Manipulation chest wall demonstration/evaluation subsequent at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$28.95
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.
?
What you pay up front if you don't use insurance.
$193.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$14.54 with BLUE CROSS vs $263.35 with AMBETTER — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $14.54 | ↓ -50% |
| BLUE CROSS | TENNCARE BLUE SELECT | $15.07 | ↓ -48% |
| BLUE CROSS | TENNCARE BLUE CARE | $16.46 | ↓ -43% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $26.74 | ↓ -8% |
| SENTARA HEALTH | SENTARA HEALTH | $55.91 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA HMO | $65.93 | ↑ +128% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $65.93 | ↑ +128% |
| CIGNA HEALTHCARE | CIGNA PPO | $65.93 | ↑ +128% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $79.90 | ↑ +176% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $79.90 | ↑ +176% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $83.09 | ↑ +187% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $83.10 | ↑ +187% |
| AMERIGROUP | AMERIGROUP | $87.75 | ↑ +203% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $89.55 | ↑ +209% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $120.80 | ↑ +317% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $120.80 | ↑ +317% |
| AETNA | AETNA HEALTHCARE MEDICARE | $120.80 | ↑ +317% |
| HUMANA | HUMANA MEDICARE | $120.80 | ↑ +317% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $120.80 | ↑ +317% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $120.80 | ↑ +317% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $120.80 | ↑ +317% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $120.80 | ↑ +317% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $120.80 | ↑ +317% |
| SENTARA HEALTH | SENTARA MEDICARE | $120.80 | ↑ +317% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $120.80 | ↑ +317% |
| AETNA | AETNA | $123.13 | ↑ +325% |
| BLUE CROSS | BLUE CROSS E NETWORK | $124.12 | ↑ +329% |
| BLUE CROSS | BLUE CROSS P NETWORK | $124.12 | ↑ +329% |
| BLUE CROSS | BLUE CROSS S NETWORK | $124.12 | ↑ +329% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $124.43 | ↑ +330% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $125.63 | ↑ +334% |
| BLUE CROSS | BLUE CROSS MEDICARE | $125.63 | ↑ +334% |
| NHC ADVANTAGE | NHC ADVANTAGE | $126.84 | ↑ +338% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $126.84 | ↑ +338% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $126.84 | ↑ +338% |
| WELLCARE | WELLCARE MEDICARE | $128.05 | ↑ +342% |
| MEDCOST | MEDCOST VHN | $164.05 | ↑ +467% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $193.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $193.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $193.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $193.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $193.00 | ↑ +567% |
| AMBETTER | AMBETTER | $263.35 | ↑ +810% |
Visitor-reported prices
Comments
Manipulation chest wall demonstration/evaluation subsequent at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $28.95 | $12.40 – $270.65 |
| Ascension Saint Thomas Midtown | Nashville | $72.00 | $10.69 – $172.83 |
| CHI Memorial Hospital Hixson | Hixson | $57.72 | $15.91 – $189.52 |
| 62-1166050 BMH Carroll County | Huntingdon | $37.49 | $10.69 – $235.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $82.49 | $15.91 – $189.52 |
| Ascension Saint Thomas DeKalb | Smithville | $75.56 | $10.69 – $170.34 |
| Ascension Saint Thomas Highlands | Sparta | $75.56 | $10.69 – $170.34 |
| Ascension Saint Thomas River Park | McMinnville | $72.00 | $14.86 – $170.34 |