Genome sequence analysis at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$6,456.60
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.
$43,044.00
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.
$2,423.66 with UNITED HEALTHCARE vs $43,044.00 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 | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,423.66 | ↓ -62% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,496.37 | ↓ -61% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,498.79 | ↓ -61% |
| AMERIGROUP | AMERIGROUP | $2,515.60 | ↓ -61% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,520.60 | ↓ -61% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,544.84 | ↓ -61% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $3,018.72 | ↓ -53% |
| BLUE CROSS | TENNCARE BLUE SELECT | $4,741.56 | ↓ -27% |
| BLUE CROSS | TENNCARE BLUE CARE | $4,741.56 | ↓ -27% |
| BLUE CROSS | ANTHEM HMO | $5,031.20 | ↓ -22% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $5,031.20 | ↓ -22% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5,031.20 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $5,031.20 | ↓ -22% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $5,031.20 | ↓ -22% |
| SENTARA HEALTH | SENTARA MEDICARE | $5,031.20 | ↓ -22% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $5,031.20 | ↓ -22% |
| AETNA | AETNA HEALTHCARE MEDICARE | $5,031.20 | ↓ -22% |
| HUMANA | HUMANA MEDICARE | $5,031.20 | ↓ -22% |
| BLUE CROSS | ANTHEM EXCHANGE | $5,031.20 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5,031.20 | ↓ -22% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $5,031.20 | ↓ -22% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $5,031.20 | ↓ -22% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $5,131.82 | ↓ -21% |
| BLUE CROSS | BLUE CROSS MEDICARE | $5,232.45 | ↓ -19% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $5,232.45 | ↓ -19% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $5,232.45 | ↓ -19% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $5,282.76 | ↓ -18% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $5,282.76 | ↓ -18% |
| NHC ADVANTAGE | NHC ADVANTAGE | $5,282.76 | ↓ -18% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $5,282.76 | ↓ -18% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $5,282.76 | ↓ -18% |
| WELLCARE | WELLCARE MEDICARE | $5,333.07 | ↓ -17% |
| AMBETTER | AMBETTER | $10,968.02 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $11,090.14 | ↑ +72% |
| SENTARA HEALTH | SENTARA HEALTH | $11,109.66 | ↑ +72% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $12,074.88 | ↑ +87% |
| BLUE CROSS | BLUE CROSS E NETWORK | $16,401.71 | ↑ +154% |
| BLUE CROSS | BLUE CROSS S NETWORK | $16,602.96 | ↑ +157% |
| BLUE CROSS | BLUE CROSS P NETWORK | $16,753.90 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $17,949.35 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $17,949.35 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $17,949.35 | ↑ +178% |
| AETNA | AETNA | $18,379.79 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $20,484.64 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $30,130.80 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $33,143.88 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $43,044.00 | ↑ +567% |
Visitor-reported prices
Comments
Genome sequence analysis at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $6,336.04 | $2,515.60 – $11,090.14 |
| Greeneville Community Hospital | GREENEVILLE | $6,456.60 | $1,811.23 – $10,968.02 |
| Bristol Regional Medical Center | BRISTOL | $6,456.60 | $2,496.37 – $12,074.88 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $6,456.60 | $2,515.60 – $10,968.02 |
| Ascension Saint Thomas Midtown | Nashville | not published | $0.02 – $15,774.77 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $0.02 – $15,774.77 |
| Ascension Saint Thomas Highlands | Sparta | not published | $0.02 – $15,774.77 |
| Ascension Saint Thomas River Park | McMinnville | not published | $0.02 – $15,774.77 |