Appl modality 1/> areas vasopneumatic devices 97016 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$25.20
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.
$168.00
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.
$10.56 with AMERIGROUP vs $168.00 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 →
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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 | $10.56 | ↓ -58% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $11.35 | ↓ -55% |
| SENTARA HEALTH | SENTARA MEDICARE | $11.35 | ↓ -55% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $11.35 | ↓ -55% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $11.35 | ↓ -55% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $11.35 | ↓ -55% |
| HUMANA | HUMANA MEDICARE | $11.35 | ↓ -55% |
| BLUE CROSS | ANTHEM HMO | $11.35 | ↓ -55% |
| BLUE CROSS | ANTHEM EXCHANGE | $11.35 | ↓ -55% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $11.35 | ↓ -55% |
| AETNA | AETNA HEALTHCARE MEDICARE | $11.35 | ↓ -55% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $11.35 | ↓ -55% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $11.58 | ↓ -54% |
| BLUE CROSS | BLUE CROSS MEDICARE | $11.80 | ↓ -53% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $11.80 | ↓ -53% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $11.92 | ↓ -53% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $11.92 | ↓ -53% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $11.92 | ↓ -53% |
| NHC ADVANTAGE | NHC ADVANTAGE | $11.92 | ↓ -53% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $11.92 | ↓ -53% |
| WELLCARE | WELLCARE MEDICARE | $12.03 | ↓ -52% |
| BLUE CROSS | TENNCARE BLUE CARE | $12.68 | ↓ -50% |
| BLUE CROSS | TENNCARE BLUE SELECT | $12.68 | ↓ -50% |
| AMBETTER | AMBETTER | $24.74 | ↓ -2% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $27.24 | ↑ +8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $35.08 | ↑ +39% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $36.13 | ↑ +43% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $36.17 | ↑ +44% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $36.48 | ↑ +45% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $36.83 | ↑ +46% |
| SENTARA HEALTH | SENTARA HEALTH | $43.36 | ↑ +72% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $61.00 | ↑ +142% |
| CIGNA HEALTHCARE | CIGNA PPO | $70.06 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $70.06 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $70.06 | ↑ +178% |
| AETNA | AETNA | $71.74 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $77.95 | ↑ +209% |
| BLUE CROSS | BLUE CROSS E NETWORK | $78.00 | ↑ +210% |
| BLUE CROSS | BLUE CROSS S NETWORK | $79.61 | ↑ +216% |
| BLUE CROSS | BLUE CROSS P NETWORK | $79.61 | ↑ +216% |
| MEDCOST | MEDCOST VHN | $79.95 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $116.00 | ↑ +360% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $129.36 | ↑ +413% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $168.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $168.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $168.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $168.00 | ↑ +567% |
Visitor-reported prices
Comments
Appl modality 1/> areas vasopneumatic devices 97016 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $25.20 | $11.35 – $33.94 |
| Ascension Saint Thomas Midtown | Nashville | $32.24 | $9.84 – $41.15 |
| 62-1166050 BMH Carroll County | Huntingdon | $39.79 | $7.66 – $10.94 |
| Johnson City Medical Center | JOHNSON CITY | $25.20 | $11.35 – $35.54 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $32.24 | $9.84 – $41.15 |
| Hancock County Hospital | SNEEDVILLE | $24.61 | $11.35 – $40.50 |
| Greeneville Community Hospital | GREENEVILLE | $25.20 | $10.56 – $38.57 |
| Bristol Regional Medical Center | BRISTOL | $25.20 | $10.56 – $36.17 |