Candida skin test at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$27.15
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.
$181.00
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.
$3.42 with UNITED HEALTHCARE vs $181.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $3.42 | ↓ -87% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $11.64 | ↓ -57% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $11.99 | ↓ -56% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $12.00 | ↓ -56% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $12.11 | ↓ -55% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $12.22 | ↓ -55% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $20.06 | ↓ -26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $22.99 | ↓ -15% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $22.99 | ↓ -15% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $23.91 | ↓ -12% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $27.44 | ↑ +1% |
| AETNA | AETNA HEALTHCARE MEDICARE | $27.44 | ↑ +1% |
| SENTARA HEALTH | SENTARA MEDICARE | $27.44 | ↑ +1% |
| HUMANA | HUMANA MEDICARE | $27.44 | ↑ +1% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $27.44 | ↑ +1% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $27.44 | ↑ +1% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $27.44 | ↑ +1% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $27.44 | ↑ +1% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $27.99 | ↑ +3% |
| BLUE CROSS | BLUE CROSS MEDICARE | $28.54 | ↑ +5% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $28.54 | ↑ +5% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $28.81 | ↑ +6% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $28.81 | ↑ +6% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $28.81 | ↑ +6% |
| NHC ADVANTAGE | NHC ADVANTAGE | $28.81 | ↑ +6% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $28.81 | ↑ +6% |
| WELLCARE | WELLCARE MEDICARE | $29.08 | ↑ +7% |
| BLUE CROSS | TENNCARE BLUE SELECT | $36.70 | ↑ +35% |
| BLUE CROSS | TENNCARE BLUE CARE | $36.70 | ↑ +35% |
| CIGNA HEALTHCARE | CIGNA PPO | $37.71 | ↑ +39% |
| CIGNA HEALTHCARE | CIGNA HMO | $37.71 | ↑ +39% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $37.71 | ↑ +39% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $41.14 | ↑ +52% |
| BLUE CROSS | BLUE CROSS E NETWORK | $43.68 | ↑ +61% |
| BLUE CROSS | BLUE CROSS S NETWORK | $44.22 | ↑ +63% |
| BLUE CROSS | BLUE CROSS P NETWORK | $44.62 | ↑ +64% |
| SENTARA HEALTH | SENTARA HEALTH | $46.72 | ↑ +72% |
| BLUE CROSS | ANTHEM EXCHANGE | $56.34 | ↑ +108% |
| AMBETTER | AMBETTER | $59.82 | ↑ +120% |
| BLUE CROSS | ANTHEM HMO | $59.86 | ↑ +120% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $65.85 | ↑ +143% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $70.43 | ↑ +159% |
| AETNA | AETNA | $77.29 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $86.14 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $139.37 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $181.00 | ↑ +567% |
Visitor-reported prices
Comments
Candida skin test at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $27.15 | $2.05 – $58.84 |
| Bristol Regional Medical Center | BRISTOL | $27.15 | $3.42 – $65.85 |
| 62-0123940 BMH Collierville | Collierville | $11.34 | $21.04 – $44.86 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $27.15 | $2.85 – $57.21 |
| Parkwest Medical Center | Knoxville | $28.50 | $13.23 – $85.50 |
| Roane County Medical Center | Harriman | $31.35 | $13.23 – $85.50 |
| LeConte Medical Center | Sevierville | $27.55 | $13.23 – $85.50 |
| Fort Loudoun Medical Center | Lenoir City | $31.35 | $13.23 – $85.50 |