Factor ix recombinant nos at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$3,033.59
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.
$20,223.94
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.
$0.70 with UNITED HEALTHCARE vs $6,301.38 with MOLINA HEALTHCARE — 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 | $0.70 | ↓ -100% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1.18 | ↓ -100% |
| SENTARA HEALTH | SENTARA MEDICARE | $1.83 | ↓ -100% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1.83 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1.83 | ↓ -100% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1.83 | ↓ -100% |
| HUMANA | HUMANA MEDICARE | $1.83 | ↓ -100% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1.83 | ↓ -100% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1.83 | ↓ -100% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1.83 | ↓ -100% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1.87 | ↓ -100% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1.91 | ↓ -100% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1.91 | ↓ -100% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1.93 | ↓ -100% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1.93 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1.93 | ↓ -100% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1.93 | ↓ -100% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1.93 | ↓ -100% |
| WELLCARE | WELLCARE MEDICARE | $1.94 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2.24 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2.29 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2.32 | ↓ -100% |
| BLUE CROSS | TENNCARE BLUE CARE | $2.48 | ↓ -100% |
| BLUE CROSS | TENNCARE BLUE SELECT | $2.48 | ↓ -100% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2.54 | ↓ -100% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2.59 | ↓ -100% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2.59 | ↓ -100% |
| BLUE CROSS | ANTHEM HMO | $3.11 | ↓ -100% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3.11 | ↓ -100% |
| BLUE CROSS | ANTHEM EXCHANGE | $3.11 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3.26 | ↓ -100% |
| AMBETTER | AMBETTER | $4.00 | ↓ -100% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4.40 | ↓ -100% |
| SENTARA HEALTH | SENTARA HEALTH | $1,304.95 | ↓ -57% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,108.35 | ↓ -30% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,108.35 | ↓ -30% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,108.35 | ↓ -30% |
| AETNA | AETNA | $2,158.91 | ↓ -29% |
| MEDCOST | MEDCOST VHN | $2,406.15 | ↓ -21% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,893.11 | ↑ +28% |
| WELLCARE | WELLCARE MEDICAID | $5,055.99 | ↑ +67% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5,055.99 | ↑ +67% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $6,001.31 | ↑ +98% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $6,187.35 | ↑ +104% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $6,241.36 | ↑ +106% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $6,301.38 | ↑ +108% |
Visitor-reported prices
Comments
Factor ix recombinant nos at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $3.77 | $1.68 – $4.01 |
| CHI Memorial Hospital Hixson | Hixson | $106.72 | $0.95 – $252.38 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $152.51 | $0.95 – $252.38 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $3.77 | $1.68 – $3.91 |
| Parkwest Medical Center | Knoxville | $3.66 | $0.76 – $10.71 |
| Roane County Medical Center | Harriman | $4.03 | $0.76 – $10.71 |
| LeConte Medical Center | Sevierville | $3.54 | $0.76 – $1.99 |
| Fort Loudoun Medical Center | Lenoir City | $4.03 | $0.76 – $10.71 |