Brcassure comprehensive panel-sendout at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$2,153.70
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.
$14,358.00
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.
$912.44 with AMERIGROUP vs $14,358.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $912.44 | ↓ -58% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,491.52 | ↓ -31% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,824.88 | ↓ -15% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,824.88 | ↓ -15% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,824.88 | ↓ -15% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,824.88 | ↓ -15% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,824.88 | ↓ -15% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,824.88 | ↓ -15% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,824.88 | ↓ -15% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,824.88 | ↓ -15% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,824.88 | ↓ -15% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,824.88 | ↓ -15% |
| HUMANA | HUMANA MEDICARE | $1,824.88 | ↓ -15% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,824.88 | ↓ -15% |
| BLUE CROSS | ANTHEM HMO | $1,824.88 | ↓ -15% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,861.38 | ↓ -14% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,897.88 | ↓ -12% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,897.88 | ↓ -12% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,897.88 | ↓ -12% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,916.12 | ↓ -11% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,916.12 | ↓ -11% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,916.12 | ↓ -11% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,916.12 | ↓ -11% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,916.12 | ↓ -11% |
| WELLCARE | WELLCARE MEDICARE | $1,934.37 | ↓ -10% |
| BLUE CROSS | TENNCARE BLUE CARE | $2,342.76 | ↑ +9% |
| BLUE CROSS | TENNCARE BLUE SELECT | $2,342.76 | ↑ +9% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,423.66 | ↑ +13% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,496.37 | ↑ +16% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,498.79 | ↑ +16% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,520.60 | ↑ +17% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,544.84 | ↑ +18% |
| SENTARA HEALTH | SENTARA HEALTH | $3,705.80 | ↑ +72% |
| AMBETTER | AMBETTER | $3,978.24 | ↑ +85% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $4,022.48 | ↑ +87% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,379.71 | ↑ +103% |
| CIGNA HEALTHCARE | CIGNA PPO | $5,987.29 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $5,987.29 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $5,987.29 | ↑ +178% |
| AETNA | AETNA | $6,130.87 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $6,832.97 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $8,103.90 | ↑ +276% |
| BLUE CROSS | BLUE CROSS S NETWORK | $8,203.34 | ↑ +281% |
| BLUE CROSS | BLUE CROSS P NETWORK | $8,277.91 | ↑ +284% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $10,050.60 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $11,055.66 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $14,358.00 | ↑ +567% |
Visitor-reported prices
Comments
Brcassure comprehensive panel-sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $2,153.70 | $912.44 – $4,379.71 |
| CHI Memorial Hospital Hixson | Hixson | $2,160.80 | $1,622.64 – $5,110.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,087.90 | $1,533.00 – $5,110.00 |
| Johnson City Medical Center | JOHNSON CITY | $2,153.70 | $912.44 – $3,978.24 |
| Hancock County Hospital | SNEEDVILLE | $2,113.70 | $1,242.93 – $4,022.48 |
| Greeneville Community Hospital | GREENEVILLE | $2,153.70 | $821.20 – $3,978.24 |
| Bristol Regional Medical Center | BRISTOL | $2,153.70 | $912.44 – $4,379.71 |
| Franklin Woods Community Hospital | JOHNSON CITY | $2,153.70 | $912.44 – $3,978.24 |