Ctrl nosebld postir subsq 30906 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$96.75
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.
$645.00
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.
$77.83 with UNITED HEALTHCARE vs $645.00 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 | $77.83 | ↓ -20% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $117.17 | ↑ +21% |
| SENTARA HEALTH | SENTARA HEALTH | $166.47 | ↑ +72% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $224.69 | ↑ +132% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $224.69 | ↑ +132% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $224.69 | ↑ +132% |
| AETNA | AETNA HEALTHCARE MEDICARE | $224.69 | ↑ +132% |
| HUMANA | HUMANA MEDICARE | $224.69 | ↑ +132% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $224.69 | ↑ +132% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $224.69 | ↑ +132% |
| SENTARA HEALTH | SENTARA MEDICARE | $224.69 | ↑ +132% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $229.18 | ↑ +137% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $232.02 | ↑ +140% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $233.68 | ↑ +142% |
| BLUE CROSS | BLUE CROSS MEDICARE | $233.68 | ↑ +142% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $235.92 | ↑ +144% |
| NHC ADVANTAGE | NHC ADVANTAGE | $235.92 | ↑ +144% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $235.92 | ↑ +144% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $235.92 | ↑ +144% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $235.92 | ↑ +144% |
| WELLCARE | WELLCARE MEDICARE | $238.17 | ↑ +146% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $238.98 | ↑ +147% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $239.21 | ↑ +147% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $241.30 | ↑ +149% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $243.62 | ↑ +152% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $268.97 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $268.97 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $268.97 | ↑ +178% |
| AETNA | AETNA | $275.42 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $299.28 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $306.96 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $461.47 | ↑ +377% |
| AMBETTER | AMBETTER | $489.82 | ↑ +406% |
| BLUE CROSS | ANTHEM HMO | $490.30 | ↑ +407% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $496.65 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $539.25 | ↑ +457% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $576.80 | ↑ +496% |
| WELLCARE | WELLCARE MEDICAID | $645.00 | ↑ +567% |
Visitor-reported prices
Comments
Ctrl nosebld postir subsq 30906 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $65.09 | $184.47 – $424.08 |
| Hancock County Hospital | SNEEDVILLE | $94.99 | $64.86 – $267.83 |
| Greeneville Community Hospital | GREENEVILLE | $96.75 | $46.70 – $481.81 |
| Bristol Regional Medical Center | BRISTOL | $96.75 | $77.83 – $539.25 |
| 62-0123940 BMH Collierville | Collierville | $65.52 | $202.01 – $425.28 |
| 62-1138045 BMH Union City | Union City | $57.00 | $184.47 – $424.08 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $96.75 | $64.86 – $468.46 |
| Ascension Saint Thomas Midtown | Nashville | not published | $200.16 – $1,141.72 |