Bx skin tangential ea sep/ addl les at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$20.85
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.
$139.00
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.
$35.88 with SENTARA HEALTH vs $567.38 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $35.88 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $42.67 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $44.90 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $44.90 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA HMO | $57.96 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $57.96 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $57.96 | ↑ +178% |
| AETNA | AETNA | $59.35 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $64.50 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $66.15 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $97.30 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $107.03 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $139.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $139.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $540.36 | ↑ +2492% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $557.11 | ↑ +2572% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $561.97 | ↑ +2595% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $567.38 | ↑ +2621% |
Visitor-reported prices
Comments
Bx skin tangential ea sep/ addl les at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $20.85 | $51.71 – $543.67 |
| CHI Memorial Hospital Hixson | Hixson | $129.36 | $87.40 – $305.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $81.88 | $17.88 – $98.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $184.86 | $91.77 – $305.90 |
| Johnson City Medical Center | JOHNSON CITY | $20.85 | $54.35 – $569.37 |
| Greeneville Community Hospital | GREENEVILLE | $20.85 | $42.67 – $594.07 |
| Bristol Regional Medical Center | BRISTOL | $20.85 | $42.67 – $567.38 |
| Franklin Woods Community Hospital | JOHNSON CITY | $20.85 | $51.71 – $617.83 |