#acylcarnitineprfl at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$28.50
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.
$190.00
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.
$8.44 with AMERIGROUP vs $190.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $8.44 | ↓ -70% |
| BLUE CROSS | TENNCARE BLUE SELECT | $11.87 | ↓ -58% |
| BLUE CROSS | TENNCARE BLUE CARE | $11.87 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $12.48 | ↓ -56% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $12.85 | ↓ -55% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $12.87 | ↓ -55% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $12.98 | ↓ -54% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $13.10 | ↓ -54% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $14.33 | ↓ -50% |
| BLUE CROSS | ANTHEM HMO | $16.87 | ↓ -41% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $16.87 | ↓ -41% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $16.87 | ↓ -41% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $16.87 | ↓ -41% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $16.87 | ↓ -41% |
| SENTARA HEALTH | SENTARA MEDICARE | $16.87 | ↓ -41% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $16.87 | ↓ -41% |
| AETNA | AETNA HEALTHCARE MEDICARE | $16.87 | ↓ -41% |
| HUMANA | HUMANA MEDICARE | $16.87 | ↓ -41% |
| BLUE CROSS | ANTHEM EXCHANGE | $16.87 | ↓ -41% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $16.87 | ↓ -41% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $16.87 | ↓ -41% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $16.87 | ↓ -41% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $17.21 | ↓ -40% |
| BLUE CROSS | BLUE CROSS MEDICARE | $17.54 | ↓ -38% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $17.54 | ↓ -38% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $17.54 | ↓ -38% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $17.71 | ↓ -38% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $17.71 | ↓ -38% |
| NHC ADVANTAGE | NHC ADVANTAGE | $17.71 | ↓ -38% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $17.71 | ↓ -38% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $17.71 | ↓ -38% |
| WELLCARE | WELLCARE MEDICARE | $17.88 | ↓ -37% |
| BLUE CROSS | BLUE CROSS E NETWORK | $26.08 | ↓ -8% |
| BLUE CROSS | BLUE CROSS S NETWORK | $26.40 | ↓ -7% |
| BLUE CROSS | BLUE CROSS P NETWORK | $26.64 | ↓ -7% |
| AMBETTER | AMBETTER | $36.78 | ↑ +29% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $37.53 | ↑ +32% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $40.49 | ↑ +42% |
| SENTARA HEALTH | SENTARA HEALTH | $49.04 | ↑ +72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $54.65 | ↑ +92% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $67.87 | ↑ +138% |
| CIGNA HEALTHCARE | CIGNA HMO | $67.87 | ↑ +138% |
| CIGNA HEALTHCARE | CIGNA PPO | $67.87 | ↑ +138% |
| AETNA | AETNA | $81.13 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $90.42 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $146.30 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $190.00 | ↑ +567% |
Visitor-reported prices
Comments
#acylcarnitineprfl at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $28.50 | $8.44 – $40.49 |
| Ascension Saint Thomas Midtown | Nashville | $223.80 | $6.07 – $65.46 |
| Johnson City Medical Center | JOHNSON CITY | $28.50 | $8.44 – $36.78 |
| Ascension Saint Thomas DeKalb | Smithville | $223.80 | $10.23 – $65.46 |
| Ascension Saint Thomas Highlands | Sparta | $223.80 | $10.23 – $65.46 |
| Ascension Saint Thomas River Park | McMinnville | $223.80 | $11.83 – $65.46 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $223.80 | $10.23 – $65.46 |
| Greeneville Community Hospital | GREENEVILLE | $28.50 | $7.59 – $36.78 |