Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$30.90
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.
$206.00
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.
$26.00 with AMERIGROUP vs $206.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $26.00 | ↓ -16% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $27.66 | ↓ -10% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $27.66 | ↓ -10% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $27.66 | ↓ -10% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $27.66 | ↓ -10% |
| SENTARA HEALTH | SENTARA MEDICARE | $27.66 | ↓ -10% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $27.66 | ↓ -10% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $27.66 | ↓ -10% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $27.66 | ↓ -10% |
| AETNA | AETNA HEALTHCARE MEDICARE | $27.66 | ↓ -10% |
| HUMANA | HUMANA MEDICARE | $27.66 | ↓ -10% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $27.66 | ↓ -10% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $28.49 | ↓ -8% |
| BLUE CROSS | TENNCARE BLUE SELECT | $28.62 | ↓ -7% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $28.77 | ↓ -7% |
| BLUE CROSS | BLUE CROSS MEDICARE | $28.77 | ↓ -7% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $29.04 | ↓ -6% |
| NHC ADVANTAGE | NHC ADVANTAGE | $29.04 | ↓ -6% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $29.04 | ↓ -6% |
| WELLCARE | WELLCARE MEDICARE | $29.32 | ↓ -5% |
| BLUE CROSS | TENNCARE BLUE CARE | $31.26 | ↑ +1% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $46.00 | ↑ +49% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $48.69 | ↑ +58% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $48.69 | ↑ +58% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $50.64 | ↑ +64% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $50.64 | ↑ +64% |
| SENTARA HEALTH | SENTARA HEALTH | $59.68 | ↑ +93% |
| AMBETTER | AMBETTER | $60.30 | ↑ +95% |
| CIGNA HEALTHCARE | CIGNA HMO | $79.93 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $79.93 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $95.58 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $99.50 | ↑ +222% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $116.00 | ↑ +275% |
| AETNA | AETNA | $131.43 | ↑ +325% |
| BLUE CROSS | BLUE CROSS E NETWORK | $144.08 | ↑ +366% |
| BLUE CROSS | BLUE CROSS S NETWORK | $144.08 | ↑ +366% |
| BLUE CROSS | BLUE CROSS P NETWORK | $144.08 | ↑ +366% |
| MEDCOST | MEDCOST VHN | $175.10 | ↑ +467% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $188.00 | ↑ +508% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $206.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $206.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $206.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $206.00 | ↑ +567% |
Visitor-reported prices
Comments
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $30.90 | $23.55 – $60.30 |
| Ascension Saint Thomas Midtown | Nashville | $46.82 | $20.30 – $70.06 |
| CHI Memorial Hospital Hixson | Hixson | $90.58 | $30.21 – $214.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $47.84 | $19.09 – $20.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $129.44 | $30.21 – $214.20 |
| Ascension Saint Thomas DeKalb | Smithville | $53.57 | $20.30 – $70.06 |
| Ascension Saint Thomas Highlands | Sparta | $53.57 | $20.30 – $70.06 |
| Ascension Saint Thomas River Park | McMinnville | $51.00 | $24.47 – $70.06 |