Consultation pathology during surgery cytological exam initial site at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$207.75
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.
$1,385.00
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.
$15.37 with UNITED HEALTHCARE vs $1,593.52 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $15.37 | ↓ -93% |
| BLUE CROSS | TENNCARE BLUE SELECT | $18.18 | ↓ -91% |
| BLUE CROSS | TENNCARE BLUE CARE | $18.18 | ↓ -91% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $19.28 | ↓ -91% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $69.01 | ↓ -67% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $102.89 | ↓ -50% |
| CIGNA HEALTHCARE | CIGNA HMO | $102.89 | ↓ -50% |
| CIGNA HEALTHCARE | CIGNA PPO | $102.89 | ↓ -50% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $116.02 | ↓ -44% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $119.50 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $119.50 | ↓ -42% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $120.66 | ↓ -42% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $120.66 | ↓ -42% |
| BLUE CROSS | BLUE CROSS E NETWORK | $149.45 | ↓ -28% |
| BLUE CROSS | BLUE CROSS S NETWORK | $152.37 | ↓ -27% |
| BLUE CROSS | BLUE CROSS P NETWORK | $152.37 | ↓ -27% |
| AMERIGROUP | AMERIGROUP | $240.20 | ↑ +16% |
| SENTARA HEALTH | SENTARA HEALTH | $477.96 | ↑ +130% |
| MEDCOST | MEDCOST VHN | $484.75 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $628.20 | ↑ +202% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $628.20 | ↑ +202% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $628.20 | ↑ +202% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $730.97 | ↑ +252% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $730.97 | ↑ +252% |
| AETNA | AETNA HEALTHCARE MEDICARE | $730.97 | ↑ +252% |
| HUMANA | HUMANA MEDICARE | $730.97 | ↑ +252% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $730.97 | ↑ +252% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $730.97 | ↑ +252% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $730.97 | ↑ +252% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $730.97 | ↑ +252% |
| SENTARA HEALTH | SENTARA MEDICARE | $730.97 | ↑ +252% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $730.97 | ↑ +252% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $752.90 | ↑ +262% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $760.21 | ↑ +266% |
| BLUE CROSS | BLUE CROSS MEDICARE | $760.21 | ↑ +266% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $767.52 | ↑ +269% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $767.52 | ↑ +269% |
| NHC ADVANTAGE | NHC ADVANTAGE | $767.52 | ↑ +269% |
| WELLCARE | WELLCARE MEDICARE | $774.83 | ↑ +273% |
| AETNA | AETNA | $883.63 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,038.75 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,385.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $1,385.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,385.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,385.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,385.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,593.52 | ↑ +667% |
Visitor-reported prices
Comments
Consultation pathology during surgery cytological exam initial site at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Holston Valley Medical Center | KINGSPORT | $207.75 | $10.25 – $1,666.19 |
| Ascension Saint Thomas Midtown | Nashville | $368.46 | $15.67 – $1,095.29 |
| CHI Memorial Hospital Hixson | Hixson | $782.92 | $23.32 – $1,851.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $242.42 | $15.67 – $1,491.86 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,118.84 | $23.32 – $1,851.50 |
| Johnson City Medical Center | JOHNSON CITY | $207.75 | $15.37 – $1,638.95 |
| Ascension Saint Thomas Highlands | Sparta | $364.01 | $8.45 – $1,079.50 |
| Ascension Saint Thomas River Park | McMinnville | $364.01 | $8.45 – $1,079.50 |