Abdominal CT scan (with and without contrast) at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$617.10
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.
$4,114.00
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.
$166.39 with AETNA vs $4,114.00 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 |
|---|---|---|---|
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $166.39 | ↓ -73% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $166.39 | ↓ -73% |
| SENTARA HEALTH | SENTARA MEDICARE | $166.39 | ↓ -73% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $166.39 | ↓ -73% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $166.39 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $166.39 | ↓ -73% |
| HUMANA | HUMANA MEDICARE | $166.39 | ↓ -73% |
| AETNA | AETNA HEALTHCARE MEDICARE | $166.39 | ↓ -73% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $169.72 | ↓ -72% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $173.05 | ↓ -72% |
| BLUE CROSS | BLUE CROSS MEDICARE | $173.05 | ↓ -72% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $174.71 | ↓ -72% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $174.71 | ↓ -72% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $174.71 | ↓ -72% |
| NHC ADVANTAGE | NHC ADVANTAGE | $174.71 | ↓ -72% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $174.71 | ↓ -72% |
| WELLCARE | WELLCARE MEDICARE | $176.38 | ↓ -71% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $200.45 | ↓ -68% |
| BLUE CROSS | TENNCARE BLUE SELECT | $278.93 | ↓ -55% |
| BLUE CROSS | TENNCARE BLUE CARE | $278.93 | ↓ -55% |
| BLUE CROSS | ANTHEM EXCHANGE | $341.74 | ↓ -45% |
| AMBETTER | AMBETTER | $362.74 | ↓ -41% |
| BLUE CROSS | ANTHEM HMO | $363.09 | ↓ -41% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $399.35 | ↓ -35% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $401.63 | ↓ -35% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $413.68 | ↓ -33% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $414.08 | ↓ -33% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $417.70 | ↓ -32% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $421.71 | ↓ -32% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $427.00 | ↓ -31% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $427.15 | ↓ -31% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $515.24 | ↓ -17% |
| BLUE CROSS | BLUE CROSS E NETWORK | $610.96 | ↓ -1% |
| BLUE CROSS | BLUE CROSS S NETWORK | $618.45 | ↑ +0% |
| BLUE CROSS | BLUE CROSS P NETWORK | $624.08 | ↑ +1% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $642.00 | ↑ +4% |
| CIGNA HEALTHCARE | CIGNA PPO | $642.00 | ↑ +4% |
| CIGNA HEALTHCARE | CIGNA HMO | $642.00 | ↑ +4% |
| SENTARA HEALTH | SENTARA HEALTH | $1,061.82 | ↑ +72% |
| AETNA | AETNA | $1,756.68 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,835.00 | ↑ +197% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,919.00 | ↑ +211% |
| MEDCOST | MEDCOST VHN | $1,957.85 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,026.00 | ↑ +390% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,167.78 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $4,114.00 | ↑ +567% |
Visitor-reported prices
Comments
Abdominal CT scan (with and without contrast) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $617.10 | $159.14 – $388.56 |
| Ascension Saint Thomas Midtown | Nashville | $1,020.27 | $153.44 – $714.52 |
| CHI Memorial Hospital Hixson | Hixson | $835.91 | $176.05 – $1,976.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $915.86 | $141.42 – $325.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,194.56 | $176.05 – $1,976.80 |
| Johnson City Medical Center | JOHNSON CITY | $617.10 | $163.67 – $406.92 |
| Ascension Saint Thomas DeKalb | Smithville | $963.39 | $151.23 – $714.52 |
| Ascension Saint Thomas Highlands | Sparta | $963.39 | $151.23 – $714.52 |