Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$241.50
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.
$1,610.00
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.
$175.00 with CIGNA HEALTHCARE vs $1,610.00 with BLUE CROSS — 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $175.00 | ↓ -28% |
| CIGNA HEALTHCARE | CIGNA HMO | $228.00 | ↓ -6% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $228.00 | ↓ -6% |
| CIGNA HEALTHCARE | CIGNA PPO | $228.00 | ↓ -6% |
| SENTARA HEALTH | SENTARA HEALTH | $415.54 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $558.70 | ↑ +131% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $575.46 | ↑ +138% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $576.02 | ↑ +139% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $581.04 | ↑ +141% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $586.64 | ↑ +143% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $603.00 | ↑ +150% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $650.00 | ↑ +169% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $669.64 | ↑ +177% |
| HUMANA | HUMANA MEDICARE | $669.64 | ↑ +177% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $669.64 | ↑ +177% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $669.64 | ↑ +177% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $669.64 | ↑ +177% |
| AETNA | AETNA HEALTHCARE MEDICARE | $669.64 | ↑ +177% |
| SENTARA HEALTH | SENTARA MEDICARE | $669.64 | ↑ +177% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $669.64 | ↑ +177% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $679.00 | ↑ +181% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $683.03 | ↑ +183% |
| AETNA | AETNA | $687.47 | ↑ +185% |
| BLUE CROSS | BLUE CROSS MEDICARE | $696.42 | ↑ +188% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $696.42 | ↑ +188% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $703.12 | ↑ +191% |
| NHC ADVANTAGE | NHC ADVANTAGE | $703.12 | ↑ +191% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $703.12 | ↑ +191% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $703.12 | ↑ +191% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $703.12 | ↑ +191% |
| WELLCARE | WELLCARE MEDICARE | $709.81 | ↑ +194% |
| MEDCOST | MEDCOST VHN | $766.20 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $804.00 | ↑ +233% |
| BLUE CROSS | BLUE CROSS S NETWORK | $821.00 | ↑ +240% |
| BLUE CROSS | BLUE CROSS P NETWORK | $821.00 | ↑ +240% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,101.00 | ↑ +356% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,239.70 | ↑ +413% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,375.29 | ↑ +469% |
| AMBETTER | AMBETTER | $1,459.80 | ↑ +504% |
| BLUE CROSS | ANTHEM HMO | $1,461.20 | ↑ +505% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +531% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,607.12 | ↑ +565% |
| WELLCARE | WELLCARE MEDICAID | $1,610.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,610.00 | ↑ +567% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $241.50 | $501.84 – $1,537.03 |
| Ascension Saint Thomas Midtown | Nashville | $860.48 | $45.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $817.85 | $552.60 – $1,934.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,168.75 | $580.23 – $1,934.10 |
| Johnson City Medical Center | JOHNSON CITY | $241.50 | $516.15 – $1,435.94 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $860.48 | $45.00 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $236.90 | $632.66 – $764.35 |
| Greeneville Community Hospital | GREENEVILLE | $241.50 | $461.56 – $1,435.94 |