Insitu hybridization (fish) at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$114.75
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.
$765.00
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.
$51.77 with UNITED HEALTHCARE vs $765.00 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 | TENNCARE UNITED HEALTHCARE | $51.77 | ↓ -55% |
| BLUE CROSS | TENNCARE BLUE CARE | $73.10 | ↓ -36% |
| BLUE CROSS | TENNCARE BLUE SELECT | $73.10 | ↓ -36% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $161.62 | ↑ +41% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $161.62 | ↑ +41% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $161.62 | ↑ +41% |
| HUMANA | HUMANA MEDICARE | $161.62 | ↑ +41% |
| AETNA | AETNA HEALTHCARE MEDICARE | $161.62 | ↑ +41% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $161.62 | ↑ +41% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $161.62 | ↑ +41% |
| SENTARA HEALTH | SENTARA MEDICARE | $161.62 | ↑ +41% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $164.85 | ↑ +44% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $168.09 | ↑ +46% |
| BLUE CROSS | BLUE CROSS MEDICARE | $168.09 | ↑ +46% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $169.70 | ↑ +48% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $169.70 | ↑ +48% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $169.70 | ↑ +48% |
| NHC ADVANTAGE | NHC ADVANTAGE | $169.70 | ↑ +48% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $169.70 | ↑ +48% |
| WELLCARE | WELLCARE MEDICARE | $171.32 | ↑ +49% |
| SENTARA HEALTH | SENTARA HEALTH | $197.45 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $201.05 | ↑ +75% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $207.08 | ↑ +80% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $207.28 | ↑ +81% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $209.09 | ↑ +82% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $211.10 | ↑ +84% |
| BLUE CROSS | BLUE CROSS E NETWORK | $252.88 | ↑ +120% |
| BLUE CROSS | BLUE CROSS S NETWORK | $255.98 | ↑ +123% |
| BLUE CROSS | BLUE CROSS P NETWORK | $258.31 | ↑ +125% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $283.41 | ↑ +147% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $283.41 | ↑ +147% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $294.75 | ↑ +157% |
| CIGNA HEALTHCARE | CIGNA HMO | $319.01 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $319.01 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $319.01 | ↑ +178% |
| AETNA | AETNA | $326.66 | ↑ +185% |
| BLUE CROSS | ANTHEM EXCHANGE | $331.94 | ↑ +189% |
| AMBETTER | AMBETTER | $352.34 | ↑ +207% |
| BLUE CROSS | ANTHEM HMO | $352.68 | ↑ +207% |
| MEDCOST | MEDCOST VHN | $364.06 | ↑ +217% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $387.89 | ↑ +238% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $414.90 | ↑ +262% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $459.21 | ↑ +300% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $535.50 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $589.05 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $765.00 | ↑ +567% |
Visitor-reported prices
Comments
Insitu hybridization (fish) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $112.47 | $43.14 – $459.21 |
| Greeneville Community Hospital | GREENEVILLE | $114.75 | $31.06 – $346.58 |
| Bristol Regional Medical Center | BRISTOL | $114.75 | $51.77 – $387.89 |
| 62-0123940 BMH Collierville | Collierville | $133.56 | $63.02 – $313.82 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $114.75 | $43.14 – $336.97 |
| Parkwest Medical Center | Knoxville | $411.39 | $85.80 – $870.25 |
| Roane County Medical Center | Harriman | $215.49 | $85.80 – $870.25 |
| Claiborne Medical Center | Tazewell | $182.84 | $85.80 – $870.25 |