Pretreat rbc w chem/drugs reference at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$91.65
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.
$611.00
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.
$1.04 with BLUE CROSS vs $611.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $1.04 | ↓ -99% |
| BLUE CROSS | TENNCARE BLUE CARE | $1.04 | ↓ -99% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $13.44 | ↓ -85% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $20.77 | ↓ -77% |
| AMERIGROUP | AMERIGROUP | $24.85 | ↓ -73% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $33.43 | ↓ -64% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $33.43 | ↓ -64% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $33.43 | ↓ -64% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $53.52 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $53.52 | ↓ -42% |
| AETNA | AETNA HEALTHCARE MEDICARE | $53.52 | ↓ -42% |
| HUMANA | HUMANA MEDICARE | $53.52 | ↓ -42% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $53.52 | ↓ -42% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $53.52 | ↓ -42% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $53.52 | ↓ -42% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $53.52 | ↓ -42% |
| SENTARA HEALTH | SENTARA MEDICARE | $53.52 | ↓ -42% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $53.52 | ↓ -42% |
| CIGNA HEALTHCARE | CIGNA HMO | $54.96 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA PPO | $54.96 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $54.96 | ↓ -40% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $55.13 | ↓ -40% |
| BLUE CROSS | BLUE CROSS MEDICARE | $55.66 | ↓ -39% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $55.66 | ↓ -39% |
| NHC ADVANTAGE | NHC ADVANTAGE | $56.20 | ↓ -39% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $56.20 | ↓ -39% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $56.20 | ↓ -39% |
| WELLCARE | WELLCARE MEDICARE | $56.73 | ↓ -38% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $60.63 | ↓ -34% |
| BLUE CROSS | BLUE CROSS E NETWORK | $75.01 | ↓ -18% |
| BLUE CROSS | BLUE CROSS S NETWORK | $76.48 | ↓ -17% |
| BLUE CROSS | BLUE CROSS P NETWORK | $76.48 | ↓ -17% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $104.17 | ↑ +14% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $107.29 | ↑ +17% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $107.30 | ↑ +17% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $108.34 | ↑ +18% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $108.34 | ↑ +18% |
| AMBETTER | AMBETTER | $116.68 | ↑ +27% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $128.45 | ↑ +40% |
| BLUE CROSS | ANTHEM EXCHANGE | $175.31 | ↑ +91% |
| BLUE CROSS | ANTHEM HMO | $192.52 | ↑ +110% |
| SENTARA HEALTH | SENTARA HEALTH | $210.86 | ↑ +130% |
| MEDCOST | MEDCOST VHN | $213.85 | ↑ +133% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $216.18 | ↑ +136% |
| AETNA | AETNA | $389.82 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $458.25 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $611.00 | ↑ +567% |
Visitor-reported prices
Comments
Pretreat rbc w chem/drugs reference at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Holston Valley Medical Center | KINGSPORT | $91.65 | $1.04 – $134.31 |
| Ascension Saint Thomas Midtown | Nashville | $91.73 | $0.90 – $97.06 |
| CHI Memorial Hospital Hixson | Hixson | $29.60 | $1.34 – $70.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $42.30 | $1.34 – $70.00 |
| Johnson City Medical Center | JOHNSON CITY | $91.65 | $1.04 – $120.01 |
| Ascension Saint Thomas DeKalb | Smithville | $91.73 | $0.90 – $97.06 |
| Ascension Saint Thomas Highlands | Sparta | $91.73 | $0.90 – $97.06 |
| Ascension Saint Thomas River Park | McMinnville | $91.73 | $1.34 – $97.06 |