Analysis; simple cranial nerv pulse gen prgrmg 95976 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$19.35
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.
$129.00
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.
$22.30 with UNITED HEALTHCARE vs $181.14 with MOLINA 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 →
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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 | $22.30 | ↑ +15% |
| SENTARA HEALTH | SENTARA HEALTH | $33.29 | ↑ +72% |
| SENTARA HEALTH | SENTARA MEDICARE | $35.41 | ↑ +83% |
| HUMANA | HUMANA MEDICARE | $35.41 | ↑ +83% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $35.41 | ↑ +83% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $35.41 | ↑ +83% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $35.41 | ↑ +83% |
| AETNA | AETNA HEALTHCARE MEDICARE | $35.41 | ↑ +83% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $35.41 | ↑ +83% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $35.41 | ↑ +83% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $36.11 | ↑ +87% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $36.82 | ↑ +90% |
| BLUE CROSS | BLUE CROSS MEDICARE | $36.82 | ↑ +90% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $37.18 | ↑ +92% |
| NHC ADVANTAGE | NHC ADVANTAGE | $37.18 | ↑ +92% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $37.18 | ↑ +92% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $37.18 | ↑ +92% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $37.18 | ↑ +92% |
| WELLCARE | WELLCARE MEDICARE | $37.53 | ↑ +94% |
| BLUE CROSS | TENNCARE BLUE CARE | $39.75 | ↑ +105% |
| BLUE CROSS | TENNCARE BLUE SELECT | $39.75 | ↑ +105% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $53.79 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $53.79 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $53.79 | ↑ +178% |
| AETNA | AETNA | $55.08 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $59.86 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $61.39 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $72.71 | ↑ +276% |
| AMBETTER | AMBETTER | $77.18 | ↑ +299% |
| BLUE CROSS | ANTHEM HMO | $77.26 | ↑ +299% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $84.97 | ↑ +339% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $90.30 | ↑ +367% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $90.89 | ↑ +370% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $99.33 | ↑ +413% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $129.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS E NETWORK | $129.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $129.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $129.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $129.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $129.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $129.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $129.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $172.51 | ↑ +792% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $177.86 | ↑ +819% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $179.41 | ↑ +827% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $181.14 | ↑ +836% |
Visitor-reported prices
Comments
Analysis; simple cranial nerv pulse gen prgrmg 95976 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $19.35 | $13.38 – $189.66 |
| Bristol Regional Medical Center | BRISTOL | $19.35 | $22.30 – $177.86 |
| 62-0123940 BMH Collierville | Collierville | $27.30 | $32.44 – $68.30 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $19.35 | $18.58 – $195.54 |
| Ascension Saint Thomas Midtown | Nashville | not published | $32.14 – $90.46 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $31.68 – $90.46 |
| Ascension Saint Thomas Highlands | Sparta | not published | $31.68 – $90.46 |
| Ascension Saint Thomas River Park | McMinnville | not published | $31.68 – $90.46 |