Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$98.85
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.
$658.99
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.
$14.46 with BLUE CROSS vs $626.07 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 | $14.46 | ↓ -85% |
| BLUE CROSS | TENNCARE BLUE CARE | $26.02 | ↓ -74% |
| BLUE CROSS | TENNCARE BLUE SELECT | $26.02 | ↓ -74% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $28.51 | ↓ -71% |
| SENTARA HEALTH | SENTARA HEALTH | $161.59 | ↑ +63% |
| CIGNA HEALTHCARE | CIGNA PPO | $261.07 | ↑ +164% |
| CIGNA HEALTHCARE | CIGNA HMO | $261.07 | ↑ +164% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $261.07 | ↑ +164% |
| AETNA | AETNA | $267.33 | ↑ +170% |
| MEDCOST | MEDCOST VHN | $297.95 | ↑ +201% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $482.07 | ↑ +388% |
| WELLCARE | WELLCARE MEDICAID | $626.07 | ↑ +533% |
Visitor-reported prices
Comments
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $33.57 | $20.09 – $35.89 |
| CHI Memorial Hospital Hixson | Hixson | $86.50 | $17.92 – $107.09 |
| 62-1166050 BMH Carroll County | Huntingdon | $55.75 | $15.86 – $22.43 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $123.61 | $17.92 – $107.09 |
| Johnson City Medical Center | JOHNSON CITY | $98.85 | $14.46 – $28.51 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $33.69 | $20.09 – $35.89 |
| Bristol Regional Medical Center | BRISTOL | $98.85 | $14.46 – $28.51 |
| 62-0123940 BMH Collierville | Collierville | $50.90 | $15.86 – $22.43 |