Graft impl ult thck 6x12cm -cost per sq cm at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$26,222.04
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.
$174,813.58
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.
$18.94 with UNITED HEALTHCARE vs $4,450.71 with UNITED 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $18.94 | ↓ -100% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $32.58 | ↓ -100% |
| SENTARA HEALTH | SENTARA HEALTH | $50.33 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $54.75 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA HMO | $81.32 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $81.32 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA PPO | $81.32 | ↓ -100% |
| AETNA | AETNA | $83.27 | ↓ -100% |
| MEDCOST | MEDCOST VHN | $92.80 | ↓ -100% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $118.05 | ↓ -100% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $118.05 | ↓ -100% |
| HUMANA | HUMANA MEDICARE | $118.05 | ↓ -100% |
| SENTARA HEALTH | SENTARA MEDICARE | $118.05 | ↓ -100% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $118.05 | ↓ -100% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $118.05 | ↓ -100% |
| AETNA | AETNA HEALTHCARE MEDICARE | $118.05 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $118.05 | ↓ -100% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $120.42 | ↓ -100% |
| BLUE CROSS | BLUE CROSS MEDICARE | $122.78 | ↓ -100% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $122.78 | ↓ -100% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $123.96 | ↓ -100% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $123.96 | ↓ -100% |
| NHC ADVANTAGE | NHC ADVANTAGE | $123.96 | ↓ -100% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $123.96 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $123.96 | ↓ -100% |
| WELLCARE | WELLCARE MEDICARE | $125.14 | ↓ -100% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $150.15 | ↓ -99% |
| WELLCARE | WELLCARE MEDICAID | $195.00 | ↓ -99% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $195.00 | ↓ -99% |
| BLUE CROSS | ANTHEM EXCHANGE | $242.46 | ↓ -99% |
| AMBETTER | AMBETTER | $257.36 | ↓ -99% |
| BLUE CROSS | ANTHEM HMO | $257.60 | ↓ -99% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $303.06 | ↓ -99% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $4,213.34 | ↓ -84% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,213.34 | ↓ -84% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $4,450.71 | ↓ -83% |
Visitor-reported prices
Comments
Graft impl ult thck 6x12cm -cost per sq cm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $26,222.04 | $28.41 – $270.97 |
| Johnson City Medical Center | JOHNSON CITY | $26,222.04 | $28.41 – $253.15 |
| Hancock County Hospital | SNEEDVILLE | $40,207.12 | $15.79 – $54.75 |
| Greeneville Community Hospital | GREENEVILLE | $26,222.04 | $11.37 – $253.15 |
| Bristol Regional Medical Center | BRISTOL | $26,222.04 | $18.94 – $257.36 |
| Franklin Woods Community Hospital | JOHNSON CITY | $26,222.04 | $28.41 – $246.32 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $26,222.04 | $15.79 – $246.13 |
| Johnson County Community Hospital | MOUNTAIN CITY | $40,207.12 | $28.41 – $54.75 |