Autoimmune rheumatoid arthr anl 12 mrk ia at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$511.65
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.
$3,411.00
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.
$354.37 with UNITED HEALTHCARE vs $3,411.00 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 | TENNCARE UNITED HEALTHCARE | $354.37 | ↓ -31% |
| AMERIGROUP | AMERIGROUP | $420.33 | ↓ -18% |
| BLUE CROSS | TENNCARE BLUE CARE | $556.61 | ↑ +9% |
| BLUE CROSS | TENNCARE BLUE SELECT | $556.61 | ↑ +9% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $674.59 | ↑ +32% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $694.83 | ↑ +36% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $695.50 | ↑ +36% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $701.57 | ↑ +37% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $708.32 | ↑ +38% |
| BLUE CROSS | ANTHEM HMO | $840.65 | ↑ +64% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $840.65 | ↑ +64% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $840.65 | ↑ +64% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $840.65 | ↑ +64% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $840.65 | ↑ +64% |
| SENTARA HEALTH | SENTARA MEDICARE | $840.65 | ↑ +64% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $840.65 | ↑ +64% |
| AETNA | AETNA HEALTHCARE MEDICARE | $840.65 | ↑ +64% |
| HUMANA | HUMANA MEDICARE | $840.65 | ↑ +64% |
| BLUE CROSS | ANTHEM EXCHANGE | $840.65 | ↑ +64% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $840.65 | ↑ +64% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $840.65 | ↑ +64% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $840.65 | ↑ +64% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $857.46 | ↑ +68% |
| BLUE CROSS | BLUE CROSS MEDICARE | $874.28 | ↑ +71% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $874.28 | ↑ +71% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $874.28 | ↑ +71% |
| SENTARA HEALTH | SENTARA HEALTH | $880.38 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $882.68 | ↑ +73% |
| NHC ADVANTAGE | NHC ADVANTAGE | $882.68 | ↑ +73% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $882.68 | ↑ +73% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $882.68 | ↑ +73% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $882.68 | ↑ +73% |
| WELLCARE | WELLCARE MEDICARE | $891.09 | ↑ +74% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,422.39 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,422.39 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,422.39 | ↑ +178% |
| AETNA | AETNA | $1,456.50 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,623.29 | ↑ +217% |
| AMBETTER | AMBETTER | $1,832.62 | ↑ +258% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,852.81 | ↑ +262% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,925.39 | ↑ +276% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,949.01 | ↑ +281% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,966.73 | ↑ +284% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,017.56 | ↑ +294% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2,387.70 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,626.47 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $3,411.00 | ↑ +567% |
Visitor-reported prices
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Autoimmune rheumatoid arthr anl 12 mrk ia at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $511.65 | $420.33 – $2,017.56 |
| 62-1166050 BMH Carroll County | Huntingdon | $627.44 | $479.84 – $1,681.30 |
| Johnson City Medical Center | JOHNSON CITY | $511.65 | $420.33 – $1,832.62 |
| Hancock County Hospital | SNEEDVILLE | $502.09 | $295.31 – $1,852.81 |
| Greeneville Community Hospital | GREENEVILLE | $511.65 | $212.62 – $1,832.62 |
| Bristol Regional Medical Center | BRISTOL | $511.65 | $354.37 – $2,017.56 |
| Franklin Woods Community Hospital | JOHNSON CITY | $511.65 | $420.33 – $1,832.62 |
| 62-0123940 BMH Collierville | Collierville | $572.88 | $479.84 – $1,681.30 |