Contrast x-ray of hip at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$182.55
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.
$1,217.00
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.
$68.99 with BLUE CROSS vs $1,217.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $68.99 | ↓ -62% |
| BLUE CROSS | TENNCARE BLUE CARE | $68.99 | ↓ -62% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $115.95 | ↓ -36% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $145.57 | ↓ -20% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $149.94 | ↓ -18% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $150.08 | ↓ -18% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $151.39 | ↓ -17% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $152.85 | ↓ -16% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $168.35 | ↓ -8% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $189.53 | ↑ +4% |
| BLUE CROSS | BLUE CROSS E NETWORK | $219.83 | ↑ +20% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↑ +23% |
| BLUE CROSS | BLUE CROSS S NETWORK | $224.60 | ↑ +23% |
| BLUE CROSS | BLUE CROSS P NETWORK | $226.64 | ↑ +24% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↑ +28% |
| SENTARA HEALTH | SENTARA HEALTH | $314.11 | ↑ +72% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $330.96 | ↑ +81% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $330.96 | ↑ +81% |
| AETNA | AETNA HEALTHCARE MEDICARE | $330.96 | ↑ +81% |
| HUMANA | HUMANA MEDICARE | $330.96 | ↑ +81% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $330.96 | ↑ +81% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $330.96 | ↑ +81% |
| SENTARA HEALTH | SENTARA MEDICARE | $330.96 | ↑ +81% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $330.96 | ↑ +81% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $337.58 | ↑ +85% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $344.20 | ↑ +89% |
| BLUE CROSS | BLUE CROSS MEDICARE | $344.20 | ↑ +89% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $347.51 | ↑ +90% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $347.51 | ↑ +90% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $347.51 | ↑ +90% |
| NHC ADVANTAGE | NHC ADVANTAGE | $347.51 | ↑ +90% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $347.51 | ↑ +90% |
| WELLCARE | WELLCARE MEDICARE | $350.82 | ↑ +92% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↑ +103% |
| AETNA | AETNA | $519.66 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $579.17 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $679.71 | ↑ +272% |
| AMBETTER | AMBETTER | $721.49 | ↑ +295% |
| BLUE CROSS | ANTHEM HMO | $722.17 | ↑ +296% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $794.30 | ↑ +335% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $849.59 | ↑ +365% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $937.09 | ↑ +413% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,061.93 | ↑ +482% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,061.93 | ↑ +482% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,061.93 | ↑ +482% |
| WELLCARE | WELLCARE MEDICAID | $1,217.00 | ↑ +567% |
Visitor-reported prices
Comments
Contrast x-ray of hip at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $182.55 | $68.99 – $759.66 |
| Ascension Saint Thomas Midtown | Nashville | $215.28 | $59.47 – $610.96 |
| Johnson City Medical Center | JOHNSON CITY | $182.55 | $68.99 – $709.70 |
| Ascension Saint Thomas DeKalb | Smithville | $267.26 | $59.47 – $610.96 |
| Ascension Saint Thomas River Park | McMinnville | $254.55 | $80.31 – $610.96 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $215.28 | $59.47 – $610.96 |
| Greeneville Community Hospital | GREENEVILLE | $182.55 | $68.99 – $709.70 |
| Bristol Regional Medical Center | BRISTOL | $182.55 | $68.99 – $794.30 |