Susceptibility agar dilution per agent at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$8.40
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.
$56.00
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.
$2.38 with AMERIGROUP vs $56.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $2.38 | ↓ -72% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $4.04 | ↓ -52% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $4.75 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $4.75 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $4.75 | ↓ -43% |
| SENTARA HEALTH | SENTARA MEDICARE | $4.75 | ↓ -43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $4.75 | ↓ -43% |
| BLUE CROSS | ANTHEM EXCHANGE | $4.75 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4.75 | ↓ -43% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $4.75 | ↓ -43% |
| AETNA | AETNA HEALTHCARE MEDICARE | $4.75 | ↓ -43% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $4.75 | ↓ -43% |
| HUMANA | HUMANA MEDICARE | $4.75 | ↓ -43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $4.75 | ↓ -43% |
| BLUE CROSS | ANTHEM HMO | $4.75 | ↓ -43% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $4.85 | ↓ -42% |
| BLUE CROSS | BLUE CROSS MEDICARE | $4.94 | ↓ -41% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $4.94 | ↓ -41% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $4.94 | ↓ -41% |
| NHC ADVANTAGE | NHC ADVANTAGE | $4.99 | ↓ -41% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $4.99 | ↓ -41% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $4.99 | ↓ -41% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $4.99 | ↓ -41% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $4.99 | ↓ -41% |
| WELLCARE | WELLCARE MEDICARE | $5.04 | ↓ -40% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $10.20 | ↑ +21% |
| AMBETTER | AMBETTER | $10.36 | ↑ +23% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $10.50 | ↑ +25% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $10.52 | ↑ +25% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $10.60 | ↑ +26% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $10.71 | ↑ +28% |
| BLUE CROSS | TENNCARE BLUE CARE | $10.82 | ↑ +29% |
| BLUE CROSS | TENNCARE BLUE SELECT | $10.82 | ↑ +29% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $10.83 | ↑ +29% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $11.40 | ↑ +36% |
| SENTARA HEALTH | SENTARA HEALTH | $14.45 | ↑ +72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $15.04 | ↑ +79% |
| CIGNA HEALTHCARE | CIGNA HMO | $19.10 | ↑ +127% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $19.10 | ↑ +127% |
| CIGNA HEALTHCARE | CIGNA PPO | $19.10 | ↑ +127% |
| BLUE CROSS | BLUE CROSS E NETWORK | $21.12 | ↑ +151% |
| BLUE CROSS | BLUE CROSS S NETWORK | $21.38 | ↑ +155% |
| BLUE CROSS | BLUE CROSS P NETWORK | $21.58 | ↑ +157% |
| AETNA | AETNA | $23.91 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $26.65 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $43.12 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $56.00 | ↑ +567% |
Visitor-reported prices
Comments
Susceptibility agar dilution per agent at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $8.40 | $2.38 – $11.40 |
| Johnson City Medical Center | JOHNSON CITY | $8.40 | $2.38 – $10.36 |
| Hancock County Hospital | SNEEDVILLE | $8.28 | $3.37 – $11.77 |
| Greeneville Community Hospital | GREENEVILLE | $8.40 | $2.14 – $11.21 |
| Bristol Regional Medical Center | BRISTOL | $8.40 | $2.38 – $11.40 |
| Franklin Woods Community Hospital | JOHNSON CITY | $8.40 | $2.38 – $11.21 |
| 62-0123940 BMH Collierville | Collierville | $7.14 | $4.51 – $9.50 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $8.40 | $2.38 – $11.56 |