Dilate urethra stricture at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$212.25
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.
$1,415.00
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.
$38.52 with BLUE CROSS vs $1,415.00 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $38.52 | ↓ -82% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $105.01 | ↓ -51% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $108.16 | ↓ -49% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $108.27 | ↓ -49% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $109.21 | ↓ -49% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $110.26 | ↓ -48% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↓ -19% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $237.02 | ↑ +12% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $237.02 | ↑ +12% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $237.02 | ↑ +12% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $237.02 | ↑ +12% |
| AETNA | AETNA HEALTHCARE MEDICARE | $237.02 | ↑ +12% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $237.02 | ↑ +12% |
| HUMANA | HUMANA MEDICARE | $237.02 | ↑ +12% |
| SENTARA HEALTH | SENTARA MEDICARE | $237.02 | ↑ +12% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $241.76 | ↑ +14% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $246.50 | ↑ +16% |
| BLUE CROSS | BLUE CROSS MEDICARE | $246.50 | ↑ +16% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $248.87 | ↑ +17% |
| NHC ADVANTAGE | NHC ADVANTAGE | $248.87 | ↑ +17% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $248.87 | ↑ +17% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $248.87 | ↑ +17% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $248.87 | ↑ +17% |
| WELLCARE | WELLCARE MEDICARE | $251.24 | ↑ +18% |
| SENTARA HEALTH | SENTARA HEALTH | $365.21 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↑ +122% |
| BLUE CROSS | ANTHEM EXCHANGE | $486.78 | ↑ +129% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +131% |
| AMBETTER | AMBETTER | $516.70 | ↑ +143% |
| BLUE CROSS | ANTHEM HMO | $517.19 | ↑ +144% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $568.85 | ↑ +168% |
| AETNA | AETNA | $604.21 | ↑ +185% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $608.44 | ↑ +187% |
| MEDCOST | MEDCOST VHN | $673.40 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +299% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,089.55 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $1,415.00 | ↑ +567% |
Visitor-reported prices
Comments
Dilate urethra stricture at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $212.25 | $38.52 – $544.03 |
| 62-1166050 BMH Carroll County | Huntingdon | $83.26 | $193.21 – $444.16 |
| Johnson City Medical Center | JOHNSON CITY | $212.25 | $38.52 – $508.25 |
| Hancock County Hospital | SNEEDVILLE | $208.38 | $38.52 – $121.22 |
| Greeneville Community Hospital | GREENEVILLE | $212.25 | $38.52 – $508.25 |
| Bristol Regional Medical Center | BRISTOL | $212.25 | $38.52 – $568.85 |
| Franklin Woods Community Hospital | JOHNSON CITY | $212.25 | $38.52 – $494.53 |
| 62-0123940 BMH Collierville | Collierville | $76.02 | $211.57 – $445.42 |