Boot j walker l at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$86.25
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.
$575.00
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.
$148.41 with SENTARA HEALTH vs $592.33 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $148.41 | ↑ +72% |
| BLUE CROSS | ANTHEM EXCHANGE | $195.89 | ↑ +127% |
| BLUE CROSS | ANTHEM HMO | $195.89 | ↑ +127% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $195.89 | ↑ +127% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $230.00 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA HMO | $239.78 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $239.78 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $239.78 | ↑ +178% |
| AMERIGROUP | AMERIGROUP | $252.69 | ↑ +193% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $271.71 | ↑ +215% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $271.71 | ↑ +215% |
| AETNA | AETNA HEALTHCARE MEDICARE | $271.71 | ↑ +215% |
| HUMANA | HUMANA MEDICARE | $271.71 | ↑ +215% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $271.71 | ↑ +215% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $271.71 | ↑ +215% |
| SENTARA HEALTH | SENTARA MEDICARE | $271.71 | ↑ +215% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $271.71 | ↑ +215% |
| MEDCOST | MEDCOST VHN | $273.64 | ↑ +217% |
| AETNA | AETNA | $276.00 | ↑ +220% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $277.15 | ↑ +221% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $282.58 | ↑ +228% |
| BLUE CROSS | BLUE CROSS MEDICARE | $282.58 | ↑ +228% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $285.30 | ↑ +231% |
| NHC ADVANTAGE | NHC ADVANTAGE | $285.30 | ↑ +231% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $285.30 | ↑ +231% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $285.30 | ↑ +231% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $285.30 | ↑ +231% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $287.50 | ↑ +233% |
| WELLCARE | WELLCARE MEDICARE | $288.01 | ↑ +234% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $442.75 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $575.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $575.00 | ↑ +567% |
| AMBETTER | AMBETTER | $592.33 | ↑ +587% |
Visitor-reported prices
Comments
Boot j walker l at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $86.25 | $195.89 – $592.33 |
| Johnson City Medical Center | JOHNSON CITY | $86.25 | $271.71 – $592.33 |
| Ascension Saint Thomas River Park | McMinnville | $44.39 | $144.01 – $144.01 |
| Greeneville Community Hospital | GREENEVILLE | $86.25 | $252.69 – $592.33 |
| Bristol Regional Medical Center | BRISTOL | $86.25 | $195.89 – $592.33 |
| Franklin Woods Community Hospital | JOHNSON CITY | $86.25 | $255.41 – $592.33 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $86.25 | $195.89 – $592.33 |
| Sycamore Shoals Hospital | ELIZABETHTON | $86.25 | $271.71 – $592.33 |