Gentamicin peak therapeutic drug level at Holston Valley Medical Center

130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$28.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$192.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$8.19 with AMERIGROUP vs $192.00 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 →

Payer
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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
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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
AMERIGROUP AMERIGROUP $8.19 ↓ -72%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $12.56 ↓ -56%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $12.93 ↓ -55%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $12.95 ↓ -55%
AETNA AETNA BETTER HEALTH OF VIRGINIA $13.06 ↓ -55%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $13.19 ↓ -54%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $13.93 ↓ -52%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $16.38 ↓ -43%
AETNA AETNA HEALTHCARE MEDICARE $16.38 ↓ -43%
HUMANA HUMANA MEDICARE $16.38 ↓ -43%
BLUE CROSS ANTHEM EXCHANGE $16.38 ↓ -43%
BLUE CROSS ANTHEM HMO $16.38 ↓ -43%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $16.38 ↓ -43%
ALLCARE MEDICARE ALLCARE MEDICARE $16.38 ↓ -43%
UNITED HEALTHCARE UNITED HEALTHCARE $16.38 ↓ -43%
UNITED HEALTHCARE UHC HERITAGE SELECT $16.38 ↓ -43%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $16.38 ↓ -43%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $16.38 ↓ -43%
SENTARA HEALTH SENTARA MEDICARE $16.38 ↓ -43%
MANAGED MEDICAIRE MANAGED MEDICAIRE $16.38 ↓ -43%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $16.71 ↓ -42%
BLUE CROSS BLUE CROSS MEDICARE $17.04 ↓ -41%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $17.04 ↓ -41%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $17.04 ↓ -41%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $17.20 ↓ -40%
NHC ADVANTAGE NHC ADVANTAGE $17.20 ↓ -40%
CIGNA HEALTHCARE CIGNA MEDICARE $17.20 ↓ -40%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $17.20 ↓ -40%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $17.20 ↓ -40%
WELLCARE WELLCARE MEDICARE $17.36 ↓ -40%
BLUE CROSS TENNCARE BLUE SELECT $21.03 ↓ -27%
BLUE CROSS TENNCARE BLUE CARE $21.03 ↓ -27%
AMBETTER AMBETTER $35.71 ↑ +24%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $36.09 ↑ +25%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $39.31 ↑ +36%
SENTARA HEALTH SENTARA HEALTH $49.56 ↑ +72%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $50.73 ↑ +76%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $65.94 ↑ +129%
CIGNA HEALTHCARE CIGNA PPO $65.94 ↑ +129%
CIGNA HEALTHCARE CIGNA HMO $65.94 ↑ +129%
BLUE CROSS BLUE CROSS E NETWORK $72.89 ↑ +153%
BLUE CROSS BLUE CROSS S NETWORK $73.79 ↑ +156%
BLUE CROSS BLUE CROSS P NETWORK $74.46 ↑ +159%
AETNA AETNA $81.98 ↑ +185%
MEDCOST MEDCOST VHN $91.37 ↑ +217%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $147.84 ↑ +413%
WELLCARE WELLCARE MEDICAID $192.00 ↑ +567%

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Gentamicin peak therapeutic drug level at other Tennessee hospitals

Hospital City Cash price Negotiated range
Indian Path Community Hospital KINGSPORT $28.80 $8.19 – $39.31
Ascension Saint Thomas Midtown Nashville $54.89 $5.90 – $63.20
CHI Memorial Hospital Hixson Hixson $134.68 $14.55 – $318.50
62-1166050 BMH Carroll County Huntingdon $66.01 $14.25 – $32.76
CHI Memorial Hospital Chattanooga Chattanooga $192.47 $14.55 – $318.50
Johnson City Medical Center JOHNSON CITY $28.80 $8.19 – $35.71
Ascension Saint Thomas DeKalb Smithville $54.89 $11.49 – $63.20
Ascension Saint Thomas Highlands Sparta $54.89 $11.49 – $63.20

All Tennessee hospitals for this procedure →