Unlisted procedure microbiology at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$51.75
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.
$345.00
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.
$9.86 with OPTIMA HEALTH vs $345.00 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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $9.86 | ↓ -81% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $10.16 | ↓ -80% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $10.16 | ↓ -80% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $10.25 | ↓ -80% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $10.26 | ↓ -80% |
| CIGNA HEALTHCARE | CIGNA PPO | $11.50 | ↓ -78% |
| CIGNA HEALTHCARE | CIGNA HMO | $11.50 | ↓ -78% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $11.50 | ↓ -78% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $36.15 | ↓ -30% |
| BLUE CROSS | TENNCARE BLUE CARE | $87.81 | ↑ +70% |
| BLUE CROSS | TENNCARE BLUE SELECT | $87.81 | ↑ +70% |
| SENTARA HEALTH | SENTARA HEALTH | $119.06 | ↑ +130% |
| MEDCOST | MEDCOST VHN | $120.75 | ↑ +133% |
| AETNA | AETNA | $220.11 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $258.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $345.00 | ↑ +567% |
Visitor-reported prices
Comments
Unlisted procedure microbiology at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Holston Valley Medical Center | KINGSPORT | $51.75 | $10.20 – $16.21 |
| CHI Memorial Hospital Hixson | Hixson | $773.45 | $50.58 – $942.90 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,105.30 | $50.58 – $942.90 |
| Johnson City Medical Center | JOHNSON CITY | $51.75 | $10.33 – $11.50 |
| Hancock County Hospital | SNEEDVILLE | $50.83 | $11.55 – $36.15 |
| Greeneville Community Hospital | GREENEVILLE | $51.75 | $8.20 – $11.21 |
| Bristol Regional Medical Center | BRISTOL | $51.75 | $10.50 – $16.21 |
| Franklin Woods Community Hospital | JOHNSON CITY | $51.75 | $11.21 – $11.66 |