Initiation & management bipap/cpap initial day at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$234.75
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.
$1,565.00
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.
$59.17 with BLUE CROSS vs $1,565.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $59.17 | ↓ -75% |
| BLUE CROSS | TENNCARE BLUE SELECT | $68.26 | ↓ -71% |
| BLUE CROSS | TENNCARE BLUE CARE | $74.55 | ↓ -68% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $88.92 | ↓ -62% |
| CIGNA HEALTHCARE | CIGNA PPO | $109.48 | ↓ -53% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $109.48 | ↓ -53% |
| CIGNA HEALTHCARE | CIGNA HMO | $109.48 | ↓ -53% |
| AMERIGROUP | AMERIGROUP | $155.69 | ↓ -34% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $195.76 | ↓ -17% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $195.76 | ↓ -17% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $198.82 | ↓ -15% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $198.82 | ↓ -15% |
| AETNA | AETNA HEALTHCARE MEDICARE | $198.82 | ↓ -15% |
| HUMANA | HUMANA MEDICARE | $198.82 | ↓ -15% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $198.82 | ↓ -15% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $198.82 | ↓ -15% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $198.82 | ↓ -15% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $198.82 | ↓ -15% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $198.82 | ↓ -15% |
| SENTARA HEALTH | SENTARA MEDICARE | $198.82 | ↓ -15% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $198.82 | ↓ -15% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $203.59 | ↓ -13% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $203.60 | ↓ -13% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $204.78 | ↓ -13% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $206.77 | ↓ -12% |
| BLUE CROSS | BLUE CROSS MEDICARE | $206.77 | ↓ -12% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $208.76 | ↓ -11% |
| NHC ADVANTAGE | NHC ADVANTAGE | $208.76 | ↓ -11% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $208.76 | ↓ -11% |
| WELLCARE | WELLCARE MEDICARE | $210.75 | ↓ -10% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $219.00 | ↓ -7% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $244.00 | ↑ +4% |
| BLUE CROSS | BLUE CROSS S NETWORK | $279.31 | ↑ +19% |
| BLUE CROSS | BLUE CROSS E NETWORK | $279.31 | ↑ +19% |
| BLUE CROSS | BLUE CROSS P NETWORK | $279.31 | ↑ +19% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $363.00 | ↑ +55% |
| AMBETTER | AMBETTER | $433.43 | ↑ +85% |
| SENTARA HEALTH | SENTARA HEALTH | $453.38 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $726.16 | ↑ +209% |
| AETNA | AETNA | $998.47 | ↑ +325% |
| MEDCOST | MEDCOST VHN | $1,330.25 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $1,565.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,565.00 | ↑ +567% |
Visitor-reported prices
Comments
Initiation & management bipap/cpap initial day at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $234.75 | $56.16 – $445.45 |
| Ascension Saint Thomas Midtown | Nashville | $229.20 | $48.41 – $272.71 |
| CHI Memorial Hospital Hixson | Hixson | $145.04 | $72.05 – $343.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $137.08 | $48.41 – $371.44 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $207.27 | $72.05 – $343.00 |
| Ascension Saint Thomas DeKalb | Smithville | $240.77 | $48.41 – $268.77 |
| Ascension Saint Thomas Highlands | Sparta | $240.77 | $48.41 – $268.77 |
| Ascension Saint Thomas River Park | McMinnville | $481.11 | $49.40 – $268.77 |