Remove renal tube w/fluoro at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$547.20
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.
$3,648.00
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.
$501.02 with UNITED HEALTHCARE vs $1,972.00 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 | UNITED HEALTHCARE MEDICAID VIRGINIA | $501.02 | ↓ -8% |
| SENTARA HEALTH | SENTARA HEALTH | $508.97 | ↓ -7% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $516.05 | ↓ -6% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $516.55 | ↓ -6% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $521.06 | ↓ -5% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $526.07 | ↓ -4% |
| BLUE CROSS | TENNCARE BLUE SELECT | $578.00 | ↑ +6% |
| BLUE CROSS | TENNCARE BLUE CARE | $578.00 | ↑ +6% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $603.00 | ↑ +10% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $650.00 | ↑ +19% |
| AETNA | AETNA HEALTHCARE MEDICARE | $661.49 | ↑ +21% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $661.49 | ↑ +21% |
| HUMANA | HUMANA MEDICARE | $661.49 | ↑ +21% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $661.49 | ↑ +21% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $661.49 | ↑ +21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $661.49 | ↑ +21% |
| SENTARA HEALTH | SENTARA MEDICARE | $661.49 | ↑ +21% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $661.49 | ↑ +21% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $674.72 | ↑ +23% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $679.00 | ↑ +24% |
| BLUE CROSS | BLUE CROSS MEDICARE | $687.95 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $687.95 | ↑ +26% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $694.57 | ↑ +27% |
| NHC ADVANTAGE | NHC ADVANTAGE | $694.57 | ↑ +27% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $694.57 | ↑ +27% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $694.57 | ↑ +27% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $694.57 | ↑ +27% |
| WELLCARE | WELLCARE MEDICARE | $701.18 | ↑ +28% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↑ +29% |
| BLUE CROSS | BLUE CROSS E NETWORK | $804.00 | ↑ +47% |
| BLUE CROSS | BLUE CROSS P NETWORK | $821.00 | ↑ +50% |
| BLUE CROSS | BLUE CROSS S NETWORK | $821.00 | ↑ +50% |
| AETNA | AETNA | $842.04 | ↑ +54% |
| MEDCOST | MEDCOST VHN | $938.47 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,101.00 | ↑ +101% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,358.55 | ↑ +148% |
| AMBETTER | AMBETTER | $1,442.05 | ↑ +164% |
| BLUE CROSS | ANTHEM HMO | $1,443.42 | ↑ +164% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +167% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,518.44 | ↑ +177% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,587.58 | ↑ +190% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,698.09 | ↑ +210% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,932.00 | ↑ +253% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,932.00 | ↑ +253% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,932.00 | ↑ +253% |
| WELLCARE | WELLCARE MEDICAID | $1,972.00 | ↑ +260% |
Visitor-reported prices
Comments
Remove renal tube w/fluoro at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $547.20 | $484.70 – $1,518.34 |
| Ascension Saint Thomas Midtown | Nashville | $899.84 | $575.32 – $1,141.72 |
| CHI Memorial Hospital Hixson | Hixson | $362.90 | $245.20 – $858.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $518.60 | $257.46 – $858.20 |
| Johnson City Medical Center | JOHNSON CITY | $547.20 | $507.61 – $1,418.48 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $899.84 | $575.32 – $1,217.22 |
| Greeneville Community Hospital | GREENEVILLE | $547.20 | $480.43 – $1,418.48 |
| Bristol Regional Medical Center | BRISTOL | $547.20 | $516.05 – $1,587.58 |