Endo abl/incom vein/ext/rad fre/#1 36475 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$1,290.30
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.
$8,602.00
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.
$775.00 with BLUE CROSS vs $8,602.00 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 | TENNCARE BLUE SELECT | $775.00 | ↓ -40% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↓ -40% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,082.00 | ↓ -16% |
| SENTARA HEALTH | SENTARA HEALTH | $2,220.18 | ↑ +72% |
| HUMANA | HUMANA MEDICARE | $2,995.35 | ↑ +132% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,995.35 | ↑ +132% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,995.35 | ↑ +132% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,995.35 | ↑ +132% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,995.35 | ↑ +132% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,995.35 | ↑ +132% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,995.35 | ↑ +132% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,995.35 | ↑ +132% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $3,013.00 | ↑ +134% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,055.26 | ↑ +137% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,115.16 | ↑ +141% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,115.16 | ↑ +141% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,145.12 | ↑ +144% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,145.12 | ↑ +144% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,145.12 | ↑ +144% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,145.12 | ↑ +144% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,145.12 | ↑ +144% |
| WELLCARE | WELLCARE MEDICARE | $3,175.07 | ↑ +146% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3,311.24 | ↑ +157% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,336.00 | ↑ +159% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,410.58 | ↑ +164% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,413.89 | ↑ +165% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3,443.69 | ↑ +167% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,476.80 | ↑ +169% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,488.00 | ↑ +170% |
| AETNA | AETNA | $3,673.05 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $4,093.69 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4,793.00 | ↑ +271% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,901.00 | ↑ +280% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,901.00 | ↑ +280% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5,883.00 | ↑ +356% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $6,048.00 | ↑ +369% |
| BLUE CROSS | ANTHEM EXCHANGE | $6,151.79 | ↑ +377% |
| AMBETTER | AMBETTER | $6,529.86 | ↑ +406% |
| BLUE CROSS | ANTHEM HMO | $6,536.08 | ↑ +407% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6,623.54 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,188.84 | ↑ +457% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $7,689.30 | ↑ +496% |
| CIGNA HEALTHCARE | CIGNA HMO | $8,003.00 | ↑ +520% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $8,003.00 | ↑ +520% |
| CIGNA HEALTHCARE | CIGNA PPO | $8,003.00 | ↑ +520% |
| WELLCARE | WELLCARE MEDICAID | $8,602.00 | ↑ +567% |
Visitor-reported prices
Comments
Endo abl/incom vein/ext/rad fre/#1 36475 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $4,216.52 | $2,094.80 – $7,331.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $6,025.64 | $2,199.54 – $7,331.80 |
| Greeneville Community Hospital | GREENEVILLE | $1,290.30 | $2,117.40 – $6,423.11 |
| Bristol Regional Medical Center | BRISTOL | $1,290.30 | $2,995.35 – $7,188.84 |
| 62-0123940 BMH Collierville | Collierville | $1,713.81 | $2,738.06 – $5,764.34 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,290.30 | $2,864.70 – $6,245.05 |
| Ascension Saint Thomas Midtown | Nashville | not published | $1,534.53 – $3,142.00 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $1,085.86 – $3,160.00 |