Consult comp w/report rfrd material at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$135.15
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.
$901.00
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.
$34.60 with UNITED HEALTHCARE vs $901.00 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 | $34.60 | ↓ -74% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $49.47 | ↓ -63% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $49.47 | ↓ -63% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $51.45 | ↓ -62% |
| BLUE CROSS | TENNCARE BLUE SELECT | $96.94 | ↓ -28% |
| BLUE CROSS | TENNCARE BLUE CARE | $96.94 | ↓ -28% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $119.93 | ↓ -11% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $123.53 | ↓ -9% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $123.65 | ↓ -9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $124.72 | ↓ -8% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $125.93 | ↓ -7% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $133.04 | ↓ -2% |
| AETNA | AETNA HEALTHCARE MEDICARE | $161.62 | ↑ +20% |
| HUMANA | HUMANA MEDICARE | $161.62 | ↑ +20% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $161.62 | ↑ +20% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $161.62 | ↑ +20% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $161.62 | ↑ +20% |
| SENTARA HEALTH | SENTARA MEDICARE | $161.62 | ↑ +20% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $161.62 | ↑ +20% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $161.62 | ↑ +20% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $164.85 | ↑ +22% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $168.09 | ↑ +24% |
| BLUE CROSS | BLUE CROSS MEDICARE | $168.09 | ↑ +24% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $169.70 | ↑ +26% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $169.70 | ↑ +26% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $169.70 | ↑ +26% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $169.70 | ↑ +26% |
| NHC ADVANTAGE | NHC ADVANTAGE | $169.70 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $171.32 | ↑ +27% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $201.90 | ↑ +49% |
| SENTARA HEALTH | SENTARA HEALTH | $232.55 | ↑ +72% |
| BLUE CROSS | ANTHEM EXCHANGE | $331.94 | ↑ +146% |
| AMBETTER | AMBETTER | $352.34 | ↑ +161% |
| BLUE CROSS | ANTHEM HMO | $352.68 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA PPO | $353.88 | ↑ +162% |
| CIGNA HEALTHCARE | CIGNA HMO | $353.88 | ↑ +162% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $353.88 | ↑ +162% |
| AETNA | AETNA | $384.73 | ↑ +185% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $387.89 | ↑ +187% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $414.90 | ↑ +207% |
| MEDCOST | MEDCOST VHN | $428.79 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $647.89 | ↑ +379% |
| BLUE CROSS | BLUE CROSS S NETWORK | $655.84 | ↑ +385% |
| BLUE CROSS | BLUE CROSS P NETWORK | $661.80 | ↑ +390% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $693.77 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $901.00 | ↑ +567% |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $135.15 | $49.47 – $370.97 |
| Johnson City Medical Center | JOHNSON CITY | $135.15 | $49.47 – $346.58 |
| Hancock County Hospital | SNEEDVILLE | $132.48 | $28.83 – $300.16 |
| Greeneville Community Hospital | GREENEVILLE | $135.15 | $20.76 – $346.58 |
| Bristol Regional Medical Center | BRISTOL | $135.15 | $34.60 – $387.89 |
| Franklin Woods Community Hospital | JOHNSON CITY | $135.15 | $49.47 – $337.22 |
| 62-1138045 BMH Union City | Union City | $248.80 | $136.13 – $312.94 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $135.15 | $28.83 – $336.97 |