Exc benign feenlm >4.0cm 11446 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$1,174.65
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.
$7,831.00
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.
$261.22 with BLUE CROSS vs $7,831.00 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $261.22 | ↓ -78% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,094.59 | ↓ -7% |
| SENTARA HEALTH | SENTARA HEALTH | $2,021.18 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,252.52 | ↑ +92% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,320.09 | ↑ +98% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,322.35 | ↑ +98% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,342.62 | ↑ +99% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,365.15 | ↑ +101% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,404.12 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,529.41 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,529.41 | ↑ +115% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,755.56 | ↑ +135% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,755.56 | ↑ +135% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,755.56 | ↑ +135% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,755.56 | ↑ +135% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,755.56 | ↑ +135% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,755.56 | ↑ +135% |
| HUMANA | HUMANA MEDICARE | $2,755.56 | ↑ +135% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,755.56 | ↑ +135% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,810.67 | ↑ +139% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,865.79 | ↑ +144% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,865.79 | ↑ +144% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,893.34 | ↑ +146% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,893.34 | ↑ +146% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,893.34 | ↑ +146% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,893.34 | ↑ +146% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,893.34 | ↑ +146% |
| WELLCARE | WELLCARE MEDICARE | $2,920.90 | ↑ +149% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $3,265.53 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,265.53 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $3,265.53 | ↑ +178% |
| AETNA | AETNA | $3,343.84 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,633.58 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $3,726.77 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $5,659.33 | ↑ +382% |
| AMBETTER | AMBETTER | $6,007.13 | ↑ +411% |
| BLUE CROSS | ANTHEM HMO | $6,012.85 | ↑ +412% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6,029.87 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $6,613.35 | ↑ +463% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $7,073.75 | ↑ +502% |
| WELLCARE | WELLCARE MEDICAID | $7,831.00 | ↑ +567% |
Visitor-reported prices
Comments
Exc benign feenlm >4.0cm 11446 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,462.24 | $988.00 – $3,458.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,089.62 | $1,037.40 – $3,458.00 |
| Hancock County Hospital | SNEEDVILLE | $1,152.76 | $261.22 – $3,270.31 |
| Greeneville Community Hospital | GREENEVILLE | $1,174.65 | $261.22 – $5,908.92 |
| Bristol Regional Medical Center | BRISTOL | $1,174.65 | $261.22 – $6,613.35 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,174.65 | $261.22 – $5,745.12 |
| Ascension Saint Thomas Midtown | Nashville | not published | $1,185.00 – $1,534.53 |
| 62-1166050 BMH Carroll County | Huntingdon | not published | $2,273.66 – $5,226.80 |