Hepatitis c rna dir probe at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$16.35
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.
$109.00
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.
$15.61 with AMERIGROUP vs $109.00 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 →
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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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $15.61 | ↓ -5% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $17.04 | ↑ +4% |
| SENTARA HEALTH | SENTARA HEALTH | $28.13 | ↑ +72% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $31.22 | ↑ +91% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $31.22 | ↑ +91% |
| SENTARA HEALTH | SENTARA MEDICARE | $31.22 | ↑ +91% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $31.22 | ↑ +91% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $31.22 | ↑ +91% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $31.22 | ↑ +91% |
| AETNA | AETNA HEALTHCARE MEDICARE | $31.22 | ↑ +91% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $31.22 | ↑ +91% |
| HUMANA | HUMANA MEDICARE | $31.22 | ↑ +91% |
| BLUE CROSS | ANTHEM EXCHANGE | $31.22 | ↑ +91% |
| BLUE CROSS | ANTHEM HMO | $31.22 | ↑ +91% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $31.22 | ↑ +91% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $31.22 | ↑ +91% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $31.84 | ↑ +95% |
| BLUE CROSS | BLUE CROSS MEDICARE | $32.47 | ↑ +99% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $32.47 | ↑ +99% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $32.47 | ↑ +99% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $32.78 | ↑ +100% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $32.78 | ↑ +100% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $32.78 | ↑ +100% |
| NHC ADVANTAGE | NHC ADVANTAGE | $32.78 | ↑ +100% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $32.78 | ↑ +100% |
| WELLCARE | WELLCARE MEDICARE | $33.09 | ↑ +102% |
| BLUE CROSS | TENNCARE BLUE CARE | $40.55 | ↑ +148% |
| BLUE CROSS | TENNCARE BLUE SELECT | $40.55 | ↑ +148% |
| AETNA | AETNA | $46.54 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $51.87 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $57.02 | ↑ +249% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $60.12 | ↑ +268% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $61.92 | ↑ +279% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $61.98 | ↑ +279% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $62.52 | ↑ +282% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $63.13 | ↑ +286% |
| AMBETTER | AMBETTER | $68.06 | ↑ +316% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $68.57 | ↑ +319% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $74.93 | ↑ +358% |
| CIGNA HEALTHCARE | CIGNA PPO | $80.67 | ↑ +393% |
| CIGNA HEALTHCARE | CIGNA HMO | $80.67 | ↑ +393% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $80.67 | ↑ +393% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $83.93 | ↑ +413% |
| BLUE CROSS | BLUE CROSS E NETWORK | $89.19 | ↑ +446% |
| BLUE CROSS | BLUE CROSS S NETWORK | $90.29 | ↑ +452% |
| BLUE CROSS | BLUE CROSS P NETWORK | $91.11 | ↑ +457% |
| WELLCARE | WELLCARE MEDICAID | $109.00 | ↑ +567% |
Visitor-reported prices
Comments
Hepatitis c rna dir probe at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $26.22 | $27.16 – $62.44 |
| Greeneville Community Hospital | GREENEVILLE | $16.35 | $10.22 – $68.06 |
| Bristol Regional Medical Center | BRISTOL | $16.35 | $15.61 – $74.93 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $16.35 | $14.20 – $68.14 |
| Ascension Saint Thomas Midtown | Nashville | not published | $11.24 – $98.21 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $14.06 – $98.21 |
| Ascension Saint Thomas Highlands | Sparta | not published | $14.06 – $98.21 |
| Ascension Saint Thomas River Park | McMinnville | not published | $14.06 – $98.21 |