Chemotherapy injection 96542 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$46.95
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.
$313.00
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.
$43.62 with UNITED HEALTHCARE vs $683.09 with AMBETTER — 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 | $43.62 | ↓ -7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $64.68 | ↑ +38% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $66.62 | ↑ +42% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $66.69 | ↑ +42% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $67.27 | ↑ +43% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $67.91 | ↑ +45% |
| SENTARA HEALTH | SENTARA HEALTH | $80.79 | ↑ +72% |
| BLUE CROSS | TENNCARE BLUE SELECT | $96.41 | ↑ +105% |
| BLUE CROSS | TENNCARE BLUE CARE | $96.41 | ↑ +105% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $123.45 | ↑ +163% |
| CIGNA HEALTHCARE | CIGNA HMO | $130.52 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $130.52 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $130.52 | ↑ +178% |
| AETNA | AETNA | $133.65 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $145.23 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $148.96 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $241.01 | ↑ +413% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $313.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $313.00 | ↑ +567% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $313.00 | ↑ +567% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $313.00 | ↑ +567% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $313.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $313.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $313.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $313.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $313.00 | ↑ +567% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $313.00 | ↑ +567% |
| AETNA | AETNA HEALTHCARE MEDICARE | $313.00 | ↑ +567% |
| HUMANA | HUMANA MEDICARE | $313.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $313.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $313.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $313.00 | ↑ +567% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $313.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $313.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS E NETWORK | $313.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $313.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $313.00 | ↑ +567% |
| NHC ADVANTAGE | NHC ADVANTAGE | $313.00 | ↑ +567% |
| SENTARA HEALTH | SENTARA MEDICARE | $313.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $313.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $313.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $313.00 | ↑ +567% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $313.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS MEDICARE | $325.88 | ↑ +594% |
| WELLCARE | WELLCARE MEDICARE | $332.15 | ↑ +607% |
| AMBETTER | AMBETTER | $683.09 | ↑ +1355% |
Visitor-reported prices
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Chemotherapy injection 96542 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $46.95 | $62.58 – $653.30 |
| Johnson City Medical Center | JOHNSON CITY | $46.95 | $65.43 – $671.93 |
| Greeneville Community Hospital | GREENEVILLE | $46.95 | $26.17 – $671.93 |
| Bristol Regional Medical Center | BRISTOL | $46.95 | $43.62 – $683.09 |
| Franklin Woods Community Hospital | JOHNSON CITY | $46.95 | $65.43 – $653.78 |
| 62-0123940 BMH Collierville | Collierville | $166.32 | $83.11 – $607.46 |
| 62-1138045 BMH Union City | Union City | $126.20 | $263.50 – $605.74 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $46.95 | $36.35 – $653.30 |