Cytotoxic antibody screening at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$31.80
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.
?
What you pay up front if you don't use insurance.
$212.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4.49 with UNITED HEALTHCARE vs $212.00 with WELLCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $4.49 | ↓ -86% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $4.62 | ↓ -85% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $4.63 | ↓ -85% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $4.67 | ↓ -85% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $4.71 | ↓ -85% |
| AMERIGROUP | AMERIGROUP | $14.84 | ↓ -53% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $25.22 | ↓ -21% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $29.68 | ↓ -7% |
| AETNA | AETNA HEALTHCARE MEDICARE | $29.68 | ↓ -7% |
| HUMANA | HUMANA MEDICARE | $29.68 | ↓ -7% |
| BLUE CROSS | ANTHEM EXCHANGE | $29.68 | ↓ -7% |
| BLUE CROSS | ANTHEM HMO | $29.68 | ↓ -7% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $29.68 | ↓ -7% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $29.68 | ↓ -7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $29.68 | ↓ -7% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $29.68 | ↓ -7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $29.68 | ↓ -7% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $29.68 | ↓ -7% |
| SENTARA HEALTH | SENTARA MEDICARE | $29.68 | ↓ -7% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $29.68 | ↓ -7% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $30.27 | ↓ -5% |
| BLUE CROSS | BLUE CROSS MEDICARE | $30.87 | ↓ -3% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $30.87 | ↓ -3% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $30.87 | ↓ -3% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $31.16 | ↓ -2% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $31.16 | ↓ -2% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $31.16 | ↓ -2% |
| NHC ADVANTAGE | NHC ADVANTAGE | $31.16 | ↓ -2% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $31.16 | ↓ -2% |
| WELLCARE | WELLCARE MEDICARE | $31.46 | ↓ -1% |
| SENTARA HEALTH | SENTARA HEALTH | $54.72 | ↑ +72% |
| AMBETTER | AMBETTER | $64.70 | ↑ +103% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $65.68 | ↑ +107% |
| BLUE CROSS | TENNCARE BLUE SELECT | $68.67 | ↑ +116% |
| BLUE CROSS | TENNCARE BLUE CARE | $68.67 | ↑ +116% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $71.23 | ↑ +124% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $84.55 | ↑ +166% |
| AETNA | AETNA | $90.52 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $100.89 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA PPO | $119.43 | ↑ +276% |
| CIGNA HEALTHCARE | CIGNA HMO | $119.43 | ↑ +276% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $119.43 | ↑ +276% |
| BLUE CROSS | BLUE CROSS E NETWORK | $132.00 | ↑ +315% |
| BLUE CROSS | BLUE CROSS S NETWORK | $133.62 | ↑ +320% |
| BLUE CROSS | BLUE CROSS P NETWORK | $134.83 | ↑ +324% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $163.24 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $212.00 | ↑ +567% |
Visitor-reported prices
Comments
Cytotoxic antibody screening at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $31.80 | $4.34 – $71.23 |
| Ascension Saint Thomas Midtown | Nashville | $420.38 | $10.68 – $115.12 |
| Johnson City Medical Center | JOHNSON CITY | $31.80 | $4.55 – $64.70 |
| Hancock County Hospital | SNEEDVILLE | $31.28 | $5.08 – $65.68 |
| Greeneville Community Hospital | GREENEVILLE | $31.80 | $4.94 – $64.70 |
| Bristol Regional Medical Center | BRISTOL | $31.80 | $4.62 – $71.23 |
| Franklin Woods Community Hospital | JOHNSON CITY | $31.80 | $4.94 – $64.70 |
| 62-0123940 BMH Collierville | Collierville | $121.17 | $28.20 – $59.36 |