Ghs change cysto/gastrost at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$52.05
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.
$347.00
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.
$89.56 with SENTARA HEALTH vs $516.70 with AMBETTER — 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $89.56 | ↑ +72% |
| AETNA | AETNA | $148.17 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $165.14 | ↑ +217% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↑ +229% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $237.02 | ↑ +355% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $237.02 | ↑ +355% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $237.02 | ↑ +355% |
| HUMANA | HUMANA MEDICARE | $237.02 | ↑ +355% |
| AETNA | AETNA HEALTHCARE MEDICARE | $237.02 | ↑ +355% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $237.02 | ↑ +355% |
| SENTARA HEALTH | SENTARA MEDICARE | $237.02 | ↑ +355% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $237.02 | ↑ +355% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $241.76 | ↑ +364% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $242.90 | ↑ +367% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $246.50 | ↑ +374% |
| BLUE CROSS | BLUE CROSS MEDICARE | $246.50 | ↑ +374% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $248.87 | ↑ +378% |
| NHC ADVANTAGE | NHC ADVANTAGE | $248.87 | ↑ +378% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $248.87 | ↑ +378% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $248.87 | ↑ +378% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $248.87 | ↑ +378% |
| WELLCARE | WELLCARE MEDICARE | $251.24 | ↑ +383% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $267.19 | ↑ +413% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $347.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $347.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $347.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $347.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $347.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $347.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $347.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $347.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $347.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $449.35 | ↑ +763% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $463.28 | ↑ +790% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $467.32 | ↑ +798% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $471.82 | ↑ +806% |
| AMBETTER | AMBETTER | $516.70 | ↑ +893% |
Visitor-reported prices
Comments
Ghs change cysto/gastrost at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $52.05 | $226.68 – $494.16 |
| Ascension Saint Thomas Midtown | Nashville | $509.13 | $209.63 – $998.50 |
| CHI Memorial Hospital Hixson | Hixson | $253.08 | $171.00 – $598.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $176.87 | $193.21 – $444.16 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $361.67 | $179.55 – $598.50 |
| Johnson City Medical Center | JOHNSON CITY | $52.05 | $233.14 – $508.25 |
| Ascension Saint Thomas River Park | McMinnville | $607.29 | $206.61 – $1,004.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $509.13 | $209.63 – $1,004.50 |