Unlisted procedure rectum at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$379.05
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.
$2,527.00
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.
$603.00 with UNITED HEALTHCARE vs $2,527.00 with CIGNA HEALTHCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $603.00 | ↑ +59% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $650.00 | ↑ +71% |
| SENTARA HEALTH | SENTARA HEALTH | $652.22 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $679.00 | ↑ +79% |
| BLUE CROSS | BLUE CROSS E NETWORK | $804.00 | ↑ +112% |
| BLUE CROSS | BLUE CROSS S NETWORK | $821.00 | ↑ +117% |
| BLUE CROSS | BLUE CROSS P NETWORK | $821.00 | ↑ +117% |
| HUMANA | HUMANA MEDICARE | $882.21 | ↑ +133% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $882.21 | ↑ +133% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $882.21 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $882.21 | ↑ +133% |
| SENTARA HEALTH | SENTARA MEDICARE | $882.21 | ↑ +133% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $882.21 | ↑ +133% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $882.21 | ↑ +133% |
| AETNA | AETNA HEALTHCARE MEDICARE | $882.21 | ↑ +133% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $899.85 | ↑ +137% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $917.49 | ↑ +142% |
| BLUE CROSS | BLUE CROSS MEDICARE | $917.49 | ↑ +142% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $926.32 | ↑ +144% |
| NHC ADVANTAGE | NHC ADVANTAGE | $926.32 | ↑ +144% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $926.32 | ↑ +144% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $926.32 | ↑ +144% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $926.32 | ↑ +144% |
| WELLCARE | WELLCARE MEDICARE | $935.14 | ↑ +147% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $948.00 | ↑ +150% |
| AETNA | AETNA | $1,079.03 | ↑ +185% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,101.00 | ↑ +190% |
| MEDCOST | MEDCOST VHN | $1,202.60 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,811.86 | ↑ +378% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,842.51 | ↑ +386% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,897.79 | ↑ +401% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,899.63 | ↑ +401% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,916.21 | ↑ +406% |
| AMBETTER | AMBETTER | $1,923.21 | ↑ +407% |
| BLUE CROSS | ANTHEM HMO | $1,925.05 | ↑ +408% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,934.64 | ↑ +410% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,945.79 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,117.29 | ↑ +459% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,264.70 | ↑ +497% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,527.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $2,527.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,527.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,527.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,527.00 | ↑ +567% |
Visitor-reported prices
Comments
Unlisted procedure rectum at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $245.18 | $724.27 – $1,665.00 |
| Greeneville Community Hospital | GREENEVILLE | $379.05 | $603.07 – $2,025.66 |
| Bristol Regional Medical Center | BRISTOL | $379.05 | $882.21 – $2,117.29 |
| 62-0123940 BMH Collierville | Collierville | $247.38 | $793.11 – $1,669.70 |
| 62-1138045 BMH Union City | Union City | $214.80 | $724.27 – $1,665.00 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $379.05 | $843.73 – $2,088.46 |
| Ascension Saint Thomas Midtown | Nashville | not published | $785.83 – $2,225.50 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $221.26 – $2,225.50 |