Fl exam g/colon tube w contrast at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$228.45
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.
$1,523.00
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.
$145.57 with UNITED HEALTHCARE vs $1,523.00 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 | $145.57 | ↓ -36% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $149.94 | ↓ -34% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $150.08 | ↓ -34% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $151.39 | ↓ -34% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $152.85 | ↓ -33% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $175.00 | ↓ -23% |
| AETNA | AETNA HEALTHCARE MEDICARE | $226.35 | ↓ -1% |
| HUMANA | HUMANA MEDICARE | $226.35 | ↓ -1% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $226.35 | ↓ -1% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $226.35 | ↓ -1% |
| SENTARA HEALTH | SENTARA MEDICARE | $226.35 | ↓ -1% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $226.35 | ↓ -1% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $226.35 | ↓ -1% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $226.35 | ↓ -1% |
| CIGNA HEALTHCARE | CIGNA PPO | $228.00 | ↓ -0% |
| CIGNA HEALTHCARE | CIGNA HMO | $228.00 | ↓ -0% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $228.00 | ↓ -0% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $230.88 | ↑ +1% |
| BLUE CROSS | BLUE CROSS MEDICARE | $235.40 | ↑ +3% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $235.40 | ↑ +3% |
| NHC ADVANTAGE | NHC ADVANTAGE | $237.67 | ↑ +4% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $237.67 | ↑ +4% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $237.67 | ↑ +4% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $237.67 | ↑ +4% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $237.67 | ↑ +4% |
| WELLCARE | WELLCARE MEDICARE | $239.93 | ↑ +5% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $277.00 | ↑ +21% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $289.00 | ↑ +27% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $344.00 | ↑ +51% |
| SENTARA HEALTH | SENTARA HEALTH | $393.09 | ↑ +72% |
| BLUE CROSS | ANTHEM EXCHANGE | $464.87 | ↑ +103% |
| AMBETTER | AMBETTER | $493.44 | ↑ +116% |
| BLUE CROSS | ANTHEM HMO | $493.91 | ↑ +116% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $528.00 | ↑ +131% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $543.24 | ↑ +138% |
| BLUE CROSS | TENNCARE BLUE CARE | $578.00 | ↑ +153% |
| BLUE CROSS | TENNCARE BLUE SELECT | $578.00 | ↑ +153% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $581.05 | ↑ +154% |
| AETNA | AETNA | $650.32 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $724.80 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $804.00 | ↑ +252% |
| BLUE CROSS | BLUE CROSS S NETWORK | $821.00 | ↑ +259% |
| BLUE CROSS | BLUE CROSS P NETWORK | $821.00 | ↑ +259% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $948.00 | ↑ +315% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,172.71 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $1,523.00 | ↑ +567% |
Visitor-reported prices
Comments
Fl exam g/colon tube w contrast at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $228.45 | $140.83 – $519.55 |
| Ascension Saint Thomas Midtown | Nashville | $307.31 | $45.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $465.61 | $314.60 – $1,101.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $159.39 | $192.03 – $441.44 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $665.38 | $330.33 – $1,101.10 |
| Johnson City Medical Center | JOHNSON CITY | $228.45 | $147.49 – $485.38 |
| Ascension Saint Thomas DeKalb | Smithville | $307.08 | $45.00 – $2,225.50 |
| Ascension Saint Thomas Highlands | Sparta | $307.08 | $45.00 – $2,225.50 |