G-tube reposition at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$202.20
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.
$1,348.00
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.
$237.02 with AETNA vs $1,348.00 with CIGNA 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 |
|---|---|---|---|
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $237.02 | ↑ +17% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $237.02 | ↑ +17% |
| SENTARA HEALTH | SENTARA MEDICARE | $237.02 | ↑ +17% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $237.02 | ↑ +17% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $237.02 | ↑ +17% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $237.02 | ↑ +17% |
| HUMANA | HUMANA MEDICARE | $237.02 | ↑ +17% |
| AETNA | AETNA HEALTHCARE MEDICARE | $237.02 | ↑ +17% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $241.76 | ↑ +20% |
| BLUE CROSS | BLUE CROSS MEDICARE | $246.50 | ↑ +22% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $246.50 | ↑ +22% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $248.87 | ↑ +23% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $248.87 | ↑ +23% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $248.87 | ↑ +23% |
| NHC ADVANTAGE | NHC ADVANTAGE | $248.87 | ↑ +23% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $248.87 | ↑ +23% |
| WELLCARE | WELLCARE MEDICARE | $251.24 | ↑ +24% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $277.00 | ↑ +37% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $289.00 | ↑ +43% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $344.00 | ↑ +70% |
| SENTARA HEALTH | SENTARA HEALTH | $347.92 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $449.35 | ↑ +122% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $462.83 | ↑ +129% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $463.28 | ↑ +129% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $467.32 | ↑ +131% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $471.82 | ↑ +133% |
| BLUE CROSS | ANTHEM EXCHANGE | $486.78 | ↑ +141% |
| AMBETTER | AMBETTER | $516.70 | ↑ +156% |
| BLUE CROSS | ANTHEM HMO | $517.19 | ↑ +156% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $528.00 | ↑ +161% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $568.85 | ↑ +181% |
| AETNA | AETNA | $575.60 | ↑ +185% |
| BLUE CROSS | TENNCARE BLUE CARE | $578.00 | ↑ +186% |
| BLUE CROSS | TENNCARE BLUE SELECT | $578.00 | ↑ +186% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $608.44 | ↑ +201% |
| MEDCOST | MEDCOST VHN | $641.51 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↑ +248% |
| BLUE CROSS | BLUE CROSS E NETWORK | $804.00 | ↑ +298% |
| BLUE CROSS | BLUE CROSS S NETWORK | $821.00 | ↑ +306% |
| BLUE CROSS | BLUE CROSS P NETWORK | $821.00 | ↑ +306% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,037.96 | ↑ +413% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,348.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,348.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,348.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,348.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,348.00 | ↑ +567% |
Visitor-reported prices
Comments
G-tube reposition at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $479.82 | $209.63 – $1,534.53 |
| CHI Memorial Hospital Hixson | Hixson | $352.24 | $238.00 – $833.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $503.37 | $249.90 – $833.00 |
| Ascension Saint Thomas DeKalb | Smithville | $373.91 | $206.61 – $1,004.50 |
| Ascension Saint Thomas Highlands | Sparta | $373.91 | $206.61 – $1,004.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $479.82 | $209.63 – $1,636.56 |
| Greeneville Community Hospital | GREENEVILLE | $202.20 | $194.97 – $508.25 |
| Bristol Regional Medical Center | BRISTOL | $202.20 | $237.02 – $568.85 |