Aep thrshld est mlt freq i&r at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$125.55
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.
$837.00
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.
$99.91 with UNITED HEALTHCARE vs $837.00 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 | UNITED HEALTHCARE MEDICAID VIRGINIA | $99.91 | ↓ -20% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $102.91 | ↓ -18% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $103.01 | ↓ -18% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $103.91 | ↓ -17% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $104.91 | ↓ -16% |
| BLUE CROSS | TENNCARE BLUE CARE | $112.33 | ↓ -11% |
| BLUE CROSS | TENNCARE BLUE SELECT | $112.33 | ↓ -11% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $158.67 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $204.84 | ↑ +63% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $204.84 | ↑ +63% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $204.84 | ↑ +63% |
| AETNA | AETNA HEALTHCARE MEDICARE | $204.84 | ↑ +63% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $204.84 | ↑ +63% |
| HUMANA | HUMANA MEDICARE | $204.84 | ↑ +63% |
| SENTARA HEALTH | SENTARA MEDICARE | $204.84 | ↑ +63% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $204.84 | ↑ +63% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $208.93 | ↑ +66% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $213.03 | ↑ +70% |
| BLUE CROSS | BLUE CROSS MEDICARE | $213.03 | ↑ +70% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $215.08 | ↑ +71% |
| NHC ADVANTAGE | NHC ADVANTAGE | $215.08 | ↑ +71% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $215.08 | ↑ +71% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $215.08 | ↑ +71% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $215.08 | ↑ +71% |
| SENTARA HEALTH | SENTARA HEALTH | $216.03 | ↑ +72% |
| WELLCARE | WELLCARE MEDICARE | $217.13 | ↑ +73% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $305.00 | ↑ +143% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $320.00 | ↑ +155% |
| CIGNA HEALTHCARE | CIGNA PPO | $349.03 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $349.03 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $349.03 | ↑ +178% |
| AETNA | AETNA | $357.40 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $388.37 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $398.33 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $420.69 | ↑ +235% |
| AMBETTER | AMBETTER | $446.54 | ↑ +256% |
| BLUE CROSS | ANTHEM HMO | $446.97 | ↑ +256% |
| BLUE CROSS | BLUE CROSS E NETWORK | $484.61 | ↑ +286% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $491.61 | ↑ +292% |
| BLUE CROSS | BLUE CROSS S NETWORK | $494.62 | ↑ +294% |
| BLUE CROSS | BLUE CROSS P NETWORK | $494.62 | ↑ +294% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $502.00 | ↑ +300% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $525.84 | ↑ +319% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $585.90 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $644.49 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $837.00 | ↑ +567% |
Visitor-reported prices
Comments
Aep thrshld est mlt freq i&r at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $125.55 | $96.66 – $470.16 |
| Johnson City Medical Center | JOHNSON CITY | $125.55 | $101.23 – $439.24 |
| Greeneville Community Hospital | GREENEVILLE | $125.55 | $95.20 – $439.24 |
| Bristol Regional Medical Center | BRISTOL | $125.55 | $102.91 – $491.61 |
| Franklin Woods Community Hospital | JOHNSON CITY | $125.55 | $109.85 – $427.38 |
| 62-0123940 BMH Collierville | Collierville | $309.96 | $96.84 – $570.30 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $125.55 | $112.33 – $427.07 |
| Sycamore Shoals Hospital | ELIZABETHTON | $125.55 | $109.85 – $427.07 |