Surgical pathology level 4 gross & microscopic examination at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$75.45
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.
$503.00
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.
$18.48 with BLUE CROSS vs $503.00 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $18.48 | ↓ -76% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $22.09 | ↓ -71% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $40.79 | ↓ -46% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $42.01 | ↓ -44% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $42.05 | ↓ -44% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $42.42 | ↓ -44% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $42.83 | ↓ -43% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $49.44 | ↓ -34% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $49.44 | ↓ -34% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $49.44 | ↓ -34% |
| SENTARA HEALTH | SENTARA MEDICARE | $49.44 | ↓ -34% |
| AETNA | AETNA HEALTHCARE MEDICARE | $49.44 | ↓ -34% |
| HUMANA | HUMANA MEDICARE | $49.44 | ↓ -34% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $49.44 | ↓ -34% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $49.44 | ↓ -34% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $49.47 | ↓ -34% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $49.47 | ↓ -34% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $50.42 | ↓ -33% |
| BLUE CROSS | BLUE CROSS MEDICARE | $51.41 | ↓ -32% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $51.41 | ↓ -32% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $51.45 | ↓ -32% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $51.91 | ↓ -31% |
| NHC ADVANTAGE | NHC ADVANTAGE | $51.91 | ↓ -31% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $51.91 | ↓ -31% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $51.91 | ↓ -31% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $51.91 | ↓ -31% |
| WELLCARE | WELLCARE MEDICARE | $52.40 | ↓ -31% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $76.95 | ↑ +2% |
| BLUE CROSS | BLUE CROSS E NETWORK | $93.95 | ↑ +25% |
| BLUE CROSS | BLUE CROSS S NETWORK | $95.11 | ↑ +26% |
| BLUE CROSS | BLUE CROSS P NETWORK | $95.97 | ↑ +27% |
| BLUE CROSS | ANTHEM EXCHANGE | $101.53 | ↑ +35% |
| AMBETTER | AMBETTER | $107.77 | ↑ +43% |
| BLUE CROSS | ANTHEM HMO | $107.87 | ↑ +43% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $118.65 | ↑ +57% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $126.91 | ↑ +68% |
| SENTARA HEALTH | SENTARA HEALTH | $129.82 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA PPO | $198.22 | ↑ +163% |
| CIGNA HEALTHCARE | CIGNA HMO | $198.22 | ↑ +163% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $198.22 | ↑ +163% |
| AETNA | AETNA | $214.78 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $239.38 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $387.31 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $503.00 | ↑ +567% |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $75.45 | $18.48 – $113.47 |
| Ascension Saint Thomas Midtown | Nashville | $112.20 | $15.18 – $94.34 |
| CHI Memorial Hospital Hixson | Hixson | $78.15 | $22.59 – $184.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $31.97 | $15.18 – $97.58 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $111.68 | $22.59 – $184.80 |
| Johnson City Medical Center | JOHNSON CITY | $75.45 | $18.48 – $106.01 |
| Ascension Saint Thomas DeKalb | Smithville | $112.20 | $15.18 – $94.34 |
| Ascension Saint Thomas Highlands | Sparta | $112.20 | $15.18 – $94.34 |