Intracran angioplsty w/stent at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$2,838.75
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.
$18,925.00
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.
$928.00 with UNITED HEALTHCARE vs $18,925.00 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 | $928.00 | ↓ -67% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↓ -46% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↓ -43% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,732.00 | ↓ -39% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,733.00 | ↓ -39% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,850.00 | ↓ -35% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,943.00 | ↓ -32% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,943.00 | ↓ -32% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,160.00 | ↓ -24% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,246.00 | ↓ -21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↓ -16% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,469.00 | ↓ -13% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,521.00 | ↓ -11% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,521.00 | ↓ -11% |
| SENTARA HEALTH | SENTARA HEALTH | $6,531.02 | ↑ +130% |
| MEDCOST | MEDCOST VHN | $6,623.75 | ↑ +133% |
| AETNA | AETNA | $12,074.15 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $14,193.75 | ↑ +400% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $16,812.58 | ↑ +492% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $17,316.96 | ↑ +510% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $17,316.96 | ↑ +510% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $17,485.08 | ↑ +516% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $17,485.09 | ↑ +516% |
| BLUE CROSS | ANTHEM HMO | $18,925.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $18,925.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $18,925.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $18,925.00 | ↑ +567% |
Visitor-reported prices
Comments
Intracran angioplsty w/stent at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $10,240.34 | $1,468.50 – $8,909.09 |
| CHI Memorial Hospital Hixson | Hixson | $3,427.98 | $2,316.20 – $8,106.70 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,898.77 | $2,432.01 – $8,106.70 |
| Johnson City Medical Center | JOHNSON CITY | $2,838.75 | $17,607.10 – $18,311.39 |
| Franklin Woods Community Hospital | JOHNSON CITY | $2,838.75 | $19,105.94 – $19,870.18 |
| 62-0123940 BMH Collierville | Collierville | $5,300.61 | $1,345.06 – $1,345.06 |
| Sycamore Shoals Hospital | ELIZABETHTON | $2,838.75 | $19,105.94 – $19,870.18 |
| Parkwest Medical Center | Knoxville | $685.20 | $1,027.80 – $2,055.60 |