Ureteral reflux study at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$182.70
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.
$1,218.00
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.
$84.66 with BLUE CROSS vs $1,218.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $84.66 | ↓ -54% |
| BLUE CROSS | TENNCARE BLUE CARE | $92.46 | ↓ -49% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $132.02 | ↓ -28% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $286.79 | ↑ +57% |
| AMERIGROUP | AMERIGROUP | $291.91 | ↑ +60% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $345.38 | ↑ +89% |
| SENTARA HEALTH | SENTARA HEALTH | $352.85 | ↑ +93% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $362.97 | ↑ +99% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $362.97 | ↑ +99% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $362.97 | ↑ +99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $362.97 | ↑ +99% |
| SENTARA HEALTH | SENTARA MEDICARE | $362.97 | ↑ +99% |
| AETNA | AETNA HEALTHCARE MEDICARE | $362.97 | ↑ +99% |
| HUMANA | HUMANA MEDICARE | $362.97 | ↑ +99% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $362.97 | ↑ +99% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $362.97 | ↑ +99% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $362.97 | ↑ +99% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $362.97 | ↑ +99% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $373.86 | ↑ +105% |
| BLUE CROSS | BLUE CROSS MEDICARE | $377.49 | ↑ +107% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $377.49 | ↑ +107% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $381.12 | ↑ +109% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $381.12 | ↑ +109% |
| NHC ADVANTAGE | NHC ADVANTAGE | $381.12 | ↑ +109% |
| WELLCARE | WELLCARE MEDICARE | $384.75 | ↑ +111% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $508.23 | ↑ +178% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $508.23 | ↑ +178% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $528.56 | ↑ +189% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $528.56 | ↑ +189% |
| CIGNA HEALTHCARE | CIGNA HMO | $573.97 | ↑ +214% |
| CIGNA HEALTHCARE | CIGNA PPO | $573.97 | ↑ +214% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $573.97 | ↑ +214% |
| AETNA | AETNA | $777.08 | ↑ +325% |
| AMBETTER | AMBETTER | $791.28 | ↑ +333% |
| BLUE CROSS | BLUE CROSS E NETWORK | $803.77 | ↑ +340% |
| BLUE CROSS | BLUE CROSS S NETWORK | $819.60 | ↑ +349% |
| BLUE CROSS | BLUE CROSS P NETWORK | $819.60 | ↑ +349% |
| MEDCOST | MEDCOST VHN | $1,035.30 | ↑ +467% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,218.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,218.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,218.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,218.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,218.00 | ↑ +567% |
Visitor-reported prices
Comments
Ureteral reflux study at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $182.70 | $69.65 – $813.24 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $632.48 | $60.04 – $589.01 |
| Hancock County Hospital | SNEEDVILLE | $179.17 | $69.65 – $533.64 |
| Greeneville Community Hospital | GREENEVILLE | $182.70 | $69.65 – $813.24 |
| Bristol Regional Medical Center | BRISTOL | $182.70 | $69.65 – $910.18 |
| Holston Valley Medical Center | KINGSPORT | $182.70 | $69.65 – $910.18 |
| Indian Path Community Hospital | KINGSPORT | $182.70 | $69.65 – $870.49 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $182.70 | $69.65 – $790.69 |