Prq card revasc mi 1 vsl at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$4,357.65
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.
$29,051.00
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.
$638.79 with BLUE CROSS vs $29,051.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $638.79 | ↓ -85% |
| BLUE CROSS | TENNCARE BLUE SELECT | $638.79 | ↓ -85% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,729.00 | ↓ -37% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $8,387.00 | ↑ +92% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $9,572.00 | ↑ +120% |
| SENTARA HEALTH | SENTARA HEALTH | $10,025.50 | ↑ +130% |
| MEDCOST | MEDCOST VHN | $10,167.85 | ↑ +133% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $10,351.94 | ↑ +138% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $10,662.50 | ↑ +145% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $10,662.50 | ↑ +145% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $10,766.02 | ↑ +147% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $10,766.02 | ↑ +147% |
| CIGNA HEALTHCARE | CIGNA HMO | $11,271.79 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $11,271.79 | ↑ +159% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $12,407.00 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $13,479.66 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $14,031.63 | ↑ +222% |
| BLUE CROSS | BLUE CROSS E NETWORK | $14,262.00 | ↑ +227% |
| BLUE CROSS | BLUE CROSS P NETWORK | $14,563.00 | ↑ +234% |
| BLUE CROSS | BLUE CROSS S NETWORK | $14,563.00 | ↑ +234% |
| AETNA | AETNA | $18,534.54 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $20,335.70 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $21,788.25 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $29,051.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $29,051.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $29,051.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $29,051.00 | ↑ +567% |
Visitor-reported prices
Comments
Prq card revasc mi 1 vsl at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Holston Valley Medical Center | KINGSPORT | $4,357.65 | $638.79 – $11,235.41 |
| Ascension Saint Thomas Midtown | Nashville | $20,854.53 | $550.68 – $18,143.44 |
| CHI Memorial Hospital Hixson | Hixson | $10,810.81 | $819.58 – $25,566.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $14,750.13 | $550.68 – $658.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $15,449.23 | $819.58 – $25,566.10 |
| Johnson City Medical Center | JOHNSON CITY | $4,357.65 | $638.79 – $11,274.80 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $20,854.53 | $550.68 – $18,143.44 |
| Greeneville Community Hospital | GREENEVILLE | $4,357.65 | $638.79 – $11,764.02 |