Benign lesion paring 4+ at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$58.50
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.
$390.00
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.
$31.54 with BLUE CROSS vs $396.83 with AMBETTER — 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $31.54 | ↓ -46% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $131.53 | ↑ +125% |
| SENTARA HEALTH | SENTARA HEALTH | $134.59 | ↑ +130% |
| MEDCOST | MEDCOST VHN | $136.50 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $145.08 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $151.32 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $151.32 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $152.49 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $152.49 | ↑ +161% |
| AMERIGROUP | AMERIGROUP | $156.04 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $180.96 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $182.03 | ↑ +211% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $182.03 | ↑ +211% |
| AETNA | AETNA HEALTHCARE MEDICARE | $182.03 | ↑ +211% |
| HUMANA | HUMANA MEDICARE | $182.03 | ↑ +211% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $182.03 | ↑ +211% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $182.03 | ↑ +211% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $182.03 | ↑ +211% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $182.03 | ↑ +211% |
| SENTARA HEALTH | SENTARA MEDICARE | $182.03 | ↑ +211% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $182.03 | ↑ +211% |
| CIGNA HEALTHCARE | CIGNA PPO | $185.64 | ↑ +217% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $187.49 | ↑ +220% |
| BLUE CROSS | BLUE CROSS MEDICARE | $189.31 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $189.31 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $191.13 | ↑ +227% |
| NHC ADVANTAGE | NHC ADVANTAGE | $191.13 | ↑ +227% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $191.13 | ↑ +227% |
| WELLCARE | WELLCARE MEDICARE | $192.95 | ↑ +230% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $211.43 | ↑ +261% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $217.77 | ↑ +272% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $217.77 | ↑ +272% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $219.89 | ↑ +276% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $219.89 | ↑ +276% |
| AETNA | AETNA | $248.82 | ↑ +325% |
| BLUE CROSS | BLUE CROSS S NETWORK | $280.80 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $280.80 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $280.80 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $292.50 | ↑ +400% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $390.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $390.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $390.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $390.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $390.00 | ↑ +567% |
| AMBETTER | AMBETTER | $396.83 | ↑ +578% |
Visitor-reported prices
Comments
Benign lesion paring 4+ at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Holston Valley Medical Center | KINGSPORT | $58.50 | $31.54 – $414.92 |
| 62-1166050 BMH Carroll County | Huntingdon | $78.66 | $157.85 – $362.88 |
| Johnson City Medical Center | JOHNSON CITY | $58.50 | $31.54 – $408.14 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $351.18 | $45.00 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $58.50 | $31.54 – $408.14 |
| Bristol Regional Medical Center | BRISTOL | $58.50 | $31.54 – $414.92 |
| Franklin Woods Community Hospital | JOHNSON CITY | $58.50 | $31.54 – $397.12 |
| 62-0123940 BMH Collierville | Collierville | $127.26 | $172.85 – $363.90 |