Thromboendarterectomy common femoral at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$1,069.65
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.
$7,131.00
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 $7,131.00 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 | ↓ -46% |
| BLUE CROSS | TENNCARE BLUE SELECT | $578.00 | ↓ -46% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,055.00 | ↓ -1% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,077.00 | ↑ +1% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,103.00 | ↑ +3% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,208.73 | ↑ +13% |
| BLUE CROSS | ANTHEM HMO | $1,284.24 | ↑ +20% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,336.00 | ↑ +25% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,510.83 | ↑ +41% |
| SENTARA HEALTH | SENTARA HEALTH | $1,840.51 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,861.00 | ↑ +74% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,246.00 | ↑ +110% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,297.00 | ↑ +115% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,297.00 | ↑ +115% |
| AETNA | AETNA | $3,044.94 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +200% |
| MEDCOST | MEDCOST VHN | $3,393.64 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,239.00 | ↑ +296% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,239.00 | ↑ +296% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,239.00 | ↑ +296% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $5,078.04 | ↑ +375% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5,230.38 | ↑ +389% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5,235.46 | ↑ +389% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5,281.16 | ↑ +394% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5,331.94 | ↑ +398% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,490.87 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $7,131.00 | ↑ +567% |
Visitor-reported prices
Comments
Thromboendarterectomy common femoral at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $1,069.65 | $1,843.64 – $5,109.19 |
| CHI Memorial Hospital Hixson | Hixson | $2,029.68 | $1,371.40 – $4,799.90 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,900.52 | $1,439.97 – $4,799.90 |
| Johnson City Medical Center | JOHNSON CITY | $1,069.65 | $5,144.84 – $5,350.63 |
| Greeneville Community Hospital | GREENEVILLE | $1,069.65 | $5,582.80 – $5,582.80 |
| Bristol Regional Medical Center | BRISTOL | $1,069.65 | $1,467.57 – $5,331.94 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,069.65 | $5,582.80 – $5,806.11 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,069.65 | $1,385.82 – $5,861.94 |