Debr musc/fascia 20sq cm/< 11043 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$290.10
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.
?
What you pay up front if you don't use insurance.
$1,934.00
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.
$168.56 with BLUE CROSS vs $1,934.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $168.56 | ↓ -42% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $169.88 | ↓ -41% |
| BLUE CROSS | TENNCARE BLUE CARE | $181.53 | ↓ -37% |
| BLUE CROSS | TENNCARE BLUE SELECT | $181.53 | ↓ -37% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $490.51 | ↑ +69% |
| SENTARA HEALTH | SENTARA HEALTH | $499.17 | ↑ +72% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $505.23 | ↑ +74% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $505.72 | ↑ +74% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $510.14 | ↑ +76% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $515.04 | ↑ +78% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $593.74 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $624.68 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $624.68 | ↑ +115% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $701.12 | ↑ +142% |
| AETNA | AETNA HEALTHCARE MEDICARE | $701.12 | ↑ +142% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $701.12 | ↑ +142% |
| SENTARA HEALTH | SENTARA MEDICARE | $701.12 | ↑ +142% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $701.12 | ↑ +142% |
| HUMANA | HUMANA MEDICARE | $701.12 | ↑ +142% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $701.12 | ↑ +142% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $701.12 | ↑ +142% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $715.14 | ↑ +147% |
| BLUE CROSS | BLUE CROSS MEDICARE | $729.17 | ↑ +151% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $729.17 | ↑ +151% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $736.18 | ↑ +154% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $736.18 | ↑ +154% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $736.18 | ↑ +154% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $736.18 | ↑ +154% |
| NHC ADVANTAGE | NHC ADVANTAGE | $736.18 | ↑ +154% |
| WELLCARE | WELLCARE MEDICARE | $743.19 | ↑ +156% |
| CIGNA HEALTHCARE | CIGNA HMO | $806.48 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $806.48 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $806.48 | ↑ +178% |
| AETNA | AETNA | $825.82 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $897.38 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $920.39 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,439.95 | ↑ +396% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,489.18 | ↑ +413% |
| AMBETTER | AMBETTER | $1,528.45 | ↑ +427% |
| BLUE CROSS | ANTHEM HMO | $1,529.90 | ↑ +427% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,682.69 | ↑ +480% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,799.83 | ↑ +520% |
| WELLCARE | WELLCARE MEDICAID | $1,934.00 | ↑ +567% |
Visitor-reported prices
Comments
Debr musc/fascia 20sq cm/< 11043 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $290.10 | $168.56 – $1,609.30 |
| CHI Memorial Hospital Hixson | Hixson | $960.82 | $232.90 – $2,272.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $176.87 | $486.29 – $1,117.90 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,373.06 | $232.90 – $2,272.20 |
| Johnson City Medical Center | JOHNSON CITY | $290.10 | $168.56 – $1,503.46 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $538.44 | $156.49 – $1,246.50 |
| Hancock County Hospital | SNEEDVILLE | $284.74 | $141.57 – $686.73 |
| Greeneville Community Hospital | GREENEVILLE | $290.10 | $101.93 – $1,503.46 |