Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$121.65
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.
$811.00
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.
$27.32 with UNITED HEALTHCARE vs $811.00 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 | $27.32 | ↓ -78% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $28.14 | ↓ -77% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $28.17 | ↓ -77% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $28.41 | ↓ -77% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $28.69 | ↓ -76% |
| SENTARA HEALTH | SENTARA HEALTH | $209.32 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $248.98 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $261.95 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $261.95 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $338.19 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $338.19 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $338.19 | ↑ +178% |
| AETNA | AETNA | $346.30 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $376.30 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $385.95 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $567.70 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $624.47 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $811.00 | ↑ +567% |
Visitor-reported prices
Comments
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $121.65 | $26.43 – $27.49 |
| Johnson City Medical Center | JOHNSON CITY | $121.65 | $27.68 – $28.79 |
| Hancock County Hospital | SNEEDVILLE | $119.37 | $30.93 – $31.53 |
| Greeneville Community Hospital | GREENEVILLE | $121.65 | $30.03 – $30.03 |
| Bristol Regional Medical Center | BRISTOL | $121.65 | $28.14 – $28.69 |
| Franklin Woods Community Hospital | JOHNSON CITY | $121.65 | $30.03 – $301.69 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $121.65 | $30.93 – $31.53 |
| Johnson County Community Hospital | MOUNTAIN CITY | $119.37 | $30.03 – $31.24 |