Egd remove foreign body at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$384.60
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.
$2,564.00
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.
$171.00 with UNITED HEALTHCARE vs $2,564.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↓ -56% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $298.53 | ↓ -22% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↑ +22% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +28% |
| SENTARA HEALTH | SENTARA HEALTH | $661.77 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +120% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $860.41 | ↑ +124% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $860.41 | ↑ +124% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $860.41 | ↑ +124% |
| AETNA | AETNA HEALTHCARE MEDICARE | $860.41 | ↑ +124% |
| HUMANA | HUMANA MEDICARE | $860.41 | ↑ +124% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $860.41 | ↑ +124% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $860.41 | ↑ +124% |
| SENTARA HEALTH | SENTARA MEDICARE | $860.41 | ↑ +124% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $877.62 | ↑ +128% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $894.83 | ↑ +133% |
| BLUE CROSS | BLUE CROSS MEDICARE | $894.83 | ↑ +133% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $903.43 | ↑ +135% |
| NHC ADVANTAGE | NHC ADVANTAGE | $903.43 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $903.43 | ↑ +135% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $903.43 | ↑ +135% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $903.43 | ↑ +135% |
| WELLCARE | WELLCARE MEDICARE | $912.04 | ↑ +137% |
| AETNA | AETNA | $1,094.83 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,220.21 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,258.25 | ↑ +227% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,295.99 | ↑ +237% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,297.26 | ↑ +237% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,308.58 | ↑ +240% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,321.16 | ↑ +244% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,767.10 | ↑ +359% |
| AMBETTER | AMBETTER | $1,875.70 | ↑ +388% |
| BLUE CROSS | ANTHEM HMO | $1,877.48 | ↑ +388% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,974.28 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,064.99 | ↑ +437% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,208.74 | ↑ +474% |
| WELLCARE | WELLCARE MEDICAID | $2,564.00 | ↑ +567% |
Visitor-reported prices
Comments
Egd remove foreign body at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $384.60 | $298.53 – $1,974.92 |
| Ascension Saint Thomas Midtown | Nashville | $1,093.16 | $808.11 – $1,534.53 |
| Johnson City Medical Center | JOHNSON CITY | $384.60 | $298.53 – $1,845.04 |
| Ascension Saint Thomas DeKalb | Smithville | $1,093.16 | $372.80 – $1,246.50 |
| Ascension Saint Thomas Highlands | Sparta | $1,093.16 | $372.80 – $1,246.50 |
| Ascension Saint Thomas River Park | McMinnville | $1,093.16 | $372.80 – $1,246.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,093.16 | $808.11 – $1,636.56 |
| Hancock County Hospital | SNEEDVILLE | $377.43 | $298.53 – $1,452.49 |