Bone marrow interpretation at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$207.75
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.
$1,385.00
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.
$22.09 with UNITED HEALTHCARE vs $1,666.19 with AMBETTER — 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 | $22.09 | ↓ -89% |
| BLUE CROSS | TENNCARE BLUE CARE | $50.91 | ↓ -75% |
| BLUE CROSS | TENNCARE BLUE SELECT | $50.91 | ↓ -75% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $72.62 | ↓ -65% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $76.92 | ↓ -63% |
| CIGNA HEALTHCARE | CIGNA HMO | $131.49 | ↓ -37% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $131.49 | ↓ -37% |
| CIGNA HEALTHCARE | CIGNA PPO | $131.49 | ↓ -37% |
| BLUE CROSS | BLUE CROSS E NETWORK | $261.75 | ↑ +26% |
| BLUE CROSS | BLUE CROSS S NETWORK | $264.96 | ↑ +28% |
| BLUE CROSS | BLUE CROSS P NETWORK | $267.37 | ↑ +29% |
| SENTARA HEALTH | SENTARA HEALTH | $357.47 | ↑ +72% |
| AETNA | AETNA | $591.40 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $628.20 | ↑ +202% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $628.20 | ↑ +202% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $653.33 | ↑ +214% |
| MEDCOST | MEDCOST VHN | $659.12 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $674.59 | ↑ +225% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $694.83 | ↑ +234% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $695.50 | ↑ +235% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $701.57 | ↑ +238% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $708.32 | ↑ +241% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $764.31 | ↑ +268% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $764.31 | ↑ +268% |
| AETNA | AETNA HEALTHCARE MEDICARE | $764.31 | ↑ +268% |
| HUMANA | HUMANA MEDICARE | $764.31 | ↑ +268% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $764.31 | ↑ +268% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $764.31 | ↑ +268% |
| SENTARA HEALTH | SENTARA MEDICARE | $764.31 | ↑ +268% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $764.31 | ↑ +268% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $779.60 | ↑ +275% |
| BLUE CROSS | BLUE CROSS MEDICARE | $794.88 | ↑ +283% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $794.88 | ↑ +283% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $802.52 | ↑ +286% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $802.52 | ↑ +286% |
| NHC ADVANTAGE | NHC ADVANTAGE | $802.52 | ↑ +286% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $802.52 | ↑ +286% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $802.52 | ↑ +286% |
| WELLCARE | WELLCARE MEDICARE | $810.17 | ↑ +290% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,066.45 | ↑ +413% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,385.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $1,385.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,385.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,385.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,385.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,666.19 | ↑ +702% |
Visitor-reported prices
Comments
Bone marrow interpretation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $207.75 | $33.13 – $1,593.52 |
| Johnson City Medical Center | JOHNSON CITY | $207.75 | $33.13 – $1,638.95 |
| Ascension Saint Thomas DeKalb | Smithville | $45.99 | $18.23 – $1,079.50 |
| Ascension Saint Thomas Highlands | Sparta | $422.42 | $18.23 – $1,079.50 |
| Ascension Saint Thomas River Park | McMinnville | $422.42 | $18.23 – $1,079.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $427.61 | $43.89 – $1,095.29 |
| Greeneville Community Hospital | GREENEVILLE | $207.75 | $13.25 – $1,638.95 |
| Bristol Regional Medical Center | BRISTOL | $207.75 | $22.09 – $1,666.19 |