Chromosome analysis 20-25 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$260.70
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.
$1,738.00
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.
$86.59 with AMERIGROUP vs $1,738.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $86.59 | ↓ -67% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $126.51 | ↓ -51% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $165.36 | ↓ -37% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $170.32 | ↓ -35% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $170.49 | ↓ -35% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $171.97 | ↓ -34% |
| SENTARA HEALTH | SENTARA MEDICARE | $173.17 | ↓ -34% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $173.17 | ↓ -34% |
| AETNA | AETNA HEALTHCARE MEDICARE | $173.17 | ↓ -34% |
| HUMANA | HUMANA MEDICARE | $173.17 | ↓ -34% |
| BLUE CROSS | ANTHEM EXCHANGE | $173.17 | ↓ -34% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $173.17 | ↓ -34% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $173.17 | ↓ -34% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $173.17 | ↓ -34% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $173.17 | ↓ -34% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $173.17 | ↓ -34% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $173.17 | ↓ -34% |
| BLUE CROSS | ANTHEM HMO | $173.17 | ↓ -34% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $173.17 | ↓ -34% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $173.63 | ↓ -33% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $176.63 | ↓ -32% |
| BLUE CROSS | BLUE CROSS MEDICARE | $180.10 | ↓ -31% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $180.10 | ↓ -31% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $180.10 | ↓ -31% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $181.83 | ↓ -30% |
| NHC ADVANTAGE | NHC ADVANTAGE | $181.83 | ↓ -30% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $181.83 | ↓ -30% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $181.83 | ↓ -30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $181.83 | ↓ -30% |
| WELLCARE | WELLCARE MEDICARE | $183.56 | ↓ -30% |
| BLUE CROSS | TENNCARE BLUE SELECT | $200.98 | ↓ -23% |
| BLUE CROSS | TENNCARE BLUE CARE | $200.98 | ↓ -23% |
| AMBETTER | AMBETTER | $377.51 | ↑ +45% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $381.82 | ↑ +46% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $415.61 | ↑ +59% |
| SENTARA HEALTH | SENTARA HEALTH | $448.58 | ↑ +72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $592.65 | ↑ +127% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $598.91 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA PPO | $598.91 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA HMO | $598.91 | ↑ +130% |
| BLUE CROSS | BLUE CROSS E NETWORK | $662.07 | ↑ +154% |
| BLUE CROSS | BLUE CROSS S NETWORK | $670.20 | ↑ +157% |
| BLUE CROSS | BLUE CROSS P NETWORK | $676.29 | ↑ +159% |
| AETNA | AETNA | $742.13 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $827.11 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,338.26 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $1,738.00 | ↑ +567% |
Visitor-reported prices
Comments
Chromosome analysis 20-25 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $260.70 | $75.91 – $377.51 |
| Bristol Regional Medical Center | BRISTOL | $260.70 | $86.59 – $415.61 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $260.70 | $86.59 – $377.51 |
| Ascension Saint Thomas Midtown | Nashville | not published | $62.34 – $670.49 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $104.38 – $670.49 |
| Ascension Saint Thomas Highlands | Sparta | not published | $104.38 – $670.49 |
| Ascension Saint Thomas River Park | McMinnville | not published | $104.38 – $670.49 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $155.85 – $670.49 |