Gi tract capsule endoscopy (pillcam) 91110 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$382.35
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.
$2,549.00
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.
$405.00 with UNITED HEALTHCARE vs $2,549.00 with BLUE CROSS — 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 | UHC HERITAGE SELECT | $405.00 | ↑ +6% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $423.00 | ↑ +11% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $434.18 | ↑ +14% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $449.35 | ↑ +18% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $462.83 | ↑ +21% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $463.28 | ↑ +21% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $467.32 | ↑ +22% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $471.82 | ↑ +23% |
| BLUE CROSS | TENNCARE BLUE SELECT | $582.83 | ↑ +52% |
| BLUE CROSS | TENNCARE BLUE CARE | $582.83 | ↑ +52% |
| SENTARA HEALTH | SENTARA HEALTH | $657.90 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $667.00 | ↑ +74% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $754.18 | ↑ +97% |
| HUMANA | HUMANA MEDICARE | $860.41 | ↑ +125% |
| AETNA | AETNA HEALTHCARE MEDICARE | $860.41 | ↑ +125% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $860.41 | ↑ +125% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $860.41 | ↑ +125% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $860.41 | ↑ +125% |
| SENTARA HEALTH | SENTARA MEDICARE | $860.41 | ↑ +125% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $860.41 | ↑ +125% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $860.41 | ↑ +125% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $877.62 | ↑ +130% |
| BLUE CROSS | BLUE CROSS MEDICARE | $894.83 | ↑ +134% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $894.83 | ↑ +134% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $903.43 | ↑ +136% |
| NHC ADVANTAGE | NHC ADVANTAGE | $903.43 | ↑ +136% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $903.43 | ↑ +136% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $903.43 | ↑ +136% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $903.43 | ↑ +136% |
| WELLCARE | WELLCARE MEDICARE | $912.04 | ↑ +139% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,062.93 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,062.93 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,062.93 | ↑ +178% |
| AETNA | AETNA | $1,088.42 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,182.74 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $1,213.07 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,767.10 | ↑ +362% |
| AMBETTER | AMBETTER | $1,875.70 | ↑ +391% |
| BLUE CROSS | ANTHEM HMO | $1,877.48 | ↑ +391% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,962.73 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,064.99 | ↑ +440% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,208.74 | ↑ +478% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,549.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $2,549.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,549.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,549.00 | ↑ +567% |
Visitor-reported prices
Comments
Gi tract capsule endoscopy (pillcam) 91110 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,261.31 | $808.11 – $1,453.55 |
| 62-1166050 BMH Carroll County | Huntingdon | $504.16 | $502.44 – $1,712.20 |
| Ascension Saint Thomas DeKalb | Smithville | $1,261.31 | $426.22 – $1,453.55 |
| Ascension Saint Thomas Highlands | Sparta | $1,261.31 | $426.22 – $1,453.55 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,261.31 | $808.11 – $1,453.55 |
| Greeneville Community Hospital | GREENEVILLE | $382.35 | $260.51 – $1,845.04 |
| Bristol Regional Medical Center | BRISTOL | $382.35 | $405.00 – $2,064.99 |
| 62-0123940 BMH Collierville | Collierville | $460.32 | $502.44 – $1,717.04 |