Assay of estrogen 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

$112.80

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.

$752.00

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.

$35.92 with UNITED HEALTHCARE vs $752.00 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
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $35.92 ↓ -68%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $36.99 ↓ -67%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $37.03 ↓ -67%
AETNA AETNA BETTER HEALTH OF VIRGINIA $37.35 ↓ -67%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $37.72 ↓ -67%
AMERIGROUP AMERIGROUP $43.94 ↓ -61%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $54.74 ↓ -51%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $87.88 ↓ -22%
AETNA AETNA HEALTHCARE MEDICARE $87.88 ↓ -22%
HUMANA HUMANA MEDICARE $87.88 ↓ -22%
BLUE CROSS ANTHEM EXCHANGE $87.88 ↓ -22%
BLUE CROSS ANTHEM HMO $87.88 ↓ -22%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $87.88 ↓ -22%
ALLCARE MEDICARE ALLCARE MEDICARE $87.88 ↓ -22%
UNITED HEALTHCARE UNITED HEALTHCARE $87.88 ↓ -22%
UNITED HEALTHCARE UHC HERITAGE SELECT $87.88 ↓ -22%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $87.88 ↓ -22%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $87.88 ↓ -22%
SENTARA HEALTH SENTARA MEDICARE $87.88 ↓ -22%
MANAGED MEDICAIRE MANAGED MEDICAIRE $87.88 ↓ -22%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $89.64 ↓ -21%
BLUE CROSS BLUE CROSS MEDICARE $91.40 ↓ -19%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $91.40 ↓ -19%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $91.40 ↓ -19%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $92.27 ↓ -18%
NHC ADVANTAGE NHC ADVANTAGE $92.27 ↓ -18%
CIGNA HEALTHCARE CIGNA MEDICARE $92.27 ↓ -18%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $92.27 ↓ -18%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $92.27 ↓ -18%
WELLCARE WELLCARE MEDICARE $93.15 ↓ -17%
BLUE CROSS TENNCARE BLUE CARE $122.48 ↑ +9%
BLUE CROSS TENNCARE BLUE SELECT $122.48 ↑ +9%
AMBETTER AMBETTER $191.58 ↑ +70%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $193.44 ↑ +71%
SENTARA HEALTH SENTARA HEALTH $194.09 ↑ +72%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $210.91 ↑ +87%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $221.46 ↑ +96%
CIGNA HEALTHCARE CIGNA HMO $259.14 ↑ +130%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $259.14 ↑ +130%
CIGNA HEALTHCARE CIGNA PPO $259.14 ↑ +130%
BLUE CROSS BLUE CROSS E NETWORK $286.49 ↑ +154%
BLUE CROSS BLUE CROSS S NETWORK $290.00 ↑ +157%
BLUE CROSS BLUE CROSS P NETWORK $292.64 ↑ +159%
AETNA AETNA $321.10 ↑ +185%
MEDCOST MEDCOST VHN $357.88 ↑ +217%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $579.04 ↑ +413%
WELLCARE WELLCARE MEDICAID $752.00 ↑ +567%

Visitor-reported prices

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Assay of estrogen at other Tennessee hospitals

Hospital City Cash price Negotiated range
Hancock County Hospital SNEEDVILLE $110.63 $40.67 – $193.44
Greeneville Community Hospital GREENEVILLE $112.80 $32.84 – $191.58
Bristol Regional Medical Center BRISTOL $112.80 $36.99 – $210.91
Hawkins County Memorial Hospital ROGERSVILLE $112.80 $40.67 – $191.58
Ascension Saint Thomas Midtown Nashville not published $31.64 – $275.41
Ascension Saint Thomas DeKalb Smithville not published $45.16 – $275.41
Ascension Saint Thomas Highlands Sparta not published $45.16 – $275.41
Ascension Saint Thomas River Park McMinnville not published $45.16 – $275.41

All Tennessee hospitals for this procedure →