Exchange drainage catheter at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$848.10
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.
$5,654.00
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.
$578.00 with BLUE CROSS vs $5,654.00 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 | TENNCARE BLUE CARE | $578.00 | ↓ -32% |
| BLUE CROSS | TENNCARE BLUE SELECT | $578.00 | ↓ -32% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $922.06 | ↑ +9% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $949.72 | ↑ +12% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $950.64 | ↑ +12% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $958.94 | ↑ +13% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $968.16 | ↑ +14% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,055.00 | ↑ +24% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,077.00 | ↑ +27% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,082.00 | ↑ +28% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,103.00 | ↑ +30% |
| SENTARA HEALTH | SENTARA HEALTH | $1,459.30 | ↑ +72% |
| HUMANA | HUMANA MEDICARE | $1,820.37 | ↑ +115% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,820.37 | ↑ +115% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,820.37 | ↑ +115% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,820.37 | ↑ +115% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,820.37 | ↑ +115% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,820.37 | ↑ +115% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,820.37 | ↑ +115% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,820.37 | ↑ +115% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,856.78 | ↑ +119% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,861.00 | ↑ +119% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,893.19 | ↑ +123% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,893.19 | ↑ +123% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,911.39 | ↑ +125% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,911.39 | ↑ +125% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,911.39 | ↑ +125% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,911.39 | ↑ +125% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,911.39 | ↑ +125% |
| WELLCARE | WELLCARE MEDICARE | $1,929.60 | ↑ +128% |
| AETNA | AETNA | $2,414.26 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $2,690.74 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +278% |
| BLUE CROSS | BLUE CROSS E NETWORK | $3,544.00 | ↑ +318% |
| BLUE CROSS | BLUE CROSS S NETWORK | $3,624.00 | ↑ +327% |
| BLUE CROSS | BLUE CROSS P NETWORK | $3,624.00 | ↑ +327% |
| BLUE CROSS | ANTHEM EXCHANGE | $3,738.65 | ↑ +341% |
| AMBETTER | AMBETTER | $3,968.42 | ↑ +368% |
| BLUE CROSS | ANTHEM HMO | $3,972.19 | ↑ +368% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,239.00 | ↑ +400% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,239.00 | ↑ +400% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,239.00 | ↑ +400% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,353.58 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,368.90 | ↑ +415% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $4,673.04 | ↑ +451% |
| WELLCARE | WELLCARE MEDICAID | $5,654.00 | ↑ +567% |
Visitor-reported prices
Comments
Exchange drainage catheter at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $848.10 | $892.03 – $4,178.34 |
| Ascension Saint Thomas Midtown | Nashville | $1,611.89 | $1,141.72 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $288.60 | $195.00 – $682.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $412.43 | $204.75 – $682.50 |
| Johnson City Medical Center | JOHNSON CITY | $848.10 | $934.18 – $3,903.54 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,611.89 | $1,217.22 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $832.37 | $1,044.12 – $2,007.86 |
| Greeneville Community Hospital | GREENEVILLE | $848.10 | $1,013.71 – $3,903.54 |