Detect agnt mult dna direc at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$70.20
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.
$468.00
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.
$21.84 with AMERIGROUP vs $468.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $21.84 | ↓ -69% |
| BLUE CROSS | TENNCARE BLUE SELECT | $26.11 | ↓ -63% |
| BLUE CROSS | TENNCARE BLUE CARE | $26.11 | ↓ -63% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $34.09 | ↓ -51% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $43.67 | ↓ -38% |
| SENTARA HEALTH | SENTARA MEDICARE | $43.67 | ↓ -38% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $43.67 | ↓ -38% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $43.67 | ↓ -38% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $43.67 | ↓ -38% |
| AETNA | AETNA HEALTHCARE MEDICARE | $43.67 | ↓ -38% |
| HUMANA | HUMANA MEDICARE | $43.67 | ↓ -38% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $43.67 | ↓ -38% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $43.67 | ↓ -38% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $43.67 | ↓ -38% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $43.67 | ↓ -38% |
| BLUE CROSS | ANTHEM HMO | $43.67 | ↓ -38% |
| BLUE CROSS | ANTHEM EXCHANGE | $43.67 | ↓ -38% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $44.54 | ↓ -37% |
| BLUE CROSS | BLUE CROSS MEDICARE | $45.42 | ↓ -35% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $45.42 | ↓ -35% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $45.42 | ↓ -35% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $45.85 | ↓ -35% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $45.85 | ↓ -35% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $45.85 | ↓ -35% |
| NHC ADVANTAGE | NHC ADVANTAGE | $45.85 | ↓ -35% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $45.85 | ↓ -35% |
| WELLCARE | WELLCARE MEDICARE | $46.29 | ↓ -34% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $60.12 | ↓ -14% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $61.92 | ↓ -12% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $61.98 | ↓ -12% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $62.52 | ↓ -11% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $63.13 | ↓ -10% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $73.62 | ↑ +5% |
| AMBETTER | AMBETTER | $95.20 | ↑ +36% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $96.00 | ↑ +37% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $104.81 | ↑ +49% |
| SENTARA HEALTH | SENTARA HEALTH | $120.79 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $161.38 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA PPO | $161.38 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA HMO | $161.38 | ↑ +130% |
| BLUE CROSS | BLUE CROSS E NETWORK | $178.39 | ↑ +154% |
| BLUE CROSS | BLUE CROSS S NETWORK | $180.58 | ↑ +157% |
| BLUE CROSS | BLUE CROSS P NETWORK | $182.22 | ↑ +160% |
| AETNA | AETNA | $199.84 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $222.72 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $360.36 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $468.00 | ↑ +567% |
Visitor-reported prices
Comments
Detect agnt mult dna direc at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $166.77 | $15.72 – $155.76 |
| Ascension Saint Thomas DeKalb | Smithville | $166.77 | $22.51 – $155.76 |
| Ascension Saint Thomas Highlands | Sparta | $166.77 | $22.51 – $155.76 |
| Ascension Saint Thomas River Park | McMinnville | $166.77 | $28.13 – $155.76 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $166.77 | $22.51 – $155.76 |
| Greeneville Community Hospital | GREENEVILLE | $70.20 | $19.65 – $95.20 |
| Bristol Regional Medical Center | BRISTOL | $70.20 | $21.84 – $104.81 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $70.20 | $21.84 – $95.20 |