Lung Function Test (Spirometry) at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$86.40
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.
$576.00
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.
$18.06 with BLUE CROSS vs $576.00 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 | $18.06 | ↓ -79% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $19.51 | ↓ -77% |
| BLUE CROSS | TENNCARE BLUE CARE | $19.73 | ↓ -77% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $46.58 | ↓ -46% |
| CIGNA HEALTHCARE | CIGNA PPO | $77.30 | ↓ -11% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $77.30 | ↓ -11% |
| CIGNA HEALTHCARE | CIGNA HMO | $77.30 | ↓ -11% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $79.90 | ↓ -8% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $79.90 | ↓ -8% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $83.09 | ↓ -4% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $83.10 | ↓ -4% |
| BLUE CROSS | BLUE CROSS E NETWORK | $116.55 | ↑ +35% |
| BLUE CROSS | BLUE CROSS S NETWORK | $116.55 | ↑ +35% |
| BLUE CROSS | BLUE CROSS P NETWORK | $116.55 | ↑ +35% |
| SENTARA HEALTH | SENTARA HEALTH | $166.87 | ↑ +93% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $196.05 | ↑ +127% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $196.05 | ↑ +127% |
| AETNA | AETNA HEALTHCARE MEDICARE | $196.05 | ↑ +127% |
| HUMANA | HUMANA MEDICARE | $196.05 | ↑ +127% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $196.05 | ↑ +127% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $196.05 | ↑ +127% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $196.05 | ↑ +127% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $196.05 | ↑ +127% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $196.05 | ↑ +127% |
| SENTARA HEALTH | SENTARA MEDICARE | $196.05 | ↑ +127% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $196.05 | ↑ +127% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $201.93 | ↑ +134% |
| BLUE CROSS | BLUE CROSS MEDICARE | $203.89 | ↑ +136% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $203.89 | ↑ +136% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $205.85 | ↑ +138% |
| NHC ADVANTAGE | NHC ADVANTAGE | $205.85 | ↑ +138% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $205.85 | ↑ +138% |
| WELLCARE | WELLCARE MEDICARE | $207.81 | ↑ +141% |
| AMERIGROUP | AMERIGROUP | $207.87 | ↑ +141% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $267.26 | ↑ +209% |
| AETNA | AETNA | $367.49 | ↑ +325% |
| AMBETTER | AMBETTER | $427.38 | ↑ +395% |
| MEDCOST | MEDCOST VHN | $489.60 | ↑ +467% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $576.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $576.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $576.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $576.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $576.00 | ↑ +567% |
Visitor-reported prices
Comments
Lung Function Test (Spirometry) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $86.40 | $14.86 – $439.24 |
| Ascension Saint Thomas Midtown | Nashville | $383.45 | $12.81 – $209.78 |
| CHI Memorial Hospital Hixson | Hixson | $222.00 | $19.07 – $525.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $129.72 | $12.81 – $285.74 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $317.25 | $19.07 – $525.00 |
| Ascension Saint Thomas DeKalb | Smithville | $170.06 | $12.81 – $206.75 |
| Ascension Saint Thomas Highlands | Sparta | $170.06 | $12.81 – $206.75 |
| Ascension Saint Thomas River Park | McMinnville | $161.93 | $19.14 – $206.75 |