Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$280.35
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.
$1,869.00
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.
$482.39 with SENTARA HEALTH vs $1,869.00 with CIGNA HEALTHCARE — 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $482.39 | ↑ +72% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $603.00 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $650.00 | ↑ +132% |
| SENTARA HEALTH | SENTARA MEDICARE | $671.77 | ↑ +140% |
| AETNA | AETNA HEALTHCARE MEDICARE | $671.77 | ↑ +140% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $671.77 | ↑ +140% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $671.77 | ↑ +140% |
| HUMANA | HUMANA MEDICARE | $671.77 | ↑ +140% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $671.77 | ↑ +140% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $671.77 | ↑ +140% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $671.77 | ↑ +140% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $679.00 | ↑ +142% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $685.21 | ↑ +144% |
| BLUE CROSS | BLUE CROSS MEDICARE | $698.64 | ↑ +149% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $698.64 | ↑ +149% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $705.36 | ↑ +152% |
| NHC ADVANTAGE | NHC ADVANTAGE | $705.36 | ↑ +152% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $705.36 | ↑ +152% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $705.36 | ↑ +152% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $705.36 | ↑ +152% |
| WELLCARE | WELLCARE MEDICARE | $712.08 | ↑ +154% |
| AETNA | AETNA | $798.06 | ↑ +185% |
| BLUE CROSS | BLUE CROSS E NETWORK | $804.00 | ↑ +187% |
| BLUE CROSS | BLUE CROSS P NETWORK | $821.00 | ↑ +193% |
| BLUE CROSS | BLUE CROSS S NETWORK | $821.00 | ↑ +193% |
| MEDCOST | MEDCOST VHN | $889.46 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,101.00 | ↑ +293% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,379.67 | ↑ +392% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,439.13 | ↑ +413% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +422% |
| AMBETTER | AMBETTER | $1,464.46 | ↑ +422% |
| BLUE CROSS | ANTHEM HMO | $1,465.85 | ↑ +423% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +443% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,612.25 | ↑ +475% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,661.48 | ↑ +493% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,711.32 | ↑ +510% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,712.99 | ↑ +511% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,724.48 | ↑ +515% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,727.94 | ↑ +516% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,744.55 | ↑ +522% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,869.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,869.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,869.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,869.00 | ↑ +567% |
Visitor-reported prices
Comments
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $280.35 | $529.06 – $1,607.38 |
| Ascension Saint Thomas Midtown | Nashville | $1,528.98 | $394.86 – $998.50 |
| CHI Memorial Hospital Hixson | Hixson | $1,294.12 | $874.40 – $3,060.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $312.80 | $558.94 – $1,284.92 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,849.36 | $918.12 – $3,060.40 |
| Johnson City Medical Center | JOHNSON CITY | $280.35 | $544.15 – $1,683.34 |
| Ascension Saint Thomas DeKalb | Smithville | $1,500.41 | $65.88 – $1,004.50 |
| Ascension Saint Thomas Highlands | Sparta | $1,500.41 | $65.88 – $1,004.50 |