Diagnostic digital breast tomosynthesis bil at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$156.15
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.
?
What you pay up front if you don't use insurance.
$1,041.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$56.50 with UNITED HEALTHCARE vs $1,041.00 with WELLCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $56.50 | ↓ -64% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $58.67 | ↓ -62% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $60.43 | ↓ -61% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $60.49 | ↓ -61% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $61.02 | ↓ -61% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $61.60 | ↓ -61% |
| BLUE CROSS | TENNCARE BLUE CARE | $79.46 | ↓ -49% |
| BLUE CROSS | TENNCARE BLUE SELECT | $79.46 | ↓ -49% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $209.96 | ↑ +34% |
| SENTARA HEALTH | SENTARA HEALTH | $268.68 | ↑ +72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $272.32 | ↑ +74% |
| BLUE CROSS | BLUE CROSS S NETWORK | $278.22 | ↑ +78% |
| BLUE CROSS | BLUE CROSS P NETWORK | $280.75 | ↑ +80% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $305.00 | ↑ +95% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $320.00 | ↑ +105% |
| CIGNA HEALTHCARE | CIGNA HMO | $434.10 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $434.10 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $434.10 | ↑ +178% |
| AETNA | AETNA | $444.51 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $495.41 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $502.00 | ↑ +221% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $728.70 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $801.57 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $1,041.00 | ↑ +567% |
Visitor-reported prices
Comments
Diagnostic digital breast tomosynthesis bil at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $24.15 | $68.50 – $131.44 |
| Greeneville Community Hospital | GREENEVILLE | $156.15 | $33.90 – $209.96 |
| Bristol Regional Medical Center | BRISTOL | $156.15 | $56.50 – $209.96 |
| 62-0123940 BMH Collierville | Collierville | $22.05 | $68.50 – $297.30 |
| 62-1138045 BMH Union City | Union City | $20.20 | $131.44 – $132.37 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $156.15 | $47.08 – $209.96 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $1,022.43 | $82.62 – $356.44 |
| Ascension Saint Thomas Midtown | Nashville | not published | $68.50 – $313.06 |