Biopsy thigh soft tissues at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$944.85
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.
$6,299.00
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.
$578.00 with BLUE CROSS vs $6,299.00 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 | TENNCARE BLUE CARE | $578.00 | ↓ -39% |
| BLUE CROSS | TENNCARE BLUE SELECT | $578.00 | ↓ -39% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↓ -25% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +55% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,593.00 | ↑ +69% |
| SENTARA HEALTH | SENTARA HEALTH | $1,625.77 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,932.00 | ↑ +104% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,932.00 | ↑ +104% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,932.00 | ↑ +104% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,285.01 | ↑ +142% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,353.56 | ↑ +149% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,355.85 | ↑ +149% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,376.41 | ↑ +152% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,399.26 | ↑ +154% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,436.00 | ↑ +158% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,547.00 | ↑ +170% |
| AETNA | AETNA | $2,689.67 | ↑ +185% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,755.56 | ↑ +192% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,755.56 | ↑ +192% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,755.56 | ↑ +192% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,755.56 | ↑ +192% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,755.56 | ↑ +192% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,755.56 | ↑ +192% |
| HUMANA | HUMANA MEDICARE | $2,755.56 | ↑ +192% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,755.56 | ↑ +192% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,810.67 | ↑ +197% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,865.79 | ↑ +203% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,865.79 | ↑ +203% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,893.34 | ↑ +206% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,893.34 | ↑ +206% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,893.34 | ↑ +206% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,893.34 | ↑ +206% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,893.34 | ↑ +206% |
| WELLCARE | WELLCARE MEDICARE | $2,920.90 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $2,997.69 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,296.00 | ↑ +355% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4,793.00 | ↑ +407% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,850.23 | ↑ +413% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,901.00 | ↑ +419% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,901.00 | ↑ +419% |
| BLUE CROSS | ANTHEM EXCHANGE | $5,659.33 | ↑ +499% |
| AMBETTER | AMBETTER | $6,007.13 | ↑ +536% |
| BLUE CROSS | ANTHEM HMO | $6,012.85 | ↑ +536% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $6,299.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $6,299.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $6,299.00 | ↑ +567% |
Visitor-reported prices
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Biopsy thigh soft tissues at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,232.84 | $833.00 – $2,915.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,761.80 | $874.65 – $2,915.50 |
| Greeneville Community Hospital | GREENEVILLE | $944.85 | $1,974.80 – $5,908.92 |
| Bristol Regional Medical Center | BRISTOL | $944.85 | $2,353.56 – $6,299.00 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $944.85 | $2,587.51 – $5,745.12 |
| Ascension Saint Thomas Midtown | Nashville | not published | $733.50 – $1,141.72 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $912.16 – $1,004.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $912.16 – $1,004.50 |