Bone marrow imaging ltd at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$452.25
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.
$3,015.00
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.
$67.04 with BLUE CROSS vs $3,015.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $67.04 | ↓ -85% |
| BLUE CROSS | TENNCARE BLUE CARE | $67.04 | ↓ -85% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $136.40 | ↓ -70% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $153.51 | ↓ -66% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $254.56 | ↓ -44% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $379.24 | ↓ -16% |
| HUMANA | HUMANA MEDICARE | $379.24 | ↓ -16% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $379.24 | ↓ -16% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $379.24 | ↓ -16% |
| SENTARA HEALTH | SENTARA MEDICARE | $379.24 | ↓ -16% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $379.24 | ↓ -16% |
| AETNA | AETNA HEALTHCARE MEDICARE | $379.24 | ↓ -16% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $379.24 | ↓ -16% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $386.83 | ↓ -14% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $394.41 | ↓ -13% |
| BLUE CROSS | BLUE CROSS MEDICARE | $394.41 | ↓ -13% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $398.21 | ↓ -12% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $398.21 | ↓ -12% |
| NHC ADVANTAGE | NHC ADVANTAGE | $398.21 | ↓ -12% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $398.21 | ↓ -12% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $398.21 | ↓ -12% |
| WELLCARE | WELLCARE MEDICARE | $402.00 | ↓ -11% |
| BLUE CROSS | BLUE CROSS E NETWORK | $421.61 | ↓ -7% |
| BLUE CROSS | BLUE CROSS S NETWORK | $430.75 | ↓ -5% |
| BLUE CROSS | BLUE CROSS P NETWORK | $434.66 | ↓ -4% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $462.28 | ↑ +2% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $476.15 | ↑ +5% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $476.61 | ↑ +5% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $480.77 | ↑ +6% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $485.39 | ↑ +7% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $774.00 | ↑ +71% |
| SENTARA HEALTH | SENTARA HEALTH | $778.17 | ↑ +72% |
| BLUE CROSS | ANTHEM EXCHANGE | $778.89 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $810.00 | ↑ +79% |
| AMBETTER | AMBETTER | $826.75 | ↑ +83% |
| BLUE CROSS | ANTHEM HMO | $827.54 | ↑ +83% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $910.18 | ↑ +101% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $968.33 | ↑ +114% |
| CIGNA HEALTHCARE | CIGNA PPO | $968.33 | ↑ +114% |
| CIGNA HEALTHCARE | CIGNA HMO | $968.33 | ↑ +114% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $973.56 | ↑ +115% |
| AETNA | AETNA | $1,287.41 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,434.84 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,599.00 | ↑ +254% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,321.55 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $3,015.00 | ↑ +567% |
Visitor-reported prices
Comments
Bone marrow imaging ltd at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $452.25 | $67.04 – $870.49 |
| Johnson City Medical Center | JOHNSON CITY | $452.25 | $67.04 – $813.24 |
| Ascension Saint Thomas Highlands | Sparta | $759.27 | $57.79 – $589.01 |
| Greeneville Community Hospital | GREENEVILLE | $452.25 | $67.04 – $813.24 |
| Bristol Regional Medical Center | BRISTOL | $452.25 | $67.04 – $910.18 |
| Franklin Woods Community Hospital | JOHNSON CITY | $452.25 | $81.48 – $791.28 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $452.25 | $67.04 – $790.69 |
| Sycamore Shoals Hospital | ELIZABETHTON | $452.25 | $67.04 – $790.69 |