Hopd mntl hlt, 15-29 min at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$12.60
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.
$84.00
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.
$26.71 with UNITED HEALTHCARE vs $84.00 with BLUE CROSS — 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 | $26.71 | ↑ +112% |
| AMERIGROUP | AMERIGROUP | $28.09 | ↑ +123% |
| SENTARA HEALTH | SENTARA HEALTH | $28.99 | ↑ +130% |
| MEDCOST | MEDCOST VHN | $29.40 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $32.59 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $32.59 | ↑ +159% |
| HUMANA | HUMANA MEDICARE | $33.99 | ↑ +170% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $33.99 | ↑ +170% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $33.99 | ↑ +170% |
| AETNA | AETNA HEALTHCARE MEDICARE | $33.99 | ↑ +170% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $33.99 | ↑ +170% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $33.99 | ↑ +170% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $33.99 | ↑ +170% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $33.99 | ↑ +170% |
| SENTARA HEALTH | SENTARA MEDICARE | $33.99 | ↑ +170% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $33.99 | ↑ +170% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $35.01 | ↑ +178% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $35.35 | ↑ +181% |
| BLUE CROSS | BLUE CROSS MEDICARE | $35.35 | ↑ +181% |
| NHC ADVANTAGE | NHC ADVANTAGE | $35.69 | ↑ +183% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $35.69 | ↑ +183% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $35.69 | ↑ +183% |
| WELLCARE | WELLCARE MEDICARE | $36.03 | ↑ +186% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $38.98 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $40.57 | ↑ +222% |
| AETNA | AETNA | $53.59 | ↑ +325% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $53.96 | ↑ +328% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $55.58 | ↑ +341% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $55.58 | ↑ +341% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $56.12 | ↑ +345% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $56.12 | ↑ +345% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $58.80 | ↑ +367% |
| BLUE CROSS | BLUE CROSS S NETWORK | $60.48 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $60.48 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $60.48 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $63.00 | ↑ +400% |
| AMBETTER | AMBETTER | $74.11 | ↑ +488% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $81.59 | ↑ +548% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $84.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $84.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $84.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $84.00 | ↑ +567% |
Visitor-reported prices
Comments
Hopd mntl hlt, 15-29 min at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Holston Valley Medical Center | KINGSPORT | $12.60 | $17.81 – $84.00 |
| Johnson City Medical Center | JOHNSON CITY | $12.60 | $26.71 – $76.22 |
| Hancock County Hospital | SNEEDVILLE | $12.42 | $14.84 – $64.39 |
| Greeneville Community Hospital | GREENEVILLE | $12.60 | $10.68 – $76.22 |
| Bristol Regional Medical Center | BRISTOL | $12.60 | $17.81 – $84.00 |
| Franklin Woods Community Hospital | JOHNSON CITY | $12.60 | $25.41 – $74.16 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $12.60 | $14.84 – $74.11 |
| Johnson County Community Hospital | MOUNTAIN CITY | $12.42 | $26.71 – $63.78 |