Duplex scan unilateral study 93986 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$317.55
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.
$2,117.00
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.
$67.24 with UNITED HEALTHCARE vs $2,117.00 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 | $67.24 | ↓ -79% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $99.18 | ↓ -69% |
| SENTARA HEALTH | SENTARA MEDICARE | $99.18 | ↓ -69% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $99.18 | ↓ -69% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $99.18 | ↓ -69% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $99.18 | ↓ -69% |
| HUMANA | HUMANA MEDICARE | $99.18 | ↓ -69% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $99.18 | ↓ -69% |
| AETNA | AETNA HEALTHCARE MEDICARE | $99.18 | ↓ -69% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $101.16 | ↓ -68% |
| BLUE CROSS | BLUE CROSS MEDICARE | $103.14 | ↓ -68% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $103.14 | ↓ -68% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $104.14 | ↓ -67% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $104.14 | ↓ -67% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $104.14 | ↓ -67% |
| NHC ADVANTAGE | NHC ADVANTAGE | $104.14 | ↓ -67% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $104.14 | ↓ -67% |
| WELLCARE | WELLCARE MEDICARE | $105.13 | ↓ -67% |
| BLUE CROSS | TENNCARE BLUE SELECT | $119.46 | ↓ -62% |
| BLUE CROSS | TENNCARE BLUE CARE | $119.46 | ↓ -62% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $136.52 | ↓ -57% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $140.61 | ↓ -56% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $140.75 | ↓ -56% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $141.98 | ↓ -55% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $143.35 | ↓ -55% |
| BLUE CROSS | ANTHEM EXCHANGE | $203.69 | ↓ -36% |
| AMBETTER | AMBETTER | $216.21 | ↓ -32% |
| BLUE CROSS | ANTHEM HMO | $216.41 | ↓ -32% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $238.03 | ↓ -25% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $254.59 | ↓ -20% |
| BLUE CROSS | BLUE CROSS E NETWORK | $515.35 | ↑ +62% |
| BLUE CROSS | BLUE CROSS S NETWORK | $525.99 | ↑ +66% |
| BLUE CROSS | BLUE CROSS P NETWORK | $525.99 | ↑ +66% |
| SENTARA HEALTH | SENTARA HEALTH | $546.40 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $857.00 | ↑ +170% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $882.79 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $882.79 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $882.79 | ↑ +178% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $896.00 | ↑ +182% |
| AETNA | AETNA | $903.96 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $982.29 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $1,007.48 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,413.00 | ↑ +345% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,481.90 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,630.09 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $2,117.00 | ↑ +567% |
Visitor-reported prices
Comments
Duplex scan unilateral study 93986 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $317.55 | $94.85 – $227.64 |
| Ascension Saint Thomas Midtown | Nashville | $609.78 | $91.66 – $341.59 |
| CHI Memorial Hospital Hixson | Hixson | $137.35 | $78.45 – $324.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $196.28 | $78.45 – $324.80 |
| Johnson City Medical Center | JOHNSON CITY | $317.55 | $97.56 – $212.67 |
| Greeneville Community Hospital | GREENEVILLE | $317.55 | $40.35 – $212.67 |
| Bristol Regional Medical Center | BRISTOL | $317.55 | $67.24 – $238.03 |
| Franklin Woods Community Hospital | JOHNSON CITY | $317.55 | $94.92 – $206.93 |