Exome re-evaluation at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$410.55
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.
$2,737.00
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.
$160.00 with AMERIGROUP vs $2,737.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $160.00 | ↓ -61% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $165.36 | ↓ -60% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $170.32 | ↓ -59% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $170.49 | ↓ -58% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $171.97 | ↓ -58% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $173.63 | ↓ -58% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $192.00 | ↓ -53% |
| BLUE CROSS | TENNCARE BLUE SELECT | $301.58 | ↓ -27% |
| BLUE CROSS | TENNCARE BLUE CARE | $301.58 | ↓ -27% |
| BLUE CROSS | ANTHEM HMO | $320.00 | ↓ -22% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $320.00 | ↓ -22% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $320.00 | ↓ -22% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $320.00 | ↓ -22% |
| SENTARA HEALTH | SENTARA MEDICARE | $320.00 | ↓ -22% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $320.00 | ↓ -22% |
| AETNA | AETNA HEALTHCARE MEDICARE | $320.00 | ↓ -22% |
| HUMANA | HUMANA MEDICARE | $320.00 | ↓ -22% |
| BLUE CROSS | ANTHEM EXCHANGE | $320.00 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $320.00 | ↓ -22% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $320.00 | ↓ -22% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $320.00 | ↓ -22% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $326.40 | ↓ -20% |
| BLUE CROSS | BLUE CROSS MEDICARE | $332.80 | ↓ -19% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $332.80 | ↓ -19% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $332.80 | ↓ -19% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $336.00 | ↓ -18% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $336.00 | ↓ -18% |
| NHC ADVANTAGE | NHC ADVANTAGE | $336.00 | ↓ -18% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $336.00 | ↓ -18% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $336.00 | ↓ -18% |
| WELLCARE | WELLCARE MEDICARE | $339.20 | ↓ -17% |
| AMBETTER | AMBETTER | $697.60 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $705.18 | ↑ +72% |
| SENTARA HEALTH | SENTARA HEALTH | $706.42 | ↑ +72% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $768.00 | ↑ +87% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,043.20 | ↑ +154% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,056.00 | ↑ +157% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,065.60 | ↑ +160% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,141.33 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,141.33 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,141.33 | ↑ +178% |
| AETNA | AETNA | $1,168.70 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,302.54 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,915.90 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,107.49 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $2,737.00 | ↑ +567% |
Visitor-reported prices
Comments
Exome re-evaluation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $402.73 | $160.00 – $705.18 |
| Greeneville Community Hospital | GREENEVILLE | $410.55 | $115.20 – $697.60 |
| Bristol Regional Medical Center | BRISTOL | $410.55 | $160.00 – $768.00 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $410.55 | $160.00 – $697.60 |
| Ascension Saint Thomas Midtown | Nashville | not published | $115.20 – $1,003.46 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $259.98 – $1,003.46 |
| Ascension Saint Thomas Highlands | Sparta | not published | $259.98 – $1,003.46 |
| Ascension Saint Thomas River Park | McMinnville | not published | $288.00 – $1,003.46 |