Deep muscle biopsy 20205 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$1,124.85
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.
$7,499.00
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.
$890.00 with BLUE CROSS vs $7,499.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $890.00 | ↓ -21% |
| BLUE CROSS | TENNCARE BLUE SELECT | $890.00 | ↓ -21% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,055.00 | ↓ -6% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,077.00 | ↓ -4% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,082.00 | ↓ -4% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,103.00 | ↓ -2% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,861.00 | ↑ +65% |
| SENTARA HEALTH | SENTARA HEALTH | $1,935.49 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,246.00 | ↑ +100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,285.01 | ↑ +103% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,353.56 | ↑ +109% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,355.85 | ↑ +109% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,376.41 | ↑ +111% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,399.26 | ↑ +113% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,755.56 | ↑ +145% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,755.56 | ↑ +145% |
| HUMANA | HUMANA MEDICARE | $2,755.56 | ↑ +145% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,755.56 | ↑ +145% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,755.56 | ↑ +145% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,755.56 | ↑ +145% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,755.56 | ↑ +145% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,755.56 | ↑ +145% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,810.67 | ↑ +150% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,865.79 | ↑ +155% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,865.79 | ↑ +155% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,893.34 | ↑ +157% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,893.34 | ↑ +157% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,893.34 | ↑ +157% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,893.34 | ↑ +157% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,893.34 | ↑ +157% |
| WELLCARE | WELLCARE MEDICARE | $2,920.90 | ↑ +160% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,967.00 | ↑ +164% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,967.00 | ↑ +164% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,967.00 | ↑ +164% |
| AETNA | AETNA | $3,202.07 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $3,568.77 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4,793.00 | ↑ +326% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,901.00 | ↑ +336% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,901.00 | ↑ +336% |
| BLUE CROSS | ANTHEM EXCHANGE | $5,659.33 | ↑ +403% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,774.23 | ↑ +413% |
| AMBETTER | AMBETTER | $6,007.13 | ↑ +434% |
| BLUE CROSS | ANTHEM HMO | $6,012.85 | ↑ +435% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $6,613.35 | ↑ +488% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $7,073.75 | ↑ +529% |
| WELLCARE | WELLCARE MEDICAID | $7,499.00 | ↑ +567% |
Visitor-reported prices
Comments
Deep muscle biopsy 20205 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $1,124.85 | $2,147.16 – $6,324.90 |
| Johnson City Medical Center | JOHNSON CITY | $1,124.85 | $2,208.38 – $5,908.92 |
| Hancock County Hospital | SNEEDVILLE | $1,104.00 | $2,587.50 – $3,270.31 |
| Greeneville Community Hospital | GREENEVILLE | $1,124.85 | $1,974.80 – $5,908.92 |
| Bristol Regional Medical Center | BRISTOL | $1,124.85 | $2,353.56 – $6,613.35 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,124.85 | $1,942.15 – $5,749.39 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,124.85 | $2,587.51 – $5,745.12 |
| Johnson County Community Hospital | MOUNTAIN CITY | $1,104.00 | $2,512.14 – $3,309.36 |