Revasc lithotrip tibi/perone at Indian Path Community Hospital

2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$4,766.55

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$31,777.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$948.00 with UNITED HEALTHCARE vs $31,777.00 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 →

Payer
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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
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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 UHC HERITAGE SELECT $948.00 ↓ -80%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $6,018.00 ↑ +26%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $7,957.00 ↑ +67%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $8,195.71 ↑ +72%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $8,195.71 ↑ +72%
AETNA AETNA BETTER HEALTH OF VIRGINIA $8,275.28 ↑ +74%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $8,275.28 ↑ +74%
AMERIGROUP AMERIGROUP $9,707.06 ↑ +104%
BLUE CROSS BLUE CROSS E NETWORK $10,051.00 ↑ +111%
BLUE CROSS BLUE CROSS P NETWORK $10,263.00 ↑ +115%
BLUE CROSS BLUE CROSS S NETWORK $10,263.00 ↑ +115%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $10,473.75 ↑ +120%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $10,473.75 ↑ +120%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $10,473.75 ↑ +120%
AETNA AETNA HEALTHCARE MEDICARE $10,473.75 ↑ +120%
HUMANA HUMANA MEDICARE $10,473.75 ↑ +120%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $10,473.75 ↑ +120%
ALLCARE MEDICARE ALLCARE MEDICARE $10,473.75 ↑ +120%
MANAGED MEDICAIRE MANAGED MEDICAIRE $10,473.75 ↑ +120%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $10,473.75 ↑ +120%
SENTARA HEALTH SENTARA MEDICARE $10,473.75 ↑ +120%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $10,787.96 ↑ +126%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $10,806.00 ↑ +127%
BLUE CROSS BLUE CROSS MEDICARE $10,892.70 ↑ +129%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $10,892.70 ↑ +129%
SENTARA HEALTH SENTARA HEALTH $10,966.24 ↑ +130%
CIGNA HEALTHCARE CIGNA MEDICARE $10,997.44 ↑ +131%
NHC ADVANTAGE NHC ADVANTAGE $10,997.44 ↑ +131%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $10,997.44 ↑ +131%
WELLCARE WELLCARE MEDICARE $11,102.17 ↑ +133%
MEDCOST MEDCOST VHN $11,121.95 ↑ +133%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $12,329.48 ↑ +159%
CIGNA HEALTHCARE CIGNA HMO $12,329.48 ↑ +159%
UNITED HEALTHCARE UNITED HEALTHCARE $14,004.00 ↑ +194%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $14,744.53 ↑ +209%
CIGNA HEALTHCARE CIGNA PPO $15,348.29 ↑ +222%
AETNA AETNA $20,273.73 ↑ +325%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $22,243.90 ↑ +367%
AMBETTER AMBETTER $22,832.77 ↑ +379%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $23,832.75 ↑ +400%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $25,137.00 ↑ +427%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $31,777.00 ↑ +567%
BLUE CROSS ANTHEM EXCHANGE $31,777.00 ↑ +567%
WELLCARE WELLCARE MEDICAID $31,777.00 ↑ +567%
BLUE CROSS ANTHEM HMO $31,777.00 ↑ +567%

Visitor-reported prices

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Revasc lithotrip tibi/perone at other Tennessee hospitals

Hospital City Cash price Negotiated range
Holston Valley Medical Center KINGSPORT $4,766.55 $8,224.84 – $26,283.39
CHI Memorial Hospital Hixson Hixson $11,280.56 $7,622.00 – $26,677.00
CHI Memorial Hospital Chattanooga Chattanooga $16,120.53 $8,003.10 – $26,677.00
Johnson City Medical Center JOHNSON CITY $4,766.55 $8,333.03 – $23,483.78
Hancock County Hospital SNEEDVILLE $4,677.51 $9,313.66 – $14,784.70
Greeneville Community Hospital GREENEVILLE $4,766.55 $8,927.85 – $23,483.78
Bristol Regional Medical Center BRISTOL $4,766.55 $8,471.58 – $26,283.39
Franklin Woods Community Hospital JOHNSON CITY $4,766.55 $8,780.21 – $22,849.74

All Tennessee hospitals for this procedure →