Polysom <6 yrs cpap/bilvl at Franklin Woods Community Hospital
300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628
$972.45
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.
$6,483.00
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.
$725.52 with UNITED HEALTHCARE vs $6,483.00 with SEVEN CORNERS, INC. — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $725.52 | ↓ -25% |
| AMERIGROUP | AMERIGROUP | $754.33 | ↓ -22% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $779.69 | ↓ -20% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $779.69 | ↓ -20% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $779.69 | ↓ -20% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $779.69 | ↓ -20% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $779.69 | ↓ -20% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $779.69 | ↓ -20% |
| AETNA | AETNA HEALTHCARE MEDICARE | $779.69 | ↓ -20% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $779.69 | ↓ -20% |
| SENTARA HEALTH | SENTARA MEDICARE | $779.69 | ↓ -20% |
| HUMANA | HUMANA MEDICARE | $779.69 | ↓ -20% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $779.69 | ↓ -20% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $803.08 | ↓ -17% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $810.88 | ↓ -17% |
| BLUE CROSS | BLUE CROSS MEDICARE | $810.88 | ↓ -17% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $818.68 | ↓ -16% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $818.68 | ↓ -16% |
| NHC ADVANTAGE | NHC ADVANTAGE | $818.68 | ↓ -16% |
| WELLCARE | WELLCARE MEDICARE | $826.47 | ↓ -15% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,056.04 | ↑ +9% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,056.04 | ↑ +9% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,073.53 | ↑ +10% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,098.28 | ↑ +13% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,098.28 | ↑ +13% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,172.51 | ↑ +21% |
| AMBETTER | AMBETTER | $1,699.73 | ↑ +75% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,877.00 | ↑ +93% |
| SENTARA HEALTH | SENTARA HEALTH | $1,878.13 | ↑ +93% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,143.00 | ↑ +120% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,515.40 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,515.40 | ↑ +159% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,776.00 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,008.11 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,131.29 | ↑ +222% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,021.07 | ↑ +313% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,021.07 | ↑ +313% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4,021.07 | ↑ +313% |
| AETNA | AETNA | $4,136.15 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $4,538.10 | ↑ +367% |
| MEDCOST | MEDCOST VHN | $5,510.55 | ↑ +467% |
| WELLCARE | WELLCARE MEDICAID | $6,483.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $6,483.00 | ↑ +567% |
Visitor-reported prices
Comments
Polysom <6 yrs cpap/bilvl at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $972.45 | $725.52 – $1,746.89 |
| Greeneville Community Hospital | GREENEVILLE | $972.45 | $290.21 – $1,746.89 |
| Bristol Regional Medical Center | BRISTOL | $972.45 | $483.68 – $1,955.15 |
| Holston Valley Medical Center | KINGSPORT | $972.45 | $483.68 – $1,955.15 |
| 62-0123940 BMH Collierville | Collierville | $1,294.65 | $761.37 – $1,863.24 |
| Indian Path Community Hospital | KINGSPORT | $972.45 | $725.52 – $1,869.87 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $972.45 | $403.07 – $1,698.47 |
| Sycamore Shoals Hospital | ELIZABETHTON | $972.45 | $725.52 – $1,698.47 |