Colonoscopy (with biopsy) at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$484.05
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.
$3,227.00
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.
$775.00 with BLUE CROSS vs $3,227.00 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 | TENNCARE BLUE SELECT | $775.00 | ↑ +60% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↑ +60% |
| SENTARA HEALTH | SENTARA HEALTH | $832.89 | ↑ +72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $948.00 | ↑ +96% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,055.00 | ↑ +118% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,077.00 | ↑ +122% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,103.00 | ↑ +128% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,135.20 | ↑ +135% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,135.20 | ↑ +135% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,135.20 | ↑ +135% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,135.20 | ↑ +135% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,135.20 | ↑ +135% |
| HUMANA | HUMANA MEDICARE | $1,135.20 | ↑ +135% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,135.20 | ↑ +135% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,135.20 | ↑ +135% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,157.90 | ↑ +139% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,180.60 | ↑ +144% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,180.60 | ↑ +144% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,191.96 | ↑ +146% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,191.96 | ↑ +146% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,191.96 | ↑ +146% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,191.96 | ↑ +146% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,191.96 | ↑ +146% |
| WELLCARE | WELLCARE MEDICARE | $1,203.31 | ↑ +149% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,250.33 | ↑ +158% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,287.84 | ↑ +166% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,289.09 | ↑ +166% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,300.35 | ↑ +169% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,312.85 | ↑ +171% |
| AETNA | AETNA | $1,377.93 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,535.73 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,861.00 | ↑ +284% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,956.00 | ↑ +304% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,246.00 | ↑ +364% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,297.00 | ↑ +375% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,297.00 | ↑ +375% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,331.44 | ↑ +382% |
| AMBETTER | AMBETTER | $2,474.73 | ↑ +411% |
| BLUE CROSS | ANTHEM HMO | $2,477.08 | ↑ +412% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,484.79 | ↑ +413% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,588.00 | ↑ +435% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,588.00 | ↑ +435% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,588.00 | ↑ +435% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,724.47 | ↑ +463% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,914.13 | ↑ +502% |
| WELLCARE | WELLCARE MEDICAID | $3,227.00 | ↑ +567% |
Visitor-reported prices
Comments
Colonoscopy (with biopsy) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $484.05 | $864.81 – $2,605.64 |
| Ascension Saint Thomas Midtown | Nashville | $1,261.31 | $1,185.00 – $1,534.53 |
| Johnson City Medical Center | JOHNSON CITY | $484.05 | $889.47 – $2,434.27 |
| Ascension Saint Thomas DeKalb | Smithville | $1,261.31 | $394.93 – $1,246.50 |
| Ascension Saint Thomas Highlands | Sparta | $1,261.31 | $394.93 – $1,246.50 |
| Ascension Saint Thomas River Park | McMinnville | $1,253.13 | $394.93 – $1,246.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,261.31 | $1,185.00 – $1,636.56 |
| Hancock County Hospital | SNEEDVILLE | $474.95 | $1,317.19 – $1,443.35 |