Infect ag ia direct hiv-1 antgn at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$42.00
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.
$280.00
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.
$16.39 with AMERIGROUP vs $280.00 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 | $16.39 | ↓ -61% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $19.66 | ↓ -53% |
| BLUE CROSS | TENNCARE BLUE SELECT | $30.88 | ↓ -26% |
| BLUE CROSS | TENNCARE BLUE CARE | $30.88 | ↓ -26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $32.77 | ↓ -22% |
| SENTARA HEALTH | SENTARA MEDICARE | $32.77 | ↓ -22% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $32.77 | ↓ -22% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $32.77 | ↓ -22% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $32.77 | ↓ -22% |
| AETNA | AETNA HEALTHCARE MEDICARE | $32.77 | ↓ -22% |
| HUMANA | HUMANA MEDICARE | $32.77 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $32.77 | ↓ -22% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $32.77 | ↓ -22% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $32.77 | ↓ -22% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $32.77 | ↓ -22% |
| BLUE CROSS | ANTHEM HMO | $32.77 | ↓ -22% |
| BLUE CROSS | ANTHEM EXCHANGE | $32.77 | ↓ -22% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $33.43 | ↓ -20% |
| BLUE CROSS | BLUE CROSS MEDICARE | $34.08 | ↓ -19% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $34.08 | ↓ -19% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $34.08 | ↓ -19% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $34.41 | ↓ -18% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $34.41 | ↓ -18% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $34.41 | ↓ -18% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $34.41 | ↓ -18% |
| NHC ADVANTAGE | NHC ADVANTAGE | $34.41 | ↓ -18% |
| WELLCARE | WELLCARE MEDICARE | $34.74 | ↓ -17% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $60.12 | ↑ +43% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $61.92 | ↑ +47% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $61.98 | ↑ +48% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $62.52 | ↑ +49% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $63.13 | ↑ +50% |
| AMBETTER | AMBETTER | $71.44 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $72.18 | ↑ +72% |
| SENTARA HEALTH | SENTARA HEALTH | $72.27 | ↑ +72% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $78.65 | ↑ +87% |
| BLUE CROSS | BLUE CROSS E NETWORK | $106.83 | ↑ +154% |
| BLUE CROSS | BLUE CROSS S NETWORK | $108.14 | ↑ +157% |
| BLUE CROSS | BLUE CROSS P NETWORK | $109.12 | ↑ +160% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $116.76 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $116.76 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $116.76 | ↑ +178% |
| AETNA | AETNA | $119.56 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $133.25 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $196.00 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $215.60 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $280.00 | ↑ +567% |
Visitor-reported prices
Comments
Infect ag ia direct hiv-1 antgn at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $41.40 | $16.39 – $72.18 |
| Greeneville Community Hospital | GREENEVILLE | $42.00 | $11.80 – $71.44 |
| Bristol Regional Medical Center | BRISTOL | $42.00 | $16.39 – $78.65 |
| 62-0123940 BMH Collierville | Collierville | $88.83 | $26.62 – $65.54 |
| 62-1138045 BMH Union City | Union City | $48.60 | $28.51 – $65.54 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $42.00 | $16.39 – $71.44 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | $370.44 | $14.75 – $98.31 |
| SUMMIT MEDICAL CENTER | MT JULIET | $172.80 | $14.75 – $98.31 |