CT hrt w/3d image at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$518.25
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.
$3,455.00
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.
$148.96 with BLUE CROSS vs $3,455.00 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 CARE | $148.96 | ↓ -71% |
| BLUE CROSS | TENNCARE BLUE SELECT | $148.96 | ↓ -71% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $157.01 | ↓ -70% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $207.17 | ↓ -60% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $330.96 | ↓ -36% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $330.96 | ↓ -36% |
| HUMANA | HUMANA MEDICARE | $330.96 | ↓ -36% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $330.96 | ↓ -36% |
| AETNA | AETNA HEALTHCARE MEDICARE | $330.96 | ↓ -36% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $330.96 | ↓ -36% |
| SENTARA HEALTH | SENTARA MEDICARE | $330.96 | ↓ -36% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $330.96 | ↓ -36% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $337.58 | ↓ -35% |
| BLUE CROSS | BLUE CROSS MEDICARE | $344.20 | ↓ -34% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $344.20 | ↓ -34% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $347.51 | ↓ -33% |
| NHC ADVANTAGE | NHC ADVANTAGE | $347.51 | ↓ -33% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $347.51 | ↓ -33% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $347.51 | ↓ -33% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $347.51 | ↓ -33% |
| WELLCARE | WELLCARE MEDICARE | $350.82 | ↓ -32% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $401.63 | ↓ -23% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $413.68 | ↓ -20% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $414.08 | ↓ -20% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $417.70 | ↓ -19% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $421.71 | ↓ -19% |
| BLUE CROSS | ANTHEM EXCHANGE | $679.71 | ↑ +31% |
| AMBETTER | AMBETTER | $721.49 | ↑ +39% |
| BLUE CROSS | ANTHEM HMO | $722.17 | ↑ +39% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $794.30 | ↑ +53% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $849.59 | ↑ +64% |
| SENTARA HEALTH | SENTARA HEALTH | $891.74 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,440.74 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,440.74 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,440.74 | ↑ +178% |
| AETNA | AETNA | $1,475.29 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,571.00 | ↑ +203% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,603.12 | ↑ +209% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,642.00 | ↑ +217% |
| MEDCOST | MEDCOST VHN | $1,644.23 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,660.35 | ↑ +413% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,097.00 | ↑ +498% |
| WELLCARE | WELLCARE MEDICAID | $3,455.00 | ↑ +567% |
Visitor-reported prices
Comments
CT hrt w/3d image at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,008.18 | $128.41 – $737.66 |
| CHI Memorial Hospital Hixson | Hixson | $586.68 | $141.03 – $1,467.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $838.39 | $141.03 – $1,467.00 |
| Ascension Saint Thomas River Park | McMinnville | $1,008.18 | $129.54 – $737.66 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,008.18 | $128.41 – $763.10 |
| Greeneville Community Hospital | GREENEVILLE | $518.25 | $94.21 – $709.70 |
| Bristol Regional Medical Center | BRISTOL | $518.25 | $148.96 – $794.30 |
| 62-0123940 BMH Collierville | Collierville | $875.49 | $128.41 – $654.04 |