99397 periodic comp preventive med 65+ years est at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$66.60
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.
$444.00
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.
$59.84 with UNITED HEALTHCARE vs $444.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $59.84 | ↓ -10% |
| BLUE CROSS | TENNCARE BLUE SELECT | $63.77 | ↓ -4% |
| BLUE CROSS | TENNCARE BLUE CARE | $63.77 | ↓ -4% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $103.91 | ↑ +56% |
| SENTARA HEALTH | SENTARA HEALTH | $114.60 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $136.31 | ↑ +105% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $143.41 | ↑ +115% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $143.41 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA PPO | $185.15 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $185.15 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $185.15 | ↑ +178% |
| AETNA | AETNA | $189.59 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $206.02 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $211.30 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $341.88 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $444.00 | ↑ +567% |
Visitor-reported prices
Comments
99397 periodic comp preventive med 65+ years est at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $66.60 | $35.90 – $63.77 |
| Bristol Regional Medical Center | BRISTOL | $66.60 | $59.84 – $63.77 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $66.60 | $49.87 – $63.77 |
| Ascension Saint Thomas Midtown | Nashville | not published | $54.97 – $54.97 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $49.87 – $73.17 |
| Ascension Saint Thomas Highlands | Sparta | not published | $49.87 – $82.45 |
| Ascension Saint Thomas River Park | McMinnville | not published | $49.87 – $104.44 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $54.97 – $54.97 |