Cardiac MRI w/stress img at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$565.65
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.
$3,771.00
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.
$203.05 with UNITED HEALTHCARE vs $3,771.00 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 | $203.05 | ↓ -64% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $300.20 | ↓ -47% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $309.20 | ↓ -45% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $309.51 | ↓ -45% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $312.21 | ↓ -45% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $315.21 | ↓ -44% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $518.36 | ↓ -8% |
| HUMANA | HUMANA MEDICARE | $518.36 | ↓ -8% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $518.36 | ↓ -8% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $518.36 | ↓ -8% |
| SENTARA HEALTH | SENTARA MEDICARE | $518.36 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $518.36 | ↓ -8% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $518.36 | ↓ -8% |
| AETNA | AETNA HEALTHCARE MEDICARE | $518.36 | ↓ -8% |
| BLUE CROSS | TENNCARE BLUE SELECT | $526.57 | ↓ -7% |
| BLUE CROSS | TENNCARE BLUE CARE | $526.57 | ↓ -7% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $528.72 | ↓ -7% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $539.09 | ↓ -5% |
| BLUE CROSS | BLUE CROSS MEDICARE | $539.09 | ↓ -5% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $544.28 | ↓ -4% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $544.28 | ↓ -4% |
| NHC ADVANTAGE | NHC ADVANTAGE | $544.28 | ↓ -4% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $544.28 | ↓ -4% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $544.28 | ↓ -4% |
| WELLCARE | WELLCARE MEDICARE | $549.46 | ↓ -3% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $558.74 | ↓ -1% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $786.00 | ↑ +39% |
| BLUE CROSS | BLUE CROSS E NETWORK | $885.71 | ↑ +57% |
| BLUE CROSS | BLUE CROSS S NETWORK | $896.58 | ↑ +59% |
| BLUE CROSS | BLUE CROSS P NETWORK | $904.73 | ↑ +60% |
| SENTARA HEALTH | SENTARA HEALTH | $973.30 | ↑ +72% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,064.60 | ↑ +88% |
| AMBETTER | AMBETTER | $1,130.02 | ↑ +100% |
| BLUE CROSS | ANTHEM HMO | $1,131.10 | ↑ +100% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,215.00 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,215.00 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,215.00 | ↑ +115% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,244.06 | ↑ +120% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,330.67 | ↑ +135% |
| AETNA | AETNA | $1,610.22 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,794.62 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,448.00 | ↑ +333% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,559.00 | ↑ +352% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,903.67 | ↑ +413% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,771.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $3,771.00 | ↑ +567% |
Visitor-reported prices
Comments
Cardiac MRI w/stress img at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $181.45 | $122.60 – $2,459.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $259.30 | $128.73 – $2,459.00 |
| Greeneville Community Hospital | GREENEVILLE | $565.65 | $121.83 – $1,111.55 |
| Bristol Regional Medical Center | BRISTOL | $565.65 | $203.05 – $1,244.06 |
| 62-0123940 BMH Collierville | Collierville | $782.67 | $426.55 – $1,004.16 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $565.65 | $169.21 – $1,080.73 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | $2,306.46 | $313.62 – $1,089.86 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | $2,457.62 | $313.62 – $1,089.86 |