Administration immunization intranasal/oral route each additional vaccine at Holston Valley Medical Center

130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$12.75

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$85.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.63 with BLUE CROSS vs $85.00 with UNITED HEALTHCARE — 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 →

Payer
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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
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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 SELECT $3.63 ↓ -72%
BLUE CROSS TENNCARE BLUE CARE $3.63 ↓ -72%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $8.17 ↓ -36%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $14.89 ↑ +17%
SENTARA HEALTH SENTARA HEALTH $21.94 ↑ +72%
CIGNA HEALTHCARE CIGNA PPO $35.45 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $35.45 ↑ +178%
CIGNA HEALTHCARE CIGNA HMO $35.45 ↑ +178%
AETNA AETNA $36.30 ↑ +185%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $39.44 ↑ +209%
MEDCOST MEDCOST VHN $40.45 ↑ +217%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $49.92 ↑ +292%
BLUE CROSS BLUE CROSS E NETWORK $50.88 ↑ +299%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $51.42 ↑ +303%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $51.47 ↑ +304%
AETNA AETNA BETTER HEALTH OF VIRGINIA $51.92 ↑ +307%
BLUE CROSS BLUE CROSS S NETWORK $51.93 ↑ +307%
BLUE CROSS BLUE CROSS P NETWORK $51.93 ↑ +307%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $52.42 ↑ +311%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $65.45 ↑ +413%
UNITED HEALTHCARE UNITED HEALTHCARE $85.00 ↑ +567%
WELLCARE WELLCARE MEDICAID $85.00 ↑ +567%
UNITED HEALTHCARE UHC HERITAGE SELECT $85.00 ↑ +567%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $85.00 ↑ +567%

Visitor-reported prices

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Administration immunization intranasal/oral route each additional vaccine at other Tennessee hospitals

Hospital City Cash price Negotiated range
Greeneville Community Hospital GREENEVILLE $12.75 $3.63 – $54.88
Bristol Regional Medical Center BRISTOL $12.75 $3.63 – $52.42
Hawkins County Memorial Hospital ROGERSVILLE $12.75 $3.63 – $57.62
Ascension Saint Thomas Midtown Nashville not published $3.13 – $26.84
Ascension Saint Thomas DeKalb Smithville not published $3.13 – $26.84
Ascension Saint Thomas Highlands Sparta not published $3.13 – $26.84
Ascension Saint Thomas River Park McMinnville not published $4.68 – $26.84
Ascension Saint Thomas Rutherford Murfreesboro not published $3.13 – $26.84

All Tennessee hospitals for this procedure →