Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$168.60
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.
$1,124.00
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.
$263.52 with SENTARA HEALTH vs $1,929.68 with MOLINA HEALTHCARE — 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $263.52 | ↑ +56% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $313.45 | ↑ +86% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $329.78 | ↑ +96% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $329.78 | ↑ +96% |
| CIGNA HEALTHCARE | CIGNA HMO | $425.76 | ↑ +153% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $425.76 | ↑ +153% |
| CIGNA HEALTHCARE | CIGNA PPO | $425.76 | ↑ +153% |
| AETNA | AETNA | $435.97 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $473.74 | ↑ +181% |
| MEDCOST | MEDCOST VHN | $485.89 | ↑ +188% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $714.70 | ↑ +324% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $786.17 | ↑ +366% |
| WELLCARE | WELLCARE MEDICAID | $1,021.00 | ↑ +506% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,021.00 | ↑ +506% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,837.79 | ↑ +990% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,894.76 | ↑ +1024% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,911.31 | ↑ +1034% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,929.68 | ↑ +1045% |
Visitor-reported prices
Comments
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $168.60 | $379.81 – $1,849.07 |
| 62-1166050 BMH Carroll County | Huntingdon | $371.45 | $57.56 – $98.00 |
| Johnson City Medical Center | JOHNSON CITY | $168.60 | $399.21 – $1,936.45 |
| Greeneville Community Hospital | GREENEVILLE | $168.60 | $313.45 – $2,020.47 |
| Bristol Regional Medical Center | BRISTOL | $168.60 | $313.45 – $1,929.68 |
| Franklin Woods Community Hospital | JOHNSON CITY | $168.60 | $379.81 – $2,101.29 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $168.60 | $313.45 – $2,121.49 |
| Sycamore Shoals Hospital | ELIZABETHTON | $168.60 | $379.81 – $2,101.29 |