X-ray sinus tract/fistula/abscess at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$153.90
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.
$1,026.00
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.
$41.82 with BLUE CROSS vs $1,081.53 with AMBETTER — 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 | $41.82 | ↓ -73% |
| BLUE CROSS | TENNCARE BLUE CARE | $45.68 | ↓ -70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $66.15 | ↓ -57% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $74.95 | ↓ -51% |
| CIGNA HEALTHCARE | CIGNA PPO | $99.10 | ↓ -36% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $99.10 | ↓ -36% |
| CIGNA HEALTHCARE | CIGNA HMO | $99.10 | ↓ -36% |
| BLUE CROSS | BLUE CROSS E NETWORK | $141.99 | ↓ -8% |
| BLUE CROSS | BLUE CROSS P NETWORK | $144.79 | ↓ -6% |
| BLUE CROSS | BLUE CROSS S NETWORK | $144.79 | ↓ -6% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $160.04 | ↑ +4% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $160.04 | ↑ +4% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $166.44 | ↑ +8% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $166.44 | ↑ +8% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $212.78 | ↑ +38% |
| SENTARA HEALTH | SENTARA HEALTH | $297.23 | ↑ +93% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↑ +108% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $364.00 | ↑ +137% |
| AMERIGROUP | AMERIGROUP | $406.57 | ↑ +164% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $472.00 | ↑ +207% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $496.12 | ↑ +222% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $496.12 | ↑ +222% |
| AETNA | AETNA HEALTHCARE MEDICARE | $496.12 | ↑ +222% |
| HUMANA | HUMANA MEDICARE | $496.12 | ↑ +222% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $496.12 | ↑ +222% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $496.12 | ↑ +222% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $496.12 | ↑ +222% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $496.12 | ↑ +222% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $496.12 | ↑ +222% |
| SENTARA HEALTH | SENTARA MEDICARE | $496.12 | ↑ +222% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $496.12 | ↑ +222% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $511.00 | ↑ +232% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $515.96 | ↑ +235% |
| BLUE CROSS | BLUE CROSS MEDICARE | $515.96 | ↑ +235% |
| NHC ADVANTAGE | NHC ADVANTAGE | $520.92 | ↑ +238% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $520.92 | ↑ +238% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $520.92 | ↑ +238% |
| WELLCARE | WELLCARE MEDICARE | $525.88 | ↑ +242% |
| AETNA | AETNA | $654.59 | ↑ +325% |
| MEDCOST | MEDCOST VHN | $872.10 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,026.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,026.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,081.53 | ↑ +603% |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $153.90 | $34.41 – $1,111.55 |
| Ascension Saint Thomas Midtown | Nashville | $174.78 | $29.66 – $770.53 |
| CHI Memorial Hospital Hixson | Hixson | $234.44 | $44.14 – $554.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $166.52 | $29.66 – $1,001.32 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $335.02 | $44.14 – $554.40 |
| Ascension Saint Thomas DeKalb | Smithville | $183.54 | $29.66 – $770.53 |
| Ascension Saint Thomas Highlands | Sparta | $183.54 | $29.66 – $770.53 |
| Ascension Saint Thomas River Park | McMinnville | $174.78 | $36.66 – $770.53 |