Cryptococcus abs qn - sendout at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$25.35
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.
$169.00
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.
$7.21 with AMERIGROUP vs $169.00 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 | $7.21 | ↓ -72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $11.64 | ↓ -54% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $11.99 | ↓ -53% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $12.00 | ↓ -53% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $12.11 | ↓ -52% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $12.22 | ↓ -52% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $12.25 | ↓ -52% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $14.41 | ↓ -43% |
| AETNA | AETNA HEALTHCARE MEDICARE | $14.41 | ↓ -43% |
| HUMANA | HUMANA MEDICARE | $14.41 | ↓ -43% |
| BLUE CROSS | ANTHEM EXCHANGE | $14.41 | ↓ -43% |
| BLUE CROSS | ANTHEM HMO | $14.41 | ↓ -43% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $14.41 | ↓ -43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $14.41 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $14.41 | ↓ -43% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $14.41 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $14.41 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $14.41 | ↓ -43% |
| SENTARA HEALTH | SENTARA MEDICARE | $14.41 | ↓ -43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $14.41 | ↓ -43% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $14.70 | ↓ -42% |
| BLUE CROSS | BLUE CROSS MEDICARE | $14.99 | ↓ -41% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $14.99 | ↓ -41% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $14.99 | ↓ -41% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $15.13 | ↓ -40% |
| NHC ADVANTAGE | NHC ADVANTAGE | $15.13 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $15.13 | ↓ -40% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $15.13 | ↓ -40% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $15.13 | ↓ -40% |
| WELLCARE | WELLCARE MEDICARE | $15.27 | ↓ -40% |
| AMBETTER | AMBETTER | $31.41 | ↑ +24% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $31.76 | ↑ +25% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $34.58 | ↑ +36% |
| BLUE CROSS | TENNCARE BLUE SELECT | $35.38 | ↑ +40% |
| BLUE CROSS | TENNCARE BLUE CARE | $35.38 | ↑ +40% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $40.85 | ↑ +61% |
| SENTARA HEALTH | SENTARA HEALTH | $43.62 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $57.99 | ↑ +129% |
| CIGNA HEALTHCARE | CIGNA PPO | $57.99 | ↑ +129% |
| CIGNA HEALTHCARE | CIGNA HMO | $57.99 | ↑ +129% |
| BLUE CROSS | BLUE CROSS E NETWORK | $64.09 | ↑ +153% |
| BLUE CROSS | BLUE CROSS S NETWORK | $64.88 | ↑ +156% |
| BLUE CROSS | BLUE CROSS P NETWORK | $65.47 | ↑ +158% |
| AETNA | AETNA | $72.16 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $80.43 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $130.13 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $169.00 | ↑ +567% |
Visitor-reported prices
Comments
Cryptococcus abs qn - sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $237.50 | $5.19 – $55.30 |
| CHI Memorial Hospital Hixson | Hixson | $66.31 | $12.80 – $156.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $94.76 | $12.80 – $156.80 |
| Ascension Saint Thomas DeKalb | Smithville | $237.50 | $10.11 – $55.30 |
| Ascension Saint Thomas Highlands | Sparta | $237.50 | $10.11 – $55.30 |
| Ascension Saint Thomas River Park | McMinnville | $237.50 | $10.11 – $57.95 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $237.50 | $12.97 – $55.30 |
| Greeneville Community Hospital | GREENEVILLE | $25.35 | $6.48 – $31.41 |