Thoracotomy with cardiac massage at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$1,912.95
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.
?
What you pay up front if you don't use insurance.
$12,753.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$171.00 with UNITED HEALTHCARE vs $12,753.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | TENNCARE UNITED HEALTHCARE | $171.00 | ↓ -91% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↓ -75% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↓ -74% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $508.26 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↓ -56% |
| SENTARA HEALTH | SENTARA HEALTH | $3,291.55 | ↑ +72% |
| AETNA | AETNA | $5,445.53 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $6,069.15 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $6,390.47 | ↑ +234% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $6,582.18 | ↑ +244% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $6,588.57 | ↑ +244% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $6,646.08 | ↑ +247% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $6,709.99 | ↑ +251% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $9,819.81 | ↑ +413% |
| BLUE CROSS | ANTHEM EXCHANGE | $11,406.48 | ↑ +496% |
| BLUE CROSS | ANTHEM HMO | $12,119.02 | ↑ +534% |
| WELLCARE | WELLCARE MEDICAID | $12,753.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $12,753.00 | ↑ +567% |
Visitor-reported prices
Comments
Thoracotomy with cardiac massage at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $1,912.95 | $508.26 – $6,429.66 |
| Johnson City Medical Center | JOHNSON CITY | $1,912.95 | $508.26 – $6,733.51 |
| Hancock County Hospital | SNEEDVILLE | $1,877.49 | $508.26 – $7,376.96 |
| Greeneville Community Hospital | GREENEVILLE | $1,912.95 | $508.26 – $7,025.68 |
| Bristol Regional Medical Center | BRISTOL | $1,912.95 | $508.26 – $6,709.99 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,912.95 | $508.26 – $7,306.71 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,912.95 | $508.26 – $7,376.96 |
| Johnson County Community Hospital | MOUNTAIN CITY | $1,877.49 | $508.26 – $7,306.71 |