X-ray nose to rectum for foreign body child at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$69.30
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.
$462.00
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.
$21.21 with BLUE CROSS vs $462.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $21.21 | ↓ -69% |
| BLUE CROSS | TENNCARE BLUE CARE | $23.16 | ↓ -67% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $33.79 | ↓ -51% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $39.21 | ↓ -43% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $40.32 | ↓ -42% |
| CIGNA HEALTHCARE | CIGNA HMO | $51.72 | ↓ -25% |
| CIGNA HEALTHCARE | CIGNA PPO | $51.72 | ↓ -25% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $51.72 | ↓ -25% |
| AMERIGROUP | AMERIGROUP | $51.89 | ↓ -25% |
| BLUE CROSS | BLUE CROSS E NETWORK | $75.82 | ↑ +9% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $76.55 | ↑ +10% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $76.55 | ↑ +10% |
| BLUE CROSS | BLUE CROSS S NETWORK | $77.31 | ↑ +12% |
| BLUE CROSS | BLUE CROSS P NETWORK | $77.31 | ↑ +12% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $79.01 | ↑ +14% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $79.01 | ↑ +14% |
| AETNA | AETNA HEALTHCARE MEDICARE | $79.01 | ↑ +14% |
| HUMANA | HUMANA MEDICARE | $79.01 | ↑ +14% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $79.01 | ↑ +14% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $79.01 | ↑ +14% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $79.01 | ↑ +14% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $79.01 | ↑ +14% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $79.01 | ↑ +14% |
| SENTARA HEALTH | SENTARA MEDICARE | $79.01 | ↑ +14% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $79.01 | ↑ +14% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $79.61 | ↑ +15% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $79.61 | ↑ +15% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $81.38 | ↑ +17% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $82.17 | ↑ +19% |
| BLUE CROSS | BLUE CROSS MEDICARE | $82.17 | ↑ +19% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $82.97 | ↑ +20% |
| NHC ADVANTAGE | NHC ADVANTAGE | $82.97 | ↑ +20% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $82.97 | ↑ +20% |
| WELLCARE | WELLCARE MEDICARE | $83.76 | ↑ +21% |
| SENTARA HEALTH | SENTARA HEALTH | $133.84 | ↑ +93% |
| AMBETTER | AMBETTER | $172.25 | ↑ +149% |
| AETNA | AETNA | $294.76 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↑ +362% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $364.00 | ↑ +425% |
| MEDCOST | MEDCOST VHN | $392.70 | ↑ +467% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $462.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $462.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $462.00 | ↑ +567% |
Visitor-reported prices
Comments
X-ray nose to rectum for foreign body child at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $69.30 | $17.45 – $177.03 |
| 62-1166050 BMH Carroll County | Huntingdon | $101.20 | $15.04 – $160.80 |
| Ascension Saint Thomas DeKalb | Smithville | $71.43 | $15.04 – $127.70 |
| Ascension Saint Thomas Highlands | Sparta | $71.43 | $15.04 – $127.70 |
| Ascension Saint Thomas River Park | McMinnville | $68.00 | $19.58 – $127.70 |
| Hancock County Hospital | SNEEDVILLE | $67.85 | $17.45 – $87.38 |
| Greeneville Community Hospital | GREENEVILLE | $69.30 | $16.13 – $177.03 |
| Bristol Regional Medical Center | BRISTOL | $69.30 | $17.45 – $198.14 |