Cytogenetics 3-5 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$21.90
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.
$146.00
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.
$20.35 with AMERIGROUP vs $146.00 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 | $20.35 | ↓ -7% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $22.75 | ↑ +4% |
| BLUE CROSS | TENNCARE BLUE SELECT | $34.61 | ↑ +58% |
| BLUE CROSS | TENNCARE BLUE CARE | $34.61 | ↑ +58% |
| SENTARA HEALTH | SENTARA HEALTH | $37.68 | ↑ +72% |
| SENTARA HEALTH | SENTARA MEDICARE | $40.70 | ↑ +86% |
| BLUE CROSS | ANTHEM HMO | $40.70 | ↑ +86% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $40.70 | ↑ +86% |
| AETNA | AETNA HEALTHCARE MEDICARE | $40.70 | ↑ +86% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $40.70 | ↑ +86% |
| HUMANA | HUMANA MEDICARE | $40.70 | ↑ +86% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $40.70 | ↑ +86% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $40.70 | ↑ +86% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $40.70 | ↑ +86% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $40.70 | ↑ +86% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $40.70 | ↑ +86% |
| BLUE CROSS | ANTHEM EXCHANGE | $40.70 | ↑ +86% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $40.70 | ↑ +86% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $41.51 | ↑ +90% |
| BLUE CROSS | BLUE CROSS MEDICARE | $42.33 | ↑ +93% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $42.33 | ↑ +93% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $42.33 | ↑ +93% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $42.74 | ↑ +95% |
| NHC ADVANTAGE | NHC ADVANTAGE | $42.74 | ↑ +95% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $42.74 | ↑ +95% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $42.74 | ↑ +95% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $42.74 | ↑ +95% |
| WELLCARE | WELLCARE MEDICARE | $43.14 | ↑ +97% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $44.97 | ↑ +105% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $46.32 | ↑ +112% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $46.36 | ↑ +112% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $46.77 | ↑ +114% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $47.22 | ↑ +116% |
| AETNA | AETNA | $62.34 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $69.48 | ↑ +217% |
| AMBETTER | AMBETTER | $88.73 | ↑ +305% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $89.50 | ↑ +309% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $89.74 | ↑ +310% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $97.68 | ↑ +346% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $107.72 | ↑ +392% |
| CIGNA HEALTHCARE | CIGNA PPO | $107.72 | ↑ +392% |
| CIGNA HEALTHCARE | CIGNA HMO | $107.72 | ↑ +392% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $112.42 | ↑ +413% |
| BLUE CROSS | BLUE CROSS E NETWORK | $119.09 | ↑ +444% |
| BLUE CROSS | BLUE CROSS S NETWORK | $120.55 | ↑ +450% |
| BLUE CROSS | BLUE CROSS P NETWORK | $121.64 | ↑ +455% |
| WELLCARE | WELLCARE MEDICAID | $146.00 | ↑ +567% |
Visitor-reported prices
Comments
Cytogenetics 3-5 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $21.16 | $18.96 – $89.50 |
| Greeneville Community Hospital | GREENEVILLE | $21.90 | $13.65 – $88.73 |
| Bristol Regional Medical Center | BRISTOL | $21.90 | $20.35 – $97.68 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $21.90 | $18.96 – $88.73 |
| Ascension Saint Thomas Midtown | Nashville | not published | $14.65 – $127.54 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $18.77 – $127.54 |
| Ascension Saint Thomas Highlands | Sparta | not published | $18.77 – $127.54 |
| Ascension Saint Thomas River Park | McMinnville | not published | $18.77 – $127.54 |