Change nephroureteral cath at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$1,294.65
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.
$8,631.00
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.
$704.00 with BLUE CROSS vs $5,754.00 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↓ -46% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↓ -40% |
| BLUE CROSS | TENNCARE BLUE SELECT | $775.00 | ↓ -40% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,055.00 | ↓ -19% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,077.00 | ↓ -17% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,103.00 | ↓ -15% |
| SENTARA HEALTH | SENTARA HEALTH | $1,485.11 | ↑ +15% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,861.00 | ↑ +44% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,865.72 | ↑ +44% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,921.69 | ↑ +48% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,923.56 | ↑ +49% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,940.35 | ↑ +50% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,956.00 | ↑ +51% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,959.01 | ↑ +51% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,983.05 | ↑ +53% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,983.05 | ↑ +53% |
| HUMANA | HUMANA MEDICARE | $1,983.05 | ↑ +53% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,983.05 | ↑ +53% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,983.05 | ↑ +53% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,983.05 | ↑ +53% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,983.05 | ↑ +53% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,983.05 | ↑ +53% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,022.71 | ↑ +56% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,062.37 | ↑ +59% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,062.37 | ↑ +59% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,082.20 | ↑ +61% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,082.20 | ↑ +61% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,082.20 | ↑ +61% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,082.20 | ↑ +61% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,082.20 | ↑ +61% |
| WELLCARE | WELLCARE MEDICARE | $2,102.03 | ↑ +62% |
| AETNA | AETNA | $2,456.96 | ↑ +90% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,588.00 | ↑ +100% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,588.00 | ↑ +100% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,588.00 | ↑ +100% |
| MEDCOST | MEDCOST VHN | $2,738.33 | ↑ +112% |
| BLUE CROSS | BLUE CROSS E NETWORK | $3,544.00 | ↑ +174% |
| BLUE CROSS | BLUE CROSS P NETWORK | $3,624.00 | ↑ +180% |
| BLUE CROSS | BLUE CROSS S NETWORK | $3,624.00 | ↑ +180% |
| BLUE CROSS | ANTHEM EXCHANGE | $4,072.75 | ↑ +215% |
| AMBETTER | AMBETTER | $4,323.04 | ↑ +234% |
| BLUE CROSS | ANTHEM HMO | $4,327.17 | ↑ +234% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,430.58 | ↑ +242% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,759.31 | ↑ +268% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $5,090.65 | ↑ +293% |
| WELLCARE | WELLCARE MEDICAID | $5,754.00 | ↑ +344% |
Visitor-reported prices
Comments
Change nephroureteral cath at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $1,294.65 | $1,566.06 – $4,551.72 |
| Ascension Saint Thomas Midtown | Nashville | $2,976.83 | $1,185.00 – $1,534.53 |
| CHI Memorial Hospital Hixson | Hixson | $2,209.94 | $1,493.20 – $5,226.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,158.12 | $1,567.86 – $5,226.20 |
| Johnson City Medical Center | JOHNSON CITY | $1,294.65 | $1,610.72 – $4,252.37 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $2,976.83 | $1,185.00 – $1,636.56 |
| Greeneville Community Hospital | GREENEVILLE | $1,294.65 | $1,440.35 – $4,252.37 |
| Bristol Regional Medical Center | BRISTOL | $1,294.65 | $1,921.69 – $4,759.31 |