Fibrinogen activity at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$15.00
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.
$100.00
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.
$4.57 with UNITED HEALTHCARE vs $100.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $4.57 | ↓ -70% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $4.70 | ↓ -69% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $4.71 | ↓ -69% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $4.75 | ↓ -68% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $4.80 | ↓ -68% |
| AMERIGROUP | AMERIGROUP | $4.86 | ↓ -68% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $7.22 | ↓ -52% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $9.72 | ↓ -35% |
| AETNA | AETNA HEALTHCARE MEDICARE | $9.72 | ↓ -35% |
| HUMANA | HUMANA MEDICARE | $9.72 | ↓ -35% |
| BLUE CROSS | ANTHEM EXCHANGE | $9.72 | ↓ -35% |
| BLUE CROSS | ANTHEM HMO | $9.72 | ↓ -35% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $9.72 | ↓ -35% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $9.72 | ↓ -35% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $9.72 | ↓ -35% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $9.72 | ↓ -35% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $9.72 | ↓ -35% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $9.72 | ↓ -35% |
| SENTARA HEALTH | SENTARA MEDICARE | $9.72 | ↓ -35% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $9.72 | ↓ -35% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $9.91 | ↓ -34% |
| BLUE CROSS | BLUE CROSS MEDICARE | $10.11 | ↓ -33% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $10.11 | ↓ -33% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $10.11 | ↓ -33% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $10.21 | ↓ -32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $10.21 | ↓ -32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $10.21 | ↓ -32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $10.21 | ↓ -32% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $10.21 | ↓ -32% |
| WELLCARE | WELLCARE MEDICARE | $10.30 | ↓ -31% |
| BLUE CROSS | TENNCARE BLUE SELECT | $13.05 | ↓ -13% |
| BLUE CROSS | TENNCARE BLUE CARE | $13.05 | ↓ -13% |
| AMBETTER | AMBETTER | $21.19 | ↑ +41% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $21.65 | ↑ +44% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $23.33 | ↑ +56% |
| SENTARA HEALTH | SENTARA HEALTH | $25.81 | ↑ +72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $33.92 | ↑ +126% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $34.17 | ↑ +128% |
| CIGNA HEALTHCARE | CIGNA PPO | $34.17 | ↑ +128% |
| CIGNA HEALTHCARE | CIGNA HMO | $34.17 | ↑ +128% |
| BLUE CROSS | BLUE CROSS E NETWORK | $37.75 | ↑ +152% |
| BLUE CROSS | BLUE CROSS S NETWORK | $38.21 | ↑ +155% |
| BLUE CROSS | BLUE CROSS P NETWORK | $38.56 | ↑ +157% |
| AETNA | AETNA | $42.70 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $47.59 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $77.00 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $100.00 | ↑ +567% |
Visitor-reported prices
Comments
Fibrinogen activity at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $15.00 | $4.42 – $23.33 |
| Ascension Saint Thomas Midtown | Nashville | $51.15 | $3.50 – $32.75 |
| CHI Memorial Hospital Hixson | Hixson | $121.66 | $7.55 – $287.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $11.50 | $8.46 – $19.44 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $173.86 | $7.55 – $287.70 |
| Johnson City Medical Center | JOHNSON CITY | $15.00 | $4.63 – $21.19 |
| Ascension Saint Thomas DeKalb | Smithville | $48.21 | $5.96 – $32.75 |
| Ascension Saint Thomas Highlands | Sparta | $48.21 | $5.96 – $32.75 |