Ghs speech-gen aug dev eval iii, st at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$51.00
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.
$340.00
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.
$19.29 with BLUE CROSS vs $368.42 with MOLINA HEALTHCARE — 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 | $19.29 | ↓ -62% |
| BLUE CROSS | TENNCARE BLUE CARE | $19.29 | ↓ -62% |
| AMERIGROUP | AMERIGROUP | $42.35 | ↓ -17% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $45.54 | ↓ -11% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $45.54 | ↓ -11% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $45.54 | ↓ -11% |
| SENTARA HEALTH | SENTARA MEDICARE | $45.54 | ↓ -11% |
| BLUE CROSS | ANTHEM EXCHANGE | $45.54 | ↓ -11% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $45.54 | ↓ -11% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $45.54 | ↓ -11% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $45.54 | ↓ -11% |
| AETNA | AETNA HEALTHCARE MEDICARE | $45.54 | ↓ -11% |
| BLUE CROSS | ANTHEM HMO | $45.54 | ↓ -11% |
| HUMANA | HUMANA MEDICARE | $45.54 | ↓ -11% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $46.45 | ↓ -9% |
| BLUE CROSS | BLUE CROSS MEDICARE | $47.36 | ↓ -7% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $47.36 | ↓ -7% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $47.82 | ↓ -6% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $47.82 | ↓ -6% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $47.82 | ↓ -6% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $47.82 | ↓ -6% |
| NHC ADVANTAGE | NHC ADVANTAGE | $47.82 | ↓ -6% |
| WELLCARE | WELLCARE MEDICARE | $48.27 | ↓ -5% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $61.00 | ↑ +20% |
| SENTARA HEALTH | SENTARA HEALTH | $87.75 | ↑ +72% |
| AMBETTER | AMBETTER | $99.28 | ↑ +95% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $109.30 | ↑ +114% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $116.00 | ↑ +127% |
| CIGNA HEALTHCARE | CIGNA HMO | $141.78 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $141.78 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $141.78 | ↑ +178% |
| AETNA | AETNA | $145.18 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $157.76 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $161.81 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $219.22 | ↑ +330% |
| BLUE CROSS | BLUE CROSS P NETWORK | $223.75 | ↑ +339% |
| BLUE CROSS | BLUE CROSS S NETWORK | $223.75 | ↑ +339% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $245.00 | ↑ +380% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $257.00 | ↑ +404% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $261.80 | ↑ +413% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $340.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $340.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $340.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $350.88 | ↑ +588% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $361.76 | ↑ +609% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $364.91 | ↑ +616% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $368.42 | ↑ +622% |
Visitor-reported prices
Comments
Ghs speech-gen aug dev eval iii, st at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $51.00 | $19.29 – $385.76 |
| Bristol Regional Medical Center | BRISTOL | $51.00 | $19.29 – $361.76 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $51.00 | $19.29 – $397.72 |
| Parkwest Medical Center | Knoxville | $42.60 | $26.92 – $59.95 |
| Roane County Medical Center | Harriman | $46.86 | $26.92 – $59.95 |
| LeConte Medical Center | Sevierville | $41.18 | $26.92 – $59.95 |
| Fort Loudoun Medical Center | Lenoir City | $46.86 | $26.92 – $59.95 |
| Fort Sanders Regional Medical Center | Knoxville | $46.86 | $26.92 – $59.95 |