Vasc emb/occ w/prs cath at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$7,261.35
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.
$48,409.00
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.
$948.00 with UNITED HEALTHCARE vs $48,409.00 with SEVEN CORNERS, INC. — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $948.00 | ↓ -87% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,469.00 | ↓ -66% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,521.00 | ↓ -65% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,521.00 | ↓ -65% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $7,181.00 | ↓ -1% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $10,806.00 | ↑ +49% |
| AMERIGROUP | AMERIGROUP | $13,383.08 | ↑ +84% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $14,004.00 | ↑ +93% |
| SENTARA HEALTH | SENTARA HEALTH | $14,024.09 | ↑ +93% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $15,116.94 | ↑ +108% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $15,116.94 | ↑ +108% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $15,721.62 | ↑ +117% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $15,721.62 | ↑ +117% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $16,644.19 | ↑ +129% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $16,644.19 | ↑ +129% |
| AETNA | AETNA HEALTHCARE MEDICARE | $16,644.19 | ↑ +129% |
| HUMANA | HUMANA MEDICARE | $16,644.19 | ↑ +129% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $16,644.19 | ↑ +129% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $16,644.19 | ↑ +129% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $16,644.19 | ↑ +129% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $16,644.19 | ↑ +129% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $16,644.19 | ↑ +129% |
| SENTARA HEALTH | SENTARA MEDICARE | $16,644.19 | ↑ +129% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $16,644.19 | ↑ +129% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $17,143.51 | ↑ +136% |
| BLUE CROSS | BLUE CROSS MEDICARE | $17,309.95 | ↑ +138% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $17,309.95 | ↑ +138% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $17,476.40 | ↑ +141% |
| NHC ADVANTAGE | NHC ADVANTAGE | $17,476.40 | ↑ +141% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $17,476.40 | ↑ +141% |
| WELLCARE | WELLCARE MEDICARE | $17,642.84 | ↑ +143% |
| AETNA | AETNA | $30,884.94 | ↑ +325% |
| AMBETTER | AMBETTER | $36,284.33 | ↑ +400% |
| MEDCOST | MEDCOST VHN | $41,147.65 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $48,409.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $48,409.00 | ↑ +567% |
Visitor-reported prices
Comments
Vasc emb/occ w/prs cath at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $7,261.35 | $13,931.04 – $37,291.16 |
| Indian Path Community Hospital | KINGSPORT | $7,261.35 | $13,302.40 – $39,916.38 |
| Sycamore Shoals Hospital | ELIZABETHTON | $7,261.35 | $14,795.82 – $36,257.38 |
| Parkwest Medical Center | Knoxville | $7,665.00 | $5,365.50 – $22,995.00 |
| Fort Sanders Regional Medical Center | Knoxville | $8,431.50 | $5,365.50 – $22,995.00 |
| Roane County Medical Center | Harriman | not published | $16,631.83 – $17,463.42 |
| Claiborne Medical Center | Tazewell | not published | $17,812.69 – $18,703.32 |
| LeConte Medical Center | Sevierville | not published | $17,812.69 – $18,703.32 |