Partial removal foot fascia at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$1,372.80
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.
$9,152.00
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 $9,152.00 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 | ↓ -44% |
| BLUE CROSS | TENNCARE BLUE SELECT | $775.00 | ↓ -44% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $948.00 | ↓ -31% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,593.00 | ↑ +16% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,956.00 | ↑ +42% |
| SENTARA HEALTH | SENTARA HEALTH | $2,362.13 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,436.00 | ↑ +77% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,547.00 | ↑ +86% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,588.00 | ↑ +89% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,588.00 | ↑ +89% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,588.00 | ↑ +89% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,736.34 | ↑ +99% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,818.43 | ↑ +105% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,821.17 | ↑ +106% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,845.79 | ↑ +107% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,873.16 | ↑ +109% |
| HUMANA | HUMANA MEDICARE | $3,103.99 | ↑ +126% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,103.99 | ↑ +126% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,103.99 | ↑ +126% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,103.99 | ↑ +126% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,103.99 | ↑ +126% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,103.99 | ↑ +126% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,103.99 | ↑ +126% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,103.99 | ↑ +126% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,166.07 | ↑ +131% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,228.15 | ↑ +135% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,228.15 | ↑ +135% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,259.19 | ↑ +137% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,259.19 | ↑ +137% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,259.19 | ↑ +137% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,259.19 | ↑ +137% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,259.19 | ↑ +137% |
| WELLCARE | WELLCARE MEDICARE | $3,290.23 | ↑ +140% |
| AETNA | AETNA | $3,907.90 | ↑ +185% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,296.00 | ↑ +213% |
| MEDCOST | MEDCOST VHN | $4,355.44 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4,793.00 | ↑ +249% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,901.00 | ↑ +257% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,901.00 | ↑ +257% |
| BLUE CROSS | ANTHEM EXCHANGE | $6,374.92 | ↑ +364% |
| AMBETTER | AMBETTER | $6,766.69 | ↑ +393% |
| BLUE CROSS | ANTHEM HMO | $6,773.14 | ↑ +393% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,047.04 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,449.57 | ↑ +443% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $7,968.19 | ↑ +480% |
| WELLCARE | WELLCARE MEDICAID | $9,152.00 | ↑ +567% |
Visitor-reported prices
Comments
Partial removal foot fascia at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $1,372.80 | $2,443.03 – $7,124.65 |
| Johnson City Medical Center | JOHNSON CITY | $1,372.80 | $2,512.69 – $6,656.07 |
| Hancock County Hospital | SNEEDVILLE | $1,347.34 | $3,098.58 – $3,720.95 |
| Greeneville Community Hospital | GREENEVILLE | $1,372.80 | $2,246.92 – $6,656.07 |
| Bristol Regional Medical Center | BRISTOL | $1,372.80 | $2,818.43 – $7,449.57 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,372.80 | $2,209.77 – $6,476.36 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,372.80 | $2,968.60 – $6,471.55 |
| Johnson County Community Hospital | MOUNTAIN CITY | $1,347.34 | $3,008.33 – $3,765.38 |