Acetylcholinesterase assay at Holston Valley Medical Center

130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$19.50

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$130.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$6.15 with AMERIGROUP vs $130.00 with WELLCARE — 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 →

Payer
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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
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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 $6.15 ↓ -68%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $9.49 ↓ -51%
UNITED HEALTHCARE UHC HERITAGE SELECT $12.29 ↓ -37%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $12.29 ↓ -37%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $12.29 ↓ -37%
SENTARA HEALTH SENTARA MEDICARE $12.29 ↓ -37%
MANAGED MEDICAIRE MANAGED MEDICAIRE $12.29 ↓ -37%
ALLCARE MEDICARE ALLCARE MEDICARE $12.29 ↓ -37%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $12.29 ↓ -37%
AETNA AETNA HEALTHCARE MEDICARE $12.29 ↓ -37%
UNITED HEALTHCARE UNITED HEALTHCARE $12.29 ↓ -37%
HUMANA HUMANA MEDICARE $12.29 ↓ -37%
BLUE CROSS ANTHEM EXCHANGE $12.29 ↓ -37%
BLUE CROSS ANTHEM HMO $12.29 ↓ -37%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $12.29 ↓ -37%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $12.48 ↓ -36%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $12.54 ↓ -36%
BLUE CROSS BLUE CROSS MEDICARE $12.78 ↓ -34%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $12.78 ↓ -34%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $12.78 ↓ -34%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $12.85 ↓ -34%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $12.87 ↓ -34%
CIGNA HEALTHCARE CIGNA MEDICARE $12.90 ↓ -34%
NHC ADVANTAGE NHC ADVANTAGE $12.90 ↓ -34%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $12.90 ↓ -34%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $12.90 ↓ -34%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $12.90 ↓ -34%
AETNA AETNA BETTER HEALTH OF VIRGINIA $12.98 ↓ -33%
WELLCARE WELLCARE MEDICARE $13.03 ↓ -33%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $13.10 ↓ -33%
BLUE CROSS TENNCARE BLUE SELECT $25.43 ↑ +30%
BLUE CROSS TENNCARE BLUE CARE $25.43 ↑ +30%
AMBETTER AMBETTER $26.79 ↑ +37%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $27.43 ↑ +41%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $29.50 ↑ +51%
SENTARA HEALTH SENTARA HEALTH $33.55 ↑ +72%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $35.90 ↑ +84%
CIGNA HEALTHCARE CIGNA PPO $44.92 ↑ +130%
CIGNA HEALTHCARE CIGNA HMO $44.92 ↑ +130%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $44.92 ↑ +130%
BLUE CROSS BLUE CROSS E NETWORK $49.68 ↑ +155%
BLUE CROSS BLUE CROSS S NETWORK $50.29 ↑ +158%
BLUE CROSS BLUE CROSS P NETWORK $50.75 ↑ +160%
AETNA AETNA $55.51 ↑ +185%
MEDCOST MEDCOST VHN $61.87 ↑ +217%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $100.10 ↑ +413%
WELLCARE WELLCARE MEDICAID $130.00 ↑ +567%

Visitor-reported prices

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Acetylcholinesterase assay at other Tennessee hospitals

Hospital City Cash price Negotiated range
Hancock County Hospital SNEEDVILLE $19.32 $7.91 – $27.43
Greeneville Community Hospital GREENEVILLE $19.50 $5.53 – $26.79
Bristol Regional Medical Center BRISTOL $19.50 $6.15 – $29.50
Hawkins County Memorial Hospital ROGERSVILLE $19.50 $6.15 – $26.79
Ascension Saint Thomas Midtown Nashville not published $4.42 – $42.91
Ascension Saint Thomas DeKalb Smithville not published $7.83 – $42.91
Ascension Saint Thomas Highlands Sparta not published $7.83 – $42.91
Ascension Saint Thomas River Park McMinnville not published $7.83 – $42.91

All Tennessee hospitals for this procedure →