Incision of burn scab initi at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$63.15
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.
$421.00
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.
$108.66 with SENTARA HEALTH vs $840.70 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 | $108.66 | ↑ +72% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↑ +171% |
| AETNA | AETNA | $179.77 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $200.35 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $265.85 | ↑ +321% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $324.17 | ↑ +413% |
| AETNA | AETNA HEALTHCARE MEDICARE | $385.64 | ↑ +511% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $385.64 | ↑ +511% |
| HUMANA | HUMANA MEDICARE | $385.64 | ↑ +511% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $385.64 | ↑ +511% |
| SENTARA HEALTH | SENTARA MEDICARE | $385.64 | ↑ +511% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $385.64 | ↑ +511% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $385.64 | ↑ +511% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $385.64 | ↑ +511% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $393.35 | ↑ +523% |
| BLUE CROSS | BLUE CROSS MEDICARE | $401.07 | ↑ +535% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $401.07 | ↑ +535% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $404.92 | ↑ +541% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $404.92 | ↑ +541% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $404.92 | ↑ +541% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $404.92 | ↑ +541% |
| NHC ADVANTAGE | NHC ADVANTAGE | $404.92 | ↑ +541% |
| WELLCARE | WELLCARE MEDICARE | $408.78 | ↑ +547% |
| BLUE CROSS | ANTHEM EXCHANGE | $421.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $421.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $421.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $421.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $421.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $421.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $421.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $421.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $421.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $490.51 | ↑ +677% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $505.72 | ↑ +701% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $510.14 | ↑ +708% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $515.04 | ↑ +716% |
| AMBETTER | AMBETTER | $840.70 | ↑ +1231% |
Visitor-reported prices
Comments
Incision of burn scab initi at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $63.15 | $265.85 – $804.03 |
| CHI Memorial Hospital Hixson | Hixson | $437.20 | $295.40 – $1,033.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $227.70 | $317.39 – $729.64 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $624.78 | $310.17 – $1,033.90 |
| Johnson City Medical Center | JOHNSON CITY | $63.15 | $265.85 – $826.95 |
| Hancock County Hospital | SNEEDVILLE | $61.87 | $265.85 – $566.23 |
| Greeneville Community Hospital | GREENEVILLE | $63.15 | $264.00 – $826.95 |
| Bristol Regional Medical Center | BRISTOL | $63.15 | $265.85 – $840.70 |