X-ray hand 2 views (both sides) at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$72.75
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.
$485.00
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.
$20.04 with BLUE CROSS vs $395.00 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 | $20.04 | ↓ -72% |
| BLUE CROSS | TENNCARE BLUE CARE | $21.88 | ↓ -70% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $27.86 | ↓ -62% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $38.27 | ↓ -47% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $38.27 | ↓ -47% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $39.80 | ↓ -45% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $39.81 | ↓ -45% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $40.32 | ↓ -45% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $44.22 | ↓ -39% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $47.46 | ↓ -35% |
| AETNA | AETNA HEALTHCARE MEDICARE | $47.46 | ↓ -35% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $47.46 | ↓ -35% |
| HUMANA | HUMANA MEDICARE | $47.46 | ↓ -35% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $47.46 | ↓ -35% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $47.46 | ↓ -35% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $47.46 | ↓ -35% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $47.46 | ↓ -35% |
| SENTARA HEALTH | SENTARA MEDICARE | $47.46 | ↓ -35% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $47.46 | ↓ -35% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $47.46 | ↓ -35% |
| AMERIGROUP | AMERIGROUP | $47.81 | ↓ -34% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $48.88 | ↓ -33% |
| BLUE CROSS | BLUE CROSS MEDICARE | $49.36 | ↓ -32% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $49.36 | ↓ -32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $49.83 | ↓ -32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $49.83 | ↓ -32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $49.83 | ↓ -32% |
| WELLCARE | WELLCARE MEDICARE | $50.31 | ↓ -31% |
| CIGNA HEALTHCARE | CIGNA HMO | $56.46 | ↓ -22% |
| CIGNA HEALTHCARE | CIGNA PPO | $56.46 | ↓ -22% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $56.46 | ↓ -22% |
| BLUE CROSS | BLUE CROSS E NETWORK | $80.25 | ↑ +10% |
| BLUE CROSS | BLUE CROSS S NETWORK | $81.83 | ↑ +12% |
| BLUE CROSS | BLUE CROSS P NETWORK | $81.83 | ↑ +12% |
| AMBETTER | AMBETTER | $103.46 | ↑ +42% |
| SENTARA HEALTH | SENTARA HEALTH | $114.43 | ↑ +57% |
| AETNA | AETNA | $252.01 | ↑ +246% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↑ +340% |
| MEDCOST | MEDCOST VHN | $335.75 | ↑ +362% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $364.00 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $395.00 | ↑ +443% |
| WELLCARE | WELLCARE MEDICAID | $395.00 | ↑ +443% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $395.00 | ↑ +443% |
Visitor-reported prices
Comments
X-ray hand 2 views (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $72.75 | $16.48 – $106.34 |
| Ascension Saint Thomas Midtown | Nashville | $87.17 | $14.21 – $179.33 |
| CHI Memorial Hospital Hixson | Hixson | $55.36 | $21.15 – $130.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $47.61 | $14.21 – $194.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $79.11 | $21.15 – $130.90 |
| Ascension Saint Thomas DeKalb | Smithville | $87.17 | $14.21 – $179.33 |
| Ascension Saint Thomas Highlands | Sparta | $87.17 | $14.21 – $179.33 |
| Ascension Saint Thomas River Park | McMinnville | $87.17 | $20.72 – $179.33 |