Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$149.10
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.
$994.00
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.
$56.50 with BLUE CROSS vs $1,464.46 with AMBETTER — 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 SELECT | $56.50 | ↓ -62% |
| BLUE CROSS | TENNCARE BLUE CARE | $56.50 | ↓ -62% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $136.10 | ↓ -9% |
| SENTARA HEALTH | SENTARA HEALTH | $256.55 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA PPO | $414.50 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $414.50 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $414.50 | ↑ +178% |
| AETNA | AETNA | $424.44 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $461.22 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $473.04 | ↑ +217% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $495.95 | ↑ +233% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $540.36 | ↑ +262% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $556.57 | ↑ +273% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $557.11 | ↑ +274% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $561.97 | ↑ +277% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $567.38 | ↑ +281% |
| AETNA | AETNA HEALTHCARE MEDICARE | $671.77 | ↑ +351% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $671.77 | ↑ +351% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $671.77 | ↑ +351% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $671.77 | ↑ +351% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $671.77 | ↑ +351% |
| SENTARA HEALTH | SENTARA MEDICARE | $671.77 | ↑ +351% |
| HUMANA | HUMANA MEDICARE | $671.77 | ↑ +351% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $671.77 | ↑ +351% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $685.21 | ↑ +360% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $698.64 | ↑ +369% |
| BLUE CROSS | BLUE CROSS MEDICARE | $698.64 | ↑ +369% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $705.36 | ↑ +373% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $705.36 | ↑ +373% |
| NHC ADVANTAGE | NHC ADVANTAGE | $705.36 | ↑ +373% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $705.36 | ↑ +373% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $705.36 | ↑ +373% |
| WELLCARE | WELLCARE MEDICARE | $712.08 | ↑ +378% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $765.38 | ↑ +413% |
| BLUE CROSS | ANTHEM EXCHANGE | $994.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $994.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $994.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $994.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $994.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,464.46 | ↑ +882% |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,051.40 | $72.50 – $2,486.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,502.50 | $72.50 – $2,486.40 |
| Hancock County Hospital | SNEEDVILLE | $146.28 | $56.50 – $636.00 |
| Greeneville Community Hospital | GREENEVILLE | $149.10 | $56.50 – $1,440.52 |
| Bristol Regional Medical Center | BRISTOL | $149.10 | $56.50 – $1,464.46 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $149.10 | $56.50 – $1,400.59 |
| Ascension Saint Thomas Midtown | Nashville | not published | $48.71 – $998.50 |
| 62-1166050 BMH Carroll County | Huntingdon | not published | $558.94 – $1,284.92 |