Cystourethroscop/calib/dilat stric 52281 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$437.10
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.
$2,914.00
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.
$150.09 with BLUE CROSS vs $4,323.04 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $150.09 | ↓ -66% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↓ -61% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↑ +8% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +12% |
| SENTARA HEALTH | SENTARA HEALTH | $752.10 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +94% |
| AETNA | AETNA | $1,244.28 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,386.77 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,968.76 | ↑ +350% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,983.05 | ↑ +354% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,983.05 | ↑ +354% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,983.05 | ↑ +354% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,983.05 | ↑ +354% |
| HUMANA | HUMANA MEDICARE | $1,983.05 | ↑ +354% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,983.05 | ↑ +354% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,983.05 | ↑ +354% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,983.05 | ↑ +354% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,022.71 | ↑ +363% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,027.82 | ↑ +364% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,029.79 | ↑ +364% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,047.51 | ↑ +368% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,062.37 | ↑ +372% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,062.37 | ↑ +372% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,067.20 | ↑ +373% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,082.20 | ↑ +376% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,082.20 | ↑ +376% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,082.20 | ↑ +376% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,082.20 | ↑ +376% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,082.20 | ↑ +376% |
| WELLCARE | WELLCARE MEDICARE | $2,102.03 | ↑ +381% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,243.78 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,914.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,914.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $2,914.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $2,914.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,914.00 | ↑ +567% |
| AMBETTER | AMBETTER | $4,323.04 | ↑ +889% |
Visitor-reported prices
Comments
Cystourethroscop/calib/dilat stric 52281 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $437.10 | $150.09 – $4,134.48 |
| CHI Memorial Hospital Hixson | Hixson | $1,419.62 | $959.20 – $3,357.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $604.21 | $1,627.37 – $3,741.08 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,028.71 | $1,007.16 – $3,357.20 |
| Johnson City Medical Center | JOHNSON CITY | $437.10 | $150.09 – $4,252.37 |
| Hancock County Hospital | SNEEDVILLE | $429.18 | $150.09 – $2,272.67 |
| Greeneville Community Hospital | GREENEVILLE | $437.10 | $150.09 – $4,252.37 |
| Bristol Regional Medical Center | BRISTOL | $437.10 | $150.09 – $4,323.04 |