EKG for initial prevent exam g0403 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$161.85
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.
$1,079.00
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.
$14.23 with BLUE CROSS vs $1,079.00 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 |
|---|---|---|---|
| BLUE CROSS | ANTHEM EXCHANGE | $14.23 | ↓ -91% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $14.23 | ↓ -91% |
| BLUE CROSS | ANTHEM HMO | $14.23 | ↓ -91% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $18.97 | ↓ -88% |
| BLUE CROSS | TENNCARE BLUE SELECT | $19.17 | ↓ -88% |
| BLUE CROSS | TENNCARE BLUE CARE | $19.17 | ↓ -88% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $32.57 | ↓ -80% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $33.55 | ↓ -79% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $33.58 | ↓ -79% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $33.87 | ↓ -79% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $34.20 | ↓ -79% |
| BLUE CROSS | BLUE CROSS E NETWORK | $67.45 | ↓ -58% |
| BLUE CROSS | BLUE CROSS P NETWORK | $68.84 | ↓ -57% |
| BLUE CROSS | BLUE CROSS S NETWORK | $68.84 | ↓ -57% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $196.00 | ↑ +21% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $205.00 | ↑ +27% |
| SENTARA HEALTH | SENTARA HEALTH | $278.49 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $323.00 | ↑ +100% |
| CIGNA HEALTHCARE | CIGNA PPO | $449.94 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $449.94 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $449.94 | ↑ +178% |
| AETNA | AETNA | $460.73 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $500.66 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $513.50 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $830.83 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $1,079.00 | ↑ +567% |
Visitor-reported prices
Comments
EKG for initial prevent exam g0403 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $161.85 | $18.97 – $35.81 |
| Bristol Regional Medical Center | BRISTOL | $161.85 | $14.23 – $34.20 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $161.85 | $14.23 – $37.60 |
| Parkwest Medical Center | Knoxville | not published | $17.55 – $169.00 |
| Roane County Medical Center | Harriman | not published | $19.10 – $169.00 |
| Claiborne Medical Center | Tazewell | not published | $19.10 – $169.00 |
| LeConte Medical Center | Sevierville | not published | $19.10 – $169.00 |
| Fort Loudoun Medical Center | Lenoir City | not published | $19.10 – $169.00 |