Immunoassay tumor qual at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$29.55
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.
$197.00
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.
$11.64 with UNITED HEALTHCARE vs $197.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $11.64 | ↓ -61% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $11.99 | ↓ -59% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $12.00 | ↓ -59% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $12.11 | ↓ -59% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $12.22 | ↓ -59% |
| AMERIGROUP | AMERIGROUP | $12.79 | ↓ -57% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $16.67 | ↓ -44% |
| BLUE CROSS | TENNCARE BLUE CARE | $24.10 | ↓ -18% |
| BLUE CROSS | TENNCARE BLUE SELECT | $24.10 | ↓ -18% |
| BLUE CROSS | ANTHEM HMO | $25.57 | ↓ -13% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $25.57 | ↓ -13% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $25.57 | ↓ -13% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $25.57 | ↓ -13% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $25.57 | ↓ -13% |
| SENTARA HEALTH | SENTARA MEDICARE | $25.57 | ↓ -13% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $25.57 | ↓ -13% |
| AETNA | AETNA HEALTHCARE MEDICARE | $25.57 | ↓ -13% |
| HUMANA | HUMANA MEDICARE | $25.57 | ↓ -13% |
| BLUE CROSS | ANTHEM EXCHANGE | $25.57 | ↓ -13% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $25.57 | ↓ -13% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $25.57 | ↓ -13% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $25.57 | ↓ -13% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $26.08 | ↓ -12% |
| BLUE CROSS | BLUE CROSS MEDICARE | $26.59 | ↓ -10% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $26.59 | ↓ -10% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $26.59 | ↓ -10% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $26.85 | ↓ -9% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $26.85 | ↓ -9% |
| NHC ADVANTAGE | NHC ADVANTAGE | $26.85 | ↓ -9% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $26.85 | ↓ -9% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $26.85 | ↓ -9% |
| WELLCARE | WELLCARE MEDICARE | $27.10 | ↓ -8% |
| SENTARA HEALTH | SENTARA HEALTH | $50.85 | ↑ +72% |
| AMBETTER | AMBETTER | $55.74 | ↑ +89% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $56.30 | ↑ +91% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $61.37 | ↑ +108% |
| BLUE CROSS | BLUE CROSS E NETWORK | $64.58 | ↑ +119% |
| BLUE CROSS | BLUE CROSS S NETWORK | $65.37 | ↑ +121% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $65.74 | ↑ +122% |
| BLUE CROSS | BLUE CROSS P NETWORK | $65.97 | ↑ +123% |
| CIGNA HEALTHCARE | CIGNA HMO | $78.92 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $78.92 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA PPO | $78.92 | ↑ +167% |
| AETNA | AETNA | $84.12 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $93.75 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $151.69 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $197.00 | ↑ +567% |
Visitor-reported prices
Comments
Immunoassay tumor qual at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $29.21 | $13.18 – $56.30 |
| Greeneville Community Hospital | GREENEVILLE | $29.55 | $10.00 – $55.74 |
| Bristol Regional Medical Center | BRISTOL | $29.55 | $11.99 – $61.37 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $29.55 | $12.79 – $55.74 |
| Ascension Saint Thomas Midtown | Nashville | not published | $9.21 – $80.14 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $13.76 – $80.14 |
| Ascension Saint Thomas Highlands | Sparta | not published | $13.76 – $80.14 |
| Ascension Saint Thomas River Park | McMinnville | not published | $13.76 – $80.14 |