X-ray surgical specimen at Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
$276.60
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.
$1,844.00
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.
$13.86 with BLUE CROSS vs $1,844.00 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 CARE | $13.86 | ↓ -95% |
| BLUE CROSS | TENNCARE BLUE SELECT | $13.86 | ↓ -95% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $25.89 | ↓ -91% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $29.93 | ↓ -89% |
| CIGNA HEALTHCARE | CIGNA HMO | $29.93 | ↓ -89% |
| CIGNA HEALTHCARE | CIGNA PPO | $29.93 | ↓ -89% |
| BLUE CROSS | BLUE CROSS E NETWORK | $44.97 | ↓ -84% |
| BLUE CROSS | BLUE CROSS S NETWORK | $45.85 | ↓ -83% |
| BLUE CROSS | BLUE CROSS P NETWORK | $45.85 | ↓ -83% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $51.74 | ↓ -81% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $140.83 | ↓ -49% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $145.05 | ↓ -48% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $145.06 | ↓ -48% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $146.46 | ↓ -47% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $146.46 | ↓ -47% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↑ +16% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $364.00 | ↑ +32% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $382.55 | ↑ +38% |
| AMERIGROUP | AMERIGROUP | $449.49 | ↑ +63% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $472.00 | ↑ +71% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $495.75 | ↑ +79% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $495.75 | ↑ +79% |
| AETNA | AETNA HEALTHCARE MEDICARE | $495.75 | ↑ +79% |
| HUMANA | HUMANA MEDICARE | $495.75 | ↑ +79% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $495.75 | ↑ +79% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $495.75 | ↑ +79% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $495.75 | ↑ +79% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $495.75 | ↑ +79% |
| SENTARA HEALTH | SENTARA MEDICARE | $495.75 | ↑ +79% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $495.75 | ↑ +79% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $510.62 | ↑ +85% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $515.58 | ↑ +86% |
| BLUE CROSS | BLUE CROSS MEDICARE | $515.58 | ↑ +86% |
| NHC ADVANTAGE | NHC ADVANTAGE | $520.54 | ↑ +88% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $520.54 | ↑ +88% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $520.54 | ↑ +88% |
| WELLCARE | WELLCARE MEDICARE | $525.49 | ↑ +90% |
| SENTARA HEALTH | SENTARA HEALTH | $636.36 | ↑ +130% |
| MEDCOST | MEDCOST VHN | $645.40 | ↑ +133% |
| AMBETTER | AMBETTER | $1,080.73 | ↑ +291% |
| AETNA | AETNA | $1,176.47 | ↑ +325% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,189.80 | ↑ +330% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,383.00 | ↑ +400% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,623.80 | ↑ +487% |
| BLUE CROSS | ANTHEM HMO | $1,783.25 | ↑ +545% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,844.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,844.00 | ↑ +567% |
Visitor-reported prices
Comments
X-ray surgical specimen at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Holston Valley Medical Center | KINGSPORT | $276.60 | $13.86 – $1,244.06 |
| Ascension Saint Thomas Midtown | Nashville | $142.64 | $11.61 – $770.53 |
| CHI Memorial Hospital Hixson | Hixson | $565.36 | $5.00 – $220.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $345.92 | $11.95 – $1,001.32 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $807.93 | $5.25 – $220.00 |
| Johnson City Medical Center | JOHNSON CITY | $276.60 | $13.86 – $1,111.55 |
| Ascension Saint Thomas DeKalb | Smithville | $149.76 | $11.61 – $770.53 |
| Ascension Saint Thomas Highlands | Sparta | $149.76 | $11.61 – $770.53 |