Apc gene dup/delet variants at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$96.75
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.
$645.00
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.
$100.00 with AMERIGROUP vs $645.00 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 →
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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 | $100.00 | ↑ +3% |
| BLUE CROSS | TENNCARE BLUE SELECT | $115.92 | ↑ +20% |
| BLUE CROSS | TENNCARE BLUE CARE | $115.92 | ↑ +20% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $120.00 | ↑ +24% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $165.36 | ↑ +71% |
| SENTARA HEALTH | SENTARA HEALTH | $166.47 | ↑ +72% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $170.32 | ↑ +76% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $170.49 | ↑ +76% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $171.97 | ↑ +78% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $173.63 | ↑ +79% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $200.00 | ↑ +107% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $200.00 | ↑ +107% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $200.00 | ↑ +107% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $200.00 | ↑ +107% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $200.00 | ↑ +107% |
| SENTARA HEALTH | SENTARA MEDICARE | $200.00 | ↑ +107% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $200.00 | ↑ +107% |
| AETNA | AETNA HEALTHCARE MEDICARE | $200.00 | ↑ +107% |
| HUMANA | HUMANA MEDICARE | $200.00 | ↑ +107% |
| BLUE CROSS | ANTHEM EXCHANGE | $200.00 | ↑ +107% |
| BLUE CROSS | ANTHEM HMO | $200.00 | ↑ +107% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $200.00 | ↑ +107% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $200.00 | ↑ +107% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $204.00 | ↑ +111% |
| BLUE CROSS | BLUE CROSS MEDICARE | $208.00 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $208.00 | ↑ +115% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $208.00 | ↑ +115% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $210.00 | ↑ +117% |
| NHC ADVANTAGE | NHC ADVANTAGE | $210.00 | ↑ +117% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $210.00 | ↑ +117% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $210.00 | ↑ +117% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $210.00 | ↑ +117% |
| WELLCARE | WELLCARE MEDICARE | $212.00 | ↑ +119% |
| CIGNA HEALTHCARE | CIGNA PPO | $268.97 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $268.97 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $268.97 | ↑ +178% |
| AETNA | AETNA | $275.42 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $306.96 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $400.98 | ↑ +314% |
| BLUE CROSS | BLUE CROSS S NETWORK | $405.90 | ↑ +320% |
| BLUE CROSS | BLUE CROSS P NETWORK | $409.59 | ↑ +323% |
| AMBETTER | AMBETTER | $436.00 | ↑ +351% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $441.01 | ↑ +356% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $451.50 | ↑ +367% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $480.00 | ↑ +396% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $496.65 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $645.00 | ↑ +567% |
Visitor-reported prices
Comments
Apc gene dup/delet variants at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $96.75 | $100.00 – $480.00 |
| Johnson City Medical Center | JOHNSON CITY | $96.75 | $100.00 – $436.00 |
| Hancock County Hospital | SNEEDVILLE | $94.99 | $100.00 – $413.00 |
| Greeneville Community Hospital | GREENEVILLE | $96.75 | $72.00 – $436.00 |
| Bristol Regional Medical Center | BRISTOL | $96.75 | $100.00 – $480.00 |
| Franklin Woods Community Hospital | JOHNSON CITY | $96.75 | $100.00 – $436.00 |
| 62-0123940 BMH Collierville | Collierville | $106.26 | $99.93 – $400.00 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $96.75 | $100.00 – $436.00 |