Complx repair trunk 1.1-2.5 cm 13100 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$265.95
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.
$1,773.00
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.
$81.62 with BLUE CROSS vs $1,773.00 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 | $81.62 | ↓ -69% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↓ -36% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $178.27 | ↓ -33% |
| SENTARA HEALTH | SENTARA HEALTH | $457.61 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↑ +77% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +85% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $540.36 | ↑ +103% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $556.57 | ↑ +109% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $557.11 | ↑ +109% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $561.97 | ↑ +111% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $567.38 | ↑ +113% |
| AETNA | AETNA HEALTHCARE MEDICARE | $701.12 | ↑ +164% |
| SENTARA HEALTH | SENTARA MEDICARE | $701.12 | ↑ +164% |
| HUMANA | HUMANA MEDICARE | $701.12 | ↑ +164% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $701.12 | ↑ +164% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $701.12 | ↑ +164% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $701.12 | ↑ +164% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $701.12 | ↑ +164% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $701.12 | ↑ +164% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $715.14 | ↑ +169% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $729.17 | ↑ +174% |
| BLUE CROSS | BLUE CROSS MEDICARE | $729.17 | ↑ +174% |
| NHC ADVANTAGE | NHC ADVANTAGE | $736.18 | ↑ +177% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $736.18 | ↑ +177% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $736.18 | ↑ +177% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $736.18 | ↑ +177% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $736.18 | ↑ +177% |
| WELLCARE | WELLCARE MEDICARE | $743.19 | ↑ +179% |
| AETNA | AETNA | $757.07 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $843.77 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +218% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,365.21 | ↑ +413% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,439.95 | ↑ +441% |
| AMBETTER | AMBETTER | $1,528.45 | ↑ +475% |
| BLUE CROSS | ANTHEM HMO | $1,529.90 | ↑ +475% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,682.69 | ↑ +533% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,773.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,773.00 | ↑ +567% |
Visitor-reported prices
Comments
Complx repair trunk 1.1-2.5 cm 13100 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $591.41 | $104.72 – $1,398.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $845.16 | $104.72 – $1,398.60 |
| Greeneville Community Hospital | GREENEVILLE | $265.95 | $81.62 – $1,503.46 |
| Bristol Regional Medical Center | BRISTOL | $265.95 | $81.62 – $1,682.69 |
| 62-0123940 BMH Collierville | Collierville | $168.00 | $119.23 – $1,121.06 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $265.95 | $81.62 – $1,461.78 |
| Ascension Saint Thomas Midtown | Nashville | not published | $70.36 – $1,534.53 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $70.36 – $1,246.50 |