Thromboendarterectomy sfa at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$1,035.00
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.
$6,900.00
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.
$1,055.00 with UNITED HEALTHCARE vs $6,900.00 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 | UHC HERITAGE SELECT | $1,055.00 | ↑ +2% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,077.00 | ↑ +4% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,093.00 | ↑ +6% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,093.00 | ↑ +6% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,103.00 | ↑ +7% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,336.00 | ↑ +29% |
| SENTARA HEALTH | SENTARA HEALTH | $1,780.89 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,861.00 | ↑ +80% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,246.00 | ↑ +117% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,297.00 | ↑ +122% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,297.00 | ↑ +122% |
| AETNA | AETNA | $2,946.30 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +210% |
| MEDCOST | MEDCOST VHN | $3,283.71 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,239.00 | ↑ +310% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,239.00 | ↑ +310% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,239.00 | ↑ +310% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $5,078.04 | ↑ +391% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5,230.38 | ↑ +405% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5,235.46 | ↑ +406% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5,281.16 | ↑ +410% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,313.00 | ↑ +413% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5,331.94 | ↑ +415% |
| BLUE CROSS | ANTHEM EXCHANGE | $6,153.52 | ↑ +495% |
| BLUE CROSS | ANTHEM HMO | $6,537.91 | ↑ +532% |
| WELLCARE | WELLCARE MEDICAID | $6,900.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $6,900.00 | ↑ +567% |
Visitor-reported prices
Comments
Thromboendarterectomy sfa at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $2,199.58 | $1,486.20 – $5,201.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,143.32 | $1,560.51 – $5,201.70 |
| Greeneville Community Hospital | GREENEVILLE | $1,035.00 | $5,582.80 – $5,582.80 |
| Bristol Regional Medical Center | BRISTOL | $1,035.00 | $5,230.38 – $5,331.94 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,035.00 | $5,750.28 – $5,861.94 |
| Ascension Saint Thomas Midtown | Nashville | not published | $2,118.00 – $2,225.50 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $2,118.00 – $2,225.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $2,118.00 – $2,225.50 |