Abdominal MRI (with and without contrast) at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$668.55
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.
$4,457.00
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.
$320.42 with UNITED HEALTHCARE vs $4,457.00 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 | $320.42 | ↓ -52% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $330.96 | ↓ -50% |
| SENTARA HEALTH | SENTARA MEDICARE | $330.96 | ↓ -50% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $330.96 | ↓ -50% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $330.96 | ↓ -50% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $330.96 | ↓ -50% |
| HUMANA | HUMANA MEDICARE | $330.96 | ↓ -50% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $330.96 | ↓ -50% |
| AETNA | AETNA HEALTHCARE MEDICARE | $330.96 | ↓ -50% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $337.58 | ↓ -50% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $344.20 | ↓ -49% |
| BLUE CROSS | BLUE CROSS MEDICARE | $344.20 | ↓ -49% |
| NHC ADVANTAGE | NHC ADVANTAGE | $347.51 | ↓ -48% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $347.51 | ↓ -48% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $347.51 | ↓ -48% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $347.51 | ↓ -48% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $347.51 | ↓ -48% |
| WELLCARE | WELLCARE MEDICARE | $350.82 | ↓ -48% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $504.82 | ↓ -24% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $519.97 | ↓ -22% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $520.47 | ↓ -22% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $525.01 | ↓ -21% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $530.06 | ↓ -21% |
| BLUE CROSS | ANTHEM EXCHANGE | $679.71 | ↑ +2% |
| AMBETTER | AMBETTER | $721.49 | ↑ +8% |
| BLUE CROSS | ANTHEM HMO | $722.17 | ↑ +8% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $786.00 | ↑ +18% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $794.30 | ↑ +19% |
| BLUE CROSS | TENNCARE BLUE SELECT | $817.52 | ↑ +22% |
| BLUE CROSS | TENNCARE BLUE CARE | $817.52 | ↑ +22% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $849.59 | ↑ +27% |
| SENTARA HEALTH | SENTARA HEALTH | $1,150.35 | ↑ +72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,200.33 | ↑ +80% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,215.00 | ↑ +82% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,215.00 | ↑ +82% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,215.00 | ↑ +82% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,215.06 | ↑ +82% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,226.11 | ↑ +83% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,675.92 | ↑ +151% |
| AETNA | AETNA | $1,903.14 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $2,121.09 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,448.00 | ↑ +266% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,559.00 | ↑ +283% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,431.89 | ↑ +413% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,035.00 | ↑ +504% |
| WELLCARE | WELLCARE MEDICAID | $4,457.00 | ↑ +567% |
Visitor-reported prices
Comments
Abdominal MRI (with and without contrast) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $668.55 | $316.52 – $759.66 |
| Ascension Saint Thomas Midtown | Nashville | $1,248.42 | $307.82 – $1,180.16 |
| CHI Memorial Hospital Hixson | Hixson | $1,691.05 | $315.33 – $2,459.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,457.51 | $283.71 – $652.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,416.60 | $315.33 – $2,459.00 |
| Johnson City Medical Center | JOHNSON CITY | $668.55 | $325.55 – $709.70 |
| Ascension Saint Thomas DeKalb | Smithville | $1,248.29 | $264.35 – $1,180.16 |
| Ascension Saint Thomas Highlands | Sparta | $1,248.29 | $264.35 – $1,180.16 |