Mopath procedure level 5 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$231.30
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.
$1,542.00
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.
$137.42 with AMERIGROUP vs $1,542.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $137.42 | ↓ -41% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $164.90 | ↓ -29% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $165.36 | ↓ -29% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $170.32 | ↓ -26% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $170.49 | ↓ -26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $171.97 | ↓ -26% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $173.63 | ↓ -25% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $274.83 | ↑ +19% |
| AETNA | AETNA HEALTHCARE MEDICARE | $274.83 | ↑ +19% |
| HUMANA | HUMANA MEDICARE | $274.83 | ↑ +19% |
| BLUE CROSS | ANTHEM EXCHANGE | $274.83 | ↑ +19% |
| BLUE CROSS | ANTHEM HMO | $274.83 | ↑ +19% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $274.83 | ↑ +19% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $274.83 | ↑ +19% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $274.83 | ↑ +19% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $274.83 | ↑ +19% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $274.83 | ↑ +19% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $274.83 | ↑ +19% |
| SENTARA HEALTH | SENTARA MEDICARE | $274.83 | ↑ +19% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $274.83 | ↑ +19% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $280.33 | ↑ +21% |
| BLUE CROSS | BLUE CROSS MEDICARE | $285.82 | ↑ +24% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $285.82 | ↑ +24% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $285.82 | ↑ +24% |
| BLUE CROSS | TENNCARE BLUE CARE | $287.44 | ↑ +24% |
| BLUE CROSS | TENNCARE BLUE SELECT | $287.44 | ↑ +24% |
| NHC ADVANTAGE | NHC ADVANTAGE | $288.57 | ↑ +25% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $288.57 | ↑ +25% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $288.57 | ↑ +25% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $288.57 | ↑ +25% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $288.57 | ↑ +25% |
| WELLCARE | WELLCARE MEDICARE | $291.32 | ↑ +26% |
| SENTARA HEALTH | SENTARA HEALTH | $397.99 | ↑ +72% |
| AMBETTER | AMBETTER | $599.13 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $605.57 | ↑ +162% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $643.01 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $643.01 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $643.01 | ↑ +178% |
| AETNA | AETNA | $658.43 | ↑ +185% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $659.59 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $733.84 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $994.30 | ↑ +330% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,006.50 | ↑ +335% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,015.65 | ↑ +339% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,079.40 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,187.34 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $1,542.00 | ↑ +567% |
Visitor-reported prices
Comments
Mopath procedure level 5 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $231.30 | $137.42 – $659.59 |
| CHI Memorial Hospital Hixson | Hixson | $335.37 | $179.40 – $793.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $479.26 | $179.40 – $793.10 |
| Johnson City Medical Center | JOHNSON CITY | $231.30 | $137.42 – $599.13 |
| Hancock County Hospital | SNEEDVILLE | $227.01 | $137.42 – $605.57 |
| Greeneville Community Hospital | GREENEVILLE | $231.30 | $98.94 – $599.13 |
| Bristol Regional Medical Center | BRISTOL | $231.30 | $137.42 – $659.59 |
| Franklin Woods Community Hospital | JOHNSON CITY | $231.30 | $137.42 – $599.13 |