Revasc lithotrip tibi/perone at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$4,766.55
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.
?
What you pay up front if you don't use insurance.
$31,777.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$948.00 with UNITED HEALTHCARE vs $31,777.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | UHC HERITAGE SELECT | $948.00 | ↓ -80% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $7,181.00 | ↑ +51% |
| AMERIGROUP | AMERIGROUP | $8,780.21 | ↑ +84% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $9,042.39 | ↑ +90% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $9,042.39 | ↑ +90% |
| SENTARA HEALTH | SENTARA HEALTH | $9,205.80 | ↑ +93% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $9,404.09 | ↑ +97% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $9,404.09 | ↑ +97% |
| BLUE CROSS | BLUE CROSS E NETWORK | $10,051.00 | ↑ +111% |
| BLUE CROSS | BLUE CROSS S NETWORK | $10,263.00 | ↑ +115% |
| BLUE CROSS | BLUE CROSS P NETWORK | $10,263.00 | ↑ +115% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $10,481.53 | ↑ +120% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $10,481.53 | ↑ +120% |
| AETNA | AETNA HEALTHCARE MEDICARE | $10,481.53 | ↑ +120% |
| HUMANA | HUMANA MEDICARE | $10,481.53 | ↑ +120% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $10,481.53 | ↑ +120% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $10,481.53 | ↑ +120% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $10,481.53 | ↑ +120% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $10,481.53 | ↑ +120% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $10,481.53 | ↑ +120% |
| SENTARA HEALTH | SENTARA MEDICARE | $10,481.53 | ↑ +120% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $10,481.53 | ↑ +120% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $10,795.98 | ↑ +126% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $10,806.00 | ↑ +127% |
| BLUE CROSS | BLUE CROSS MEDICARE | $10,900.79 | ↑ +129% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $10,900.79 | ↑ +129% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $11,005.61 | ↑ +131% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $11,005.61 | ↑ +131% |
| NHC ADVANTAGE | NHC ADVANTAGE | $11,005.61 | ↑ +131% |
| WELLCARE | WELLCARE MEDICARE | $11,110.42 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $12,329.48 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $12,329.48 | ↑ +159% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $14,004.00 | ↑ +194% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $14,744.53 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $15,348.29 | ↑ +222% |
| AETNA | AETNA | $20,273.73 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $22,243.90 | ↑ +367% |
| AMBETTER | AMBETTER | $22,849.74 | ↑ +379% |
| MEDCOST | MEDCOST VHN | $27,010.45 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $31,777.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $31,777.00 | ↑ +567% |
Visitor-reported prices
Comments
Revasc lithotrip tibi/perone at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $4,766.55 | $8,333.03 – $23,483.78 |
| CHI Memorial Hospital Hixson | Hixson | $11,280.56 | $7,622.00 – $26,677.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $16,120.53 | $8,003.10 – $26,677.00 |
| Hancock County Hospital | SNEEDVILLE | $4,677.51 | $9,313.66 – $14,784.70 |
| Greeneville Community Hospital | GREENEVILLE | $4,766.55 | $8,927.85 – $23,483.78 |
| Bristol Regional Medical Center | BRISTOL | $4,766.55 | $8,471.58 – $26,283.39 |
| Holston Valley Medical Center | KINGSPORT | $4,766.55 | $8,224.84 – $26,283.39 |
| 62-0123940 BMH Collierville | Collierville | $6,286.98 | $9,865.33 – $20,769.12 |