Incision of tongue fold at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$670.95
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.
?
What you pay up front if you don't use insurance.
$4,473.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$578.00 with BLUE CROSS vs $4,473.00 with WELLCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $578.00 | ↓ -14% |
| BLUE CROSS | TENNCARE BLUE CARE | $578.00 | ↓ -14% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↑ +5% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,055.00 | ↑ +57% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,077.00 | ↑ +61% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,103.00 | ↑ +64% |
| SENTARA HEALTH | SENTARA HEALTH | $1,154.48 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +118% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,471.91 | ↑ +119% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,471.91 | ↑ +119% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,471.91 | ↑ +119% |
| HUMANA | HUMANA MEDICARE | $1,471.91 | ↑ +119% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,471.91 | ↑ +119% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,471.91 | ↑ +119% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,471.91 | ↑ +119% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,471.91 | ↑ +119% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,501.35 | ↑ +124% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,530.79 | ↑ +128% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,530.79 | ↑ +128% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,545.51 | ↑ +130% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,545.51 | ↑ +130% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,545.51 | ↑ +130% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,545.51 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,545.51 | ↑ +130% |
| WELLCARE | WELLCARE MEDICARE | $1,560.23 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,781.33 | ↑ +165% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,834.77 | ↑ +173% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,836.55 | ↑ +174% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,852.58 | ↑ +176% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,861.00 | ↑ +177% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,870.40 | ↑ +179% |
| AETNA | AETNA | $1,909.97 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,932.00 | ↑ +188% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,932.00 | ↑ +188% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,932.00 | ↑ +188% |
| MEDCOST | MEDCOST VHN | $2,128.70 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,246.00 | ↑ +235% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,297.00 | ↑ +242% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,297.00 | ↑ +242% |
| BLUE CROSS | ANTHEM EXCHANGE | $3,022.99 | ↑ +351% |
| AMBETTER | AMBETTER | $3,208.77 | ↑ +378% |
| BLUE CROSS | ANTHEM HMO | $3,211.83 | ↑ +379% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,444.21 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,532.59 | ↑ +427% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,778.52 | ↑ +463% |
| WELLCARE | WELLCARE MEDICAID | $4,473.00 | ↑ +567% |
Visitor-reported prices
Comments
Incision of tongue fold at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $670.95 | $1,051.09 – $3,378.51 |
| Johnson City Medical Center | JOHNSON CITY | $670.95 | $1,081.06 – $3,156.31 |
| Greeneville Community Hospital | GREENEVILLE | $670.95 | $966.71 – $3,156.31 |
| Bristol Regional Medical Center | BRISTOL | $670.95 | $1,471.91 – $3,532.59 |
| Franklin Woods Community Hospital | JOHNSON CITY | $670.95 | $950.73 – $3,071.09 |
| 62-0123940 BMH Collierville | Collierville | $860.79 | $832.24 – $2,712.82 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $670.95 | $1,407.71 – $3,068.81 |
| Sycamore Shoals Hospital | ELIZABETHTON | $670.95 | $1,051.09 – $3,068.81 |