Aspirate/inj ganglion cyst 20612 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$254.40
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.
$1,696.00
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.
$56.37 with BLUE CROSS vs $1,696.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $56.37 | ↓ -78% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↓ -33% |
| SENTARA HEALTH | SENTARA MEDICARE | $291.19 | ↑ +14% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $291.19 | ↑ +14% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $291.19 | ↑ +14% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $291.19 | ↑ +14% |
| HUMANA | HUMANA MEDICARE | $291.19 | ↑ +14% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $291.19 | ↑ +14% |
| AETNA | AETNA HEALTHCARE MEDICARE | $291.19 | ↑ +14% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $291.19 | ↑ +14% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $297.01 | ↑ +17% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $302.84 | ↑ +19% |
| BLUE CROSS | BLUE CROSS MEDICARE | $302.84 | ↑ +19% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $305.75 | ↑ +20% |
| NHC ADVANTAGE | NHC ADVANTAGE | $305.75 | ↑ +20% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $305.75 | ↑ +20% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $305.75 | ↑ +20% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $305.75 | ↑ +20% |
| WELLCARE | WELLCARE MEDICARE | $308.66 | ↑ +21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $310.47 | ↑ +22% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $319.79 | ↑ +26% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $320.09 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $322.89 | ↑ +27% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $325.99 | ↑ +28% |
| SENTARA HEALTH | SENTARA HEALTH | $437.74 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↑ +85% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +93% |
| BLUE CROSS | ANTHEM EXCHANGE | $598.04 | ↑ +135% |
| AMBETTER | AMBETTER | $634.79 | ↑ +150% |
| BLUE CROSS | ANTHEM HMO | $635.40 | ↑ +150% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $698.86 | ↑ +175% |
| AETNA | AETNA | $724.19 | ↑ +185% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $747.51 | ↑ +194% |
| MEDCOST | MEDCOST VHN | $807.13 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +233% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,305.92 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $1,696.00 | ↑ +567% |
Visitor-reported prices
Comments
Aspirate/inj ganglion cyst 20612 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $254.40 | $56.37 – $668.37 |
| 62-1166050 BMH Carroll County | Huntingdon | $71.07 | $234.50 – $539.08 |
| Johnson City Medical Center | JOHNSON CITY | $254.40 | $56.37 – $624.42 |
| Ascension Saint Thomas River Park | McMinnville | $420.62 | $105.61 – $1,004.50 |
| Hancock County Hospital | SNEEDVILLE | $249.55 | $56.37 – $358.40 |
| Greeneville Community Hospital | GREENEVILLE | $254.40 | $56.37 – $624.42 |
| Bristol Regional Medical Center | BRISTOL | $254.40 | $56.37 – $698.86 |
| Franklin Woods Community Hospital | JOHNSON CITY | $254.40 | $56.37 – $607.56 |