Suscept studies macrobroth dilution ea at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$7.20
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.
$48.00
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.
$3.32 with AMERIGROUP vs $48.00 with WELLCARE — 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 | $3.32 | ↓ -54% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $6.64 | ↓ -8% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $6.64 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $6.64 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $6.64 | ↓ -8% |
| AETNA | AETNA HEALTHCARE MEDICARE | $6.64 | ↓ -8% |
| HUMANA | HUMANA MEDICARE | $6.64 | ↓ -8% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $6.64 | ↓ -8% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $6.64 | ↓ -8% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $6.64 | ↓ -8% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6.64 | ↓ -8% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $6.64 | ↓ -8% |
| SENTARA HEALTH | SENTARA MEDICARE | $6.64 | ↓ -8% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $6.64 | ↓ -8% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $6.64 | ↓ -8% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $6.84 | ↓ -5% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $6.91 | ↓ -4% |
| BLUE CROSS | BLUE CROSS MEDICARE | $6.91 | ↓ -4% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $6.97 | ↓ -3% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $6.97 | ↓ -3% |
| NHC ADVANTAGE | NHC ADVANTAGE | $6.97 | ↓ -3% |
| WELLCARE | WELLCARE MEDICARE | $7.04 | ↓ -2% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $8.46 | ↑ +18% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $11.21 | ↑ +56% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $11.21 | ↑ +56% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $11.66 | ↑ +62% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $11.66 | ↑ +62% |
| SENTARA HEALTH | SENTARA HEALTH | $13.91 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $14.44 | ↑ +101% |
| AMBETTER | AMBETTER | $14.48 | ↑ +101% |
| BLUE CROSS | TENNCARE BLUE SELECT | $18.36 | ↑ +155% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $19.27 | ↑ +168% |
| BLUE CROSS | TENNCARE BLUE CARE | $20.05 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $26.53 | ↑ +268% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $26.53 | ↑ +268% |
| CIGNA HEALTHCARE | CIGNA HMO | $26.53 | ↑ +268% |
| AETNA | AETNA | $30.62 | ↑ +325% |
| BLUE CROSS | BLUE CROSS E NETWORK | $37.06 | ↑ +415% |
| BLUE CROSS | BLUE CROSS S NETWORK | $37.78 | ↑ +425% |
| BLUE CROSS | BLUE CROSS P NETWORK | $37.78 | ↑ +425% |
| MEDCOST | MEDCOST VHN | $40.80 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $48.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $48.00 | ↑ +567% |
Visitor-reported prices
Comments
Suscept studies macrobroth dilution ea at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $7.20 | $3.32 – $14.48 |
| Ascension Saint Thomas Midtown | Nashville | $67.58 | $2.39 – $25.96 |
| CHI Memorial Hospital Hixson | Hixson | $8.00 | $5.90 – $18.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $4.83 | $5.78 – $13.28 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $11.43 | $5.67 – $18.90 |
| Ascension Saint Thomas DeKalb | Smithville | $67.58 | $4.65 – $25.96 |
| Ascension Saint Thomas Highlands | Sparta | $67.58 | $4.65 – $25.96 |
| Ascension Saint Thomas River Park | McMinnville | $67.58 | $4.65 – $25.96 |