Incisn windpipe at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$1,298.70
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.
$8,658.00
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.
$775.00 with BLUE CROSS vs $8,658.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↓ -40% |
| BLUE CROSS | TENNCARE BLUE SELECT | $775.00 | ↓ -40% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $948.00 | ↓ -27% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,593.00 | ↑ +23% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,956.00 | ↑ +51% |
| SENTARA HEALTH | SENTARA HEALTH | $2,234.63 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,436.00 | ↑ +88% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,547.00 | ↑ +96% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,588.00 | ↑ +99% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,588.00 | ↑ +99% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,588.00 | ↑ +99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,795.61 | ↑ +115% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,879.48 | ↑ +122% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,882.27 | ↑ +122% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,907.44 | ↑ +124% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,935.39 | ↑ +126% |
| HUMANA | HUMANA MEDICARE | $3,145.22 | ↑ +142% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,145.22 | ↑ +142% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,145.22 | ↑ +142% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,145.22 | ↑ +142% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,145.22 | ↑ +142% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,145.22 | ↑ +142% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,145.22 | ↑ +142% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,145.22 | ↑ +142% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,208.12 | ↑ +147% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,271.02 | ↑ +152% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,271.02 | ↑ +152% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,302.48 | ↑ +154% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,302.48 | ↑ +154% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,302.48 | ↑ +154% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,302.48 | ↑ +154% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,302.48 | ↑ +154% |
| WELLCARE | WELLCARE MEDICARE | $3,333.93 | ↑ +157% |
| AETNA | AETNA | $3,696.97 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $4,120.34 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,296.00 | ↑ +231% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4,793.00 | ↑ +269% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,901.00 | ↑ +277% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,901.00 | ↑ +277% |
| BLUE CROSS | ANTHEM EXCHANGE | $6,459.59 | ↑ +397% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6,666.66 | ↑ +413% |
| AMBETTER | AMBETTER | $6,856.57 | ↑ +428% |
| BLUE CROSS | ANTHEM HMO | $6,863.10 | ↑ +428% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,548.52 | ↑ +481% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $8,074.02 | ↑ +522% |
| WELLCARE | WELLCARE MEDICAID | $8,658.00 | ↑ +567% |
Visitor-reported prices
Comments
Incisn windpipe at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $1,298.70 | $2,030.97 – $7,219.28 |
| CHI Memorial Hospital Hixson | Hixson | $3,105.34 | $2,098.20 – $7,343.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,437.70 | $2,203.11 – $7,343.70 |
| Johnson City Medical Center | JOHNSON CITY | $1,298.70 | $2,088.87 – $6,744.48 |
| Hancock County Hospital | SNEEDVILLE | $1,274.43 | $3,093.34 – $3,227.18 |
| Greeneville Community Hospital | GREENEVILLE | $1,298.70 | $1,867.94 – $6,744.48 |
| Bristol Regional Medical Center | BRISTOL | $1,298.70 | $2,879.48 – $7,548.52 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,298.70 | $1,837.05 – $6,562.38 |