Brachy source i-125 injection at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$20.55
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.
$137.00
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.
$27.27 with UNITED HEALTHCARE vs $341.26 with MOLINA 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $27.27 | ↑ +33% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $35.26 | ↑ +72% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $35.26 | ↑ +72% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $35.26 | ↑ +72% |
| AETNA | AETNA HEALTHCARE MEDICARE | $35.26 | ↑ +72% |
| HUMANA | HUMANA MEDICARE | $35.26 | ↑ +72% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $35.26 | ↑ +72% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $35.26 | ↑ +72% |
| SENTARA HEALTH | SENTARA MEDICARE | $35.26 | ↑ +72% |
| SENTARA HEALTH | SENTARA HEALTH | $35.36 | ↑ +72% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $35.97 | ↑ +75% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $36.67 | ↑ +78% |
| BLUE CROSS | BLUE CROSS MEDICARE | $36.67 | ↑ +78% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $37.02 | ↑ +80% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $37.02 | ↑ +80% |
| NHC ADVANTAGE | NHC ADVANTAGE | $37.02 | ↑ +80% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $37.02 | ↑ +80% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $37.02 | ↑ +80% |
| WELLCARE | WELLCARE MEDICARE | $37.38 | ↑ +82% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $54.80 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA PPO | $57.13 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $57.13 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $57.13 | ↑ +178% |
| MEDCOST | MEDCOST VHN | $65.20 | ↑ +217% |
| AETNA | AETNA | $65.76 | ↑ +220% |
| BLUE CROSS | ANTHEM EXCHANGE | $67.24 | ↑ +227% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $68.50 | ↑ +233% |
| BLUE CROSS | ANTHEM HMO | $71.44 | ↑ +248% |
| AMBETTER | AMBETTER | $76.87 | ↑ +274% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $84.04 | ↑ +309% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $84.62 | ↑ +312% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $105.49 | ↑ +413% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $137.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $137.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $325.01 | ↑ +1482% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $335.09 | ↑ +1531% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $338.01 | ↑ +1545% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $341.26 | ↑ +1561% |
Visitor-reported prices
Comments
Brachy source i-125 injection at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $19.54 | $13.20 – $66.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $27.92 | $13.86 – $66.00 |
| Greeneville Community Hospital | GREENEVILLE | $20.55 | $16.36 – $357.31 |
| Bristol Regional Medical Center | BRISTOL | $20.55 | $27.27 – $335.09 |
| 62-0123940 BMH Collierville | Collierville | $32.55 | $32.22 – $67.84 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $20.55 | $22.73 – $368.39 |
| Parkwest Medical Center | Knoxville | not published | $18.99 – $32.88 |
| Roane County Medical Center | Harriman | not published | $18.99 – $32.88 |