#a/b/c/c/h pnl-candida albicans ab at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$21.00
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.
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What you pay up front if you don't use insurance.
$140.00
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.
$6.01 with AMERIGROUP vs $140.00 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 | $6.01 | ↓ -71% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $11.26 | ↓ -46% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $11.60 | ↓ -45% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $11.60 | ↓ -45% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $11.71 | ↓ -44% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $11.71 | ↓ -44% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $12.01 | ↓ -43% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $12.01 | ↓ -43% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $12.01 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $12.01 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $12.01 | ↓ -43% |
| AETNA | AETNA HEALTHCARE MEDICARE | $12.01 | ↓ -43% |
| HUMANA | HUMANA MEDICARE | $12.01 | ↓ -43% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $12.01 | ↓ -43% |
| BLUE CROSS | ANTHEM EXCHANGE | $12.01 | ↓ -43% |
| BLUE CROSS | ANTHEM HMO | $12.01 | ↓ -43% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $12.01 | ↓ -43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $12.01 | ↓ -43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $12.01 | ↓ -43% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $12.01 | ↓ -43% |
| SENTARA HEALTH | SENTARA MEDICARE | $12.01 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $12.01 | ↓ -43% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $12.37 | ↓ -41% |
| BLUE CROSS | BLUE CROSS MEDICARE | $12.49 | ↓ -41% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $12.49 | ↓ -41% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $12.61 | ↓ -40% |
| NHC ADVANTAGE | NHC ADVANTAGE | $12.61 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $12.61 | ↓ -40% |
| WELLCARE | WELLCARE MEDICARE | $12.73 | ↓ -39% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $15.31 | ↓ -27% |
| AMBETTER | AMBETTER | $26.18 | ↑ +25% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $26.71 | ↑ +27% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $28.82 | ↑ +37% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $34.40 | ↑ +64% |
| BLUE CROSS | TENNCARE BLUE CARE | $35.23 | ↑ +68% |
| BLUE CROSS | TENNCARE BLUE SELECT | $35.23 | ↑ +68% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $47.38 | ↑ +126% |
| CIGNA HEALTHCARE | CIGNA HMO | $47.38 | ↑ +126% |
| CIGNA HEALTHCARE | CIGNA PPO | $47.38 | ↑ +126% |
| SENTARA HEALTH | SENTARA HEALTH | $48.31 | ↑ +130% |
| MEDCOST | MEDCOST VHN | $49.00 | ↑ +133% |
| BLUE CROSS | BLUE CROSS E NETWORK | $66.99 | ↑ +219% |
| BLUE CROSS | BLUE CROSS P NETWORK | $68.30 | ↑ +225% |
| BLUE CROSS | BLUE CROSS S NETWORK | $68.30 | ↑ +225% |
| AETNA | AETNA | $89.32 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $105.00 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $140.00 | ↑ +567% |
Visitor-reported prices
Comments
#a/b/c/c/h pnl-candida albicans ab at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Holston Valley Medical Center | KINGSPORT | $21.00 | $6.01 – $28.82 |
| CHI Memorial Hospital Hixson | Hixson | $42.63 | $10.67 – $61.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $60.92 | $10.67 – $61.60 |
| Johnson City Medical Center | JOHNSON CITY | $21.00 | $6.01 – $26.18 |
| Hancock County Hospital | SNEEDVILLE | $20.47 | $8.51 – $26.71 |
| Greeneville Community Hospital | GREENEVILLE | $21.00 | $5.40 – $26.18 |
| Bristol Regional Medical Center | BRISTOL | $21.00 | $6.01 – $28.82 |
| Franklin Woods Community Hospital | JOHNSON CITY | $21.00 | $6.01 – $26.18 |