Antithrombin iii injection at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$9.78
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.
$65.21
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.
$0.92 with BLUE CROSS vs $6,301.38 with MOLINA 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $0.92 | ↓ -91% |
| BLUE CROSS | TENNCARE BLUE CARE | $1.08 | ↓ -89% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1.08 | ↓ -89% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1.62 | ↓ -83% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $4.05 | ↓ -59% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $4.05 | ↓ -59% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $4.05 | ↓ -59% |
| HUMANA | HUMANA MEDICARE | $4.05 | ↓ -59% |
| AETNA | AETNA HEALTHCARE MEDICARE | $4.05 | ↓ -59% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $4.05 | ↓ -59% |
| SENTARA HEALTH | SENTARA MEDICARE | $4.05 | ↓ -59% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $4.05 | ↓ -59% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $4.13 | ↓ -58% |
| BLUE CROSS | BLUE CROSS MEDICARE | $4.21 | ↓ -57% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $4.21 | ↓ -57% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $4.25 | ↓ -57% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $4.25 | ↓ -57% |
| NHC ADVANTAGE | NHC ADVANTAGE | $4.25 | ↓ -57% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $4.25 | ↓ -57% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $4.25 | ↓ -57% |
| WELLCARE | WELLCARE MEDICARE | $4.30 | ↓ -56% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $4.75 | ↓ -51% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $4.90 | ↓ -50% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4.99 | ↓ -49% |
| BLUE CROSS | BLUE CROSS E NETWORK | $5.45 | ↓ -44% |
| BLUE CROSS | BLUE CROSS P NETWORK | $5.58 | ↓ -43% |
| BLUE CROSS | BLUE CROSS S NETWORK | $5.58 | ↓ -43% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $6.89 | ↓ -30% |
| BLUE CROSS | ANTHEM EXCHANGE | $6.89 | ↓ -30% |
| BLUE CROSS | ANTHEM HMO | $6.89 | ↓ -30% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $7.22 | ↓ -26% |
| AMBETTER | AMBETTER | $8.83 | ↓ -10% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $9.72 | ↓ -1% |
| SENTARA HEALTH | SENTARA HEALTH | $16.83 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA PPO | $27.19 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $27.19 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $27.19 | ↑ +178% |
| AETNA | AETNA | $27.84 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $31.03 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $50.21 | ↑ +413% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $65.21 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $65.21 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $6,001.31 | ↑ +61263% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $6,187.35 | ↑ +63165% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $6,241.36 | ↑ +63718% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $6,301.38 | ↑ +64331% |
Visitor-reported prices
Comments
Antithrombin iii injection at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $9.32 | $0.93 – $8.48 |
| CHI Memorial Hospital Hixson | Hixson | $111.85 | $1.38 – $262.95 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $159.84 | $1.38 – $262.95 |
| Johnson City Medical Center | JOHNSON CITY | $9.78 | $0.92 – $6,080.25 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $9.32 | $0.93 – $8.27 |
| Bristol Regional Medical Center | BRISTOL | $9.78 | $0.92 – $6,187.35 |