Avulsion nail plate partial/complete simple single nail plate at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$92.55
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.
$617.00
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.
$29.82 with BLUE CROSS vs $617.00 with UNITED 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 | TENNCARE BLUE SELECT | $29.82 | ↓ -68% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $53.92 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $83.17 | ↓ -10% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $85.67 | ↓ -7% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $85.75 | ↓ -7% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $86.50 | ↓ -7% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $87.33 | ↓ -6% |
| SENTARA HEALTH | SENTARA HEALTH | $159.25 | ↑ +72% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↑ +85% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $190.33 | ↑ +106% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $190.33 | ↑ +106% |
| SENTARA HEALTH | SENTARA MEDICARE | $190.33 | ↑ +106% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $190.33 | ↑ +106% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $190.33 | ↑ +106% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $190.33 | ↑ +106% |
| AETNA | AETNA HEALTHCARE MEDICARE | $190.33 | ↑ +106% |
| HUMANA | HUMANA MEDICARE | $190.33 | ↑ +106% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $194.14 | ↑ +110% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $197.95 | ↑ +114% |
| BLUE CROSS | BLUE CROSS MEDICARE | $197.95 | ↑ +114% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $199.85 | ↑ +116% |
| NHC ADVANTAGE | NHC ADVANTAGE | $199.85 | ↑ +116% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $199.85 | ↑ +116% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $199.85 | ↑ +116% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $199.85 | ↑ +116% |
| WELLCARE | WELLCARE MEDICARE | $201.75 | ↑ +118% |
| AETNA | AETNA | $263.46 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $293.63 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $390.90 | ↑ +322% |
| AMBETTER | AMBETTER | $414.92 | ↑ +348% |
| BLUE CROSS | ANTHEM HMO | $415.32 | ↑ +349% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $456.80 | ↑ +394% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↑ +409% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $475.09 | ↑ +413% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $488.60 | ↑ +428% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +431% |
| WELLCARE | WELLCARE MEDICAID | $617.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $617.00 | ↑ +567% |
Visitor-reported prices
Comments
Avulsion nail plate partial/complete simple single nail plate at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $92.55 | $53.92 – $436.87 |
| CHI Memorial Hospital Hixson | Hixson | $127.88 | $38.26 – $659.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $48.99 | $157.85 – $362.88 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $182.74 | $38.26 – $659.00 |
| Johnson City Medical Center | JOHNSON CITY | $92.55 | $53.92 – $408.14 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $351.18 | $25.71 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $90.85 | $29.82 – $96.01 |
| Greeneville Community Hospital | GREENEVILLE | $92.55 | $29.82 – $408.14 |