Franklin Woods Community Hospital
Franklin Woods Community Hospital in Johnson City, TN charges 5.5x the Medicare reimbursement rate across 25 analyzed procedures, based on our analysis of this nonprofit hospital's pricing data.
Johnson City, TN 37604 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
5.55x
Charge / Medicare rate
Max markup
9.13x
Worst procedure
Procedures analyzed
25
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $85,595 | $42,797 | — | 9.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $103,062 | $51,531 | — | 8.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $46,202 | $23,101 | — | 7.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $29,536 | $14,768 | — | 7.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $30,845 | $15,422 | — | 7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $31,014 | $15,507 | — | 6.5x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $33,757 | $16,879 | — | 6.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $136,151 | $68,076 | — | 6.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $38,782 | $19,391 | — | 5.7x |
| CELLULITIS WITHOUT MCC | 603 | $26,327 | $13,164 | — | 5.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $22,107 | $11,053 | — | 5.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $23,129 | $11,565 | — | 5.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $21,880 | $10,940 | — | 5.3x |
| RENAL FAILURE WITH CC | 683 | $23,158 | $11,579 | — | 5.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $21,480 | $10,740 | — | 5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $46,486 | $23,243 | — | 4.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | 659 | $72,016 | $36,008 | — | 4.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $33,692 | $16,846 | — | 4.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $32,200 | $16,100 | — | 4.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $45,990 | $22,995 | — | 4.4x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $32,259 | $16,129 | — | 4.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $25,813 | $12,907 | — | 4.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $39,115 | $19,558 | — | 3.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $34,900 | $17,450 | — | 3.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $86,830 | $43,415 | — | 3.3x |
How FRANKLIN WOODS COMMUNITY HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use