Esophageal dilat s&i at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$85.80
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.
$572.00
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.
$103.26 with BLUE CROSS vs $572.00 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 | TENNCARE BLUE SELECT | $103.26 | ↑ +20% |
| BLUE CROSS | TENNCARE BLUE CARE | $103.26 | ↑ +20% |
| SENTARA HEALTH | SENTARA HEALTH | $147.63 | ↑ +72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $162.65 | ↑ +90% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↑ +172% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $238.52 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $238.52 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $238.52 | ↑ +178% |
| AETNA | AETNA | $244.24 | ↑ +185% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $256.06 | ↑ +198% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $263.74 | ↑ +207% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $264.00 | ↑ +208% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $266.31 | ↑ +210% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $268.86 | ↑ +213% |
| MEDCOST | MEDCOST VHN | $272.21 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $368.03 | ↑ +329% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↑ +331% |
| BLUE CROSS | BLUE CROSS S NETWORK | $376.00 | ↑ +338% |
| BLUE CROSS | BLUE CROSS P NETWORK | $379.42 | ↑ +342% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $440.44 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $572.00 | ↑ +567% |
Visitor-reported prices
Comments
Esophageal dilat s&i at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $85.80 | $103.26 – $257.63 |
| Ascension Saint Thomas Midtown | Nashville | $309.90 | $89.02 – $169.83 |
| CHI Memorial Hospital Hixson | Hixson | $102.42 | $69.20 – $242.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $146.36 | $72.66 – $242.20 |
| Johnson City Medical Center | JOHNSON CITY | $85.80 | $103.26 – $269.81 |
| Greeneville Community Hospital | GREENEVILLE | $85.80 | $103.26 – $281.52 |
| Bristol Regional Medical Center | BRISTOL | $85.80 | $103.26 – $268.86 |
| Franklin Woods Community Hospital | JOHNSON CITY | $85.80 | $125.52 – $320.00 |