Revision of infusion pump at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$1,399.20
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.
$9,328.00
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.
$578.00 with BLUE CROSS vs $9,328.00 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 | $578.00 | ↓ -59% |
| BLUE CROSS | TENNCARE BLUE SELECT | $578.00 | ↓ -59% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $948.00 | ↓ -32% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,903.69 | ↑ +36% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,956.00 | ↑ +40% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,960.80 | ↑ +40% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,962.70 | ↑ +40% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,979.84 | ↑ +41% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,998.87 | ↑ +43% |
| SENTARA HEALTH | SENTARA HEALTH | $2,407.56 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,588.00 | ↑ +85% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,588.00 | ↑ +85% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,588.00 | ↑ +85% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $3,013.00 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,336.00 | ↑ +138% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,488.00 | ↑ +149% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,545.07 | ↑ +153% |
| HUMANA | HUMANA MEDICARE | $3,545.07 | ↑ +153% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,545.07 | ↑ +153% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,545.07 | ↑ +153% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,545.07 | ↑ +153% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,545.07 | ↑ +153% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,545.07 | ↑ +153% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,545.07 | ↑ +153% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,615.97 | ↑ +158% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,686.88 | ↑ +163% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,686.88 | ↑ +163% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,722.33 | ↑ +166% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,722.33 | ↑ +166% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,722.33 | ↑ +166% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,722.33 | ↑ +166% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,722.33 | ↑ +166% |
| WELLCARE | WELLCARE MEDICARE | $3,757.78 | ↑ +169% |
| AETNA | AETNA | $3,983.06 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $4,439.20 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4,793.00 | ↑ +243% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,901.00 | ↑ +250% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,901.00 | ↑ +250% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5,883.00 | ↑ +320% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,182.56 | ↑ +413% |
| BLUE CROSS | ANTHEM EXCHANGE | $7,280.81 | ↑ +420% |
| AMBETTER | AMBETTER | $7,728.26 | ↑ +452% |
| BLUE CROSS | ANTHEM HMO | $7,735.62 | ↑ +453% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $8,508.17 | ↑ +508% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $9,100.48 | ↑ +550% |
| WELLCARE | WELLCARE MEDICAID | $9,328.00 | ↑ +567% |
Visitor-reported prices
Comments
Revision of infusion pump at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $1,399.20 | $2,092.92 – $7,601.92 |
| Bristol Regional Medical Center | BRISTOL | $1,399.20 | $1,960.80 – $8,508.17 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,399.20 | $2,155.71 – $7,391.18 |
| Ascension Saint Thomas Midtown | Nashville | not published | $1,185.00 – $1,534.53 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $1,173.62 – $1,246.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $1,173.62 – $1,246.50 |
| Ascension Saint Thomas River Park | McMinnville | not published | $1,173.62 – $1,246.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $1,185.00 – $1,636.56 |