Warde lipoprotein-associated phospholipase a2 at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$59.40
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.
$396.00
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.
$23.16 with AMERIGROUP vs $396.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $23.16 | ↓ -61% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $31.87 | ↓ -46% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $31.87 | ↓ -46% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $33.14 | ↓ -44% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $33.15 | ↓ -44% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $43.27 | ↓ -27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $46.31 | ↓ -22% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $46.31 | ↓ -22% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $46.31 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $46.31 | ↓ -22% |
| AETNA | AETNA HEALTHCARE MEDICARE | $46.31 | ↓ -22% |
| HUMANA | HUMANA MEDICARE | $46.31 | ↓ -22% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $46.31 | ↓ -22% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $46.31 | ↓ -22% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $46.31 | ↓ -22% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $46.31 | ↓ -22% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $46.31 | ↓ -22% |
| SENTARA HEALTH | SENTARA MEDICARE | $46.31 | ↓ -22% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $46.31 | ↓ -22% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $46.31 | ↓ -22% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $47.43 | ↓ -20% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $47.70 | ↓ -20% |
| BLUE CROSS | BLUE CROSS MEDICARE | $48.16 | ↓ -19% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $48.16 | ↓ -19% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $48.63 | ↓ -18% |
| NHC ADVANTAGE | NHC ADVANTAGE | $48.63 | ↓ -18% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $48.63 | ↓ -18% |
| WELLCARE | WELLCARE MEDICARE | $49.09 | ↓ -17% |
| BLUE CROSS | TENNCARE BLUE SELECT | $54.33 | ↓ -9% |
| BLUE CROSS | TENNCARE BLUE CARE | $59.34 | ↓ -0% |
| AMBETTER | AMBETTER | $100.96 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $101.77 | ↑ +71% |
| SENTARA HEALTH | SENTARA HEALTH | $114.72 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA PPO | $133.60 | ↑ +125% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $133.60 | ↑ +125% |
| CIGNA HEALTHCARE | CIGNA HMO | $133.60 | ↑ +125% |
| BLUE CROSS | BLUE CROSS E NETWORK | $189.41 | ↑ +219% |
| BLUE CROSS | BLUE CROSS P NETWORK | $193.11 | ↑ +225% |
| BLUE CROSS | BLUE CROSS S NETWORK | $193.11 | ↑ +225% |
| AETNA | AETNA | $252.65 | ↑ +325% |
| MEDCOST | MEDCOST VHN | $336.60 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $396.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $396.00 | ↑ +567% |
Visitor-reported prices
Comments
Warde lipoprotein-associated phospholipase a2 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $59.40 | $23.16 – $100.96 |
| CHI Memorial Hospital Hixson | Hixson | $110.12 | $30.15 – $260.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $25.99 | $38.53 – $92.62 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $157.36 | $30.15 – $260.40 |
| Hancock County Hospital | SNEEDVILLE | $58.42 | $24.04 – $101.77 |
| Greeneville Community Hospital | GREENEVILLE | $59.40 | $17.31 – $100.96 |
| Bristol Regional Medical Center | BRISTOL | $59.40 | $23.16 – $111.14 |
| Holston Valley Medical Center | KINGSPORT | $59.40 | $23.16 – $111.14 |