13.15 with AMERIGROUP vs $123.00 with UNITED HEALTHCARE — 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 | $13.15 | ↓ -29% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $13.99 | ↓ -24% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $13.99 | ↓ -24% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $13.99 | ↓ -24% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $13.99 | ↓ -24% |
| SENTARA HEALTH | SENTARA MEDICARE | $13.99 | ↓ -24% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $13.99 | ↓ -24% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $13.99 | ↓ -24% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $13.99 | ↓ -24% |
| AETNA | AETNA HEALTHCARE MEDICARE | $13.99 | ↓ -24% |
| HUMANA | HUMANA MEDICARE | $13.99 | ↓ -24% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $13.99 | ↓ -24% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $14.41 | ↓ -22% |
| BLUE CROSS | BLUE CROSS MEDICARE | $14.55 | ↓ -21% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $14.55 | ↓ -21% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $14.69 | ↓ -20% |
| NHC ADVANTAGE | NHC ADVANTAGE | $14.69 | ↓ -20% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $14.69 | ↓ -20% |
| WELLCARE | WELLCARE MEDICARE | $14.83 | ↓ -20% |
| BLUE CROSS | TENNCARE BLUE SELECT | $17.78 | ↓ -4% |
| BLUE CROSS | TENNCARE BLUE CARE | $19.42 | ↑ +5% |
| AMBETTER | AMBETTER | $30.50 | ↑ +65% |
| SENTARA HEALTH | SENTARA HEALTH | $35.63 | ↑ +93% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $38.57 | ↑ +109% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $38.57 | ↑ +109% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $40.11 | ↑ +117% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $40.11 | ↑ +117% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $46.00 | ↑ +149% |
| CIGNA HEALTHCARE | CIGNA HMO | $47.72 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $47.72 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $57.07 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $59.41 | ↑ +222% |
| AETNA | AETNA | $78.47 | ↑ +325% |
| BLUE CROSS | BLUE CROSS E NETWORK | $85.85 | ↑ +365% |
| BLUE CROSS | BLUE CROSS S NETWORK | $85.85 | ↑ +365% |
| BLUE CROSS | BLUE CROSS P NETWORK | $85.85 | ↑ +365% |
| MEDCOST | MEDCOST VHN | $104.55 | ↑ +467% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $116.00 | ↑ +529% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $123.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $123.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $123.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $123.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $123.00 | ↑ +567% |
Visitor-reported prices
Comments
Pt application of modality >=1 area electrical stimulation each 15 minutes at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $18.45 | $13.99 – $35.54 |
| Ascension Saint Thomas Midtown | Nashville | $42.15 | $12.13 – $41.75 |
| CHI Memorial Hospital Hixson | Hixson | $47.96 | $18.77 – $189.52 |
| 62-1166050 BMH Carroll County | Huntingdon | $46.00 | $9.50 – $12.61 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $68.53 | $18.77 – $189.52 |
| Ascension Saint Thomas DeKalb | Smithville | $60.20 | $12.13 – $41.75 |
| Ascension Saint Thomas Highlands | Sparta | $60.20 | $12.13 – $41.75 |
| Ascension Saint Thomas River Park | McMinnville | $60.20 | $12.13 – $41.75 |