Assistive tech assessment, ot at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$35.25
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.
$235.00
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.
$33.55 with AMERIGROUP vs $306.42 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $33.55 | ↓ -5% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $36.07 | ↑ +2% |
| SENTARA HEALTH | SENTARA MEDICARE | $36.07 | ↑ +2% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $36.07 | ↑ +2% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $36.07 | ↑ +2% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $36.07 | ↑ +2% |
| HUMANA | HUMANA MEDICARE | $36.07 | ↑ +2% |
| BLUE CROSS | ANTHEM HMO | $36.07 | ↑ +2% |
| BLUE CROSS | ANTHEM EXCHANGE | $36.07 | ↑ +2% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $36.07 | ↑ +2% |
| AETNA | AETNA HEALTHCARE MEDICARE | $36.07 | ↑ +2% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $36.07 | ↑ +2% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $36.79 | ↑ +4% |
| BLUE CROSS | BLUE CROSS MEDICARE | $37.51 | ↑ +6% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $37.51 | ↑ +6% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $37.87 | ↑ +7% |
| NHC ADVANTAGE | NHC ADVANTAGE | $37.87 | ↑ +7% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $37.87 | ↑ +7% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $37.87 | ↑ +7% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $37.87 | ↑ +7% |
| WELLCARE | WELLCARE MEDICARE | $38.23 | ↑ +8% |
| BLUE CROSS | TENNCARE BLUE SELECT | $38.35 | ↑ +9% |
| BLUE CROSS | TENNCARE BLUE CARE | $38.35 | ↑ +9% |
| SENTARA HEALTH | SENTARA HEALTH | $60.65 | ↑ +72% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $61.00 | ↑ +73% |
| AMBETTER | AMBETTER | $78.63 | ↑ +123% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $86.57 | ↑ +146% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $98.00 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $98.00 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $98.00 | ↑ +178% |
| AETNA | AETNA | $100.35 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $109.04 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $111.84 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $116.00 | ↑ +229% |
| BLUE CROSS | BLUE CROSS E NETWORK | $151.20 | ↑ +329% |
| BLUE CROSS | BLUE CROSS P NETWORK | $154.33 | ↑ +338% |
| BLUE CROSS | BLUE CROSS S NETWORK | $154.33 | ↑ +338% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $180.95 | ↑ +413% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $235.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $235.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $235.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $235.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $235.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $291.83 | ↑ +728% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $300.88 | ↑ +754% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $303.50 | ↑ +761% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $306.42 | ↑ +769% |
Visitor-reported prices
Comments
Assistive tech assessment, ot at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $35.25 | $36.07 – $282.33 |
| Johnson City Medical Center | JOHNSON CITY | $35.25 | $36.07 – $295.67 |
| Greeneville Community Hospital | GREENEVILLE | $35.25 | $33.55 – $320.84 |
| Bristol Regional Medical Center | BRISTOL | $35.25 | $33.55 – $300.88 |
| Franklin Woods Community Hospital | JOHNSON CITY | $35.25 | $33.91 – $320.84 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $35.25 | $33.55 – $330.79 |
| Sycamore Shoals Hospital | ELIZABETHTON | $35.25 | $36.07 – $320.84 |
| Parkwest Medical Center | Knoxville | $12.90 | $25.68 – $161.00 |