Hearing loss dup/del analys at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$872.10
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.
$5,814.00
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.
$339.79 with AMERIGROUP vs $5,814.00 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 | $339.79 | ↓ -61% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $407.74 | ↓ -53% |
| BLUE CROSS | TENNCARE BLUE CARE | $640.45 | ↓ -27% |
| BLUE CROSS | TENNCARE BLUE SELECT | $640.45 | ↓ -27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $674.59 | ↓ -23% |
| SENTARA HEALTH | SENTARA MEDICARE | $679.57 | ↓ -22% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $679.57 | ↓ -22% |
| AETNA | AETNA HEALTHCARE MEDICARE | $679.57 | ↓ -22% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $679.57 | ↓ -22% |
| HUMANA | HUMANA MEDICARE | $679.57 | ↓ -22% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $679.57 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $679.57 | ↓ -22% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $679.57 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $679.57 | ↓ -22% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $679.57 | ↓ -22% |
| BLUE CROSS | ANTHEM EXCHANGE | $679.57 | ↓ -22% |
| BLUE CROSS | ANTHEM HMO | $679.57 | ↓ -22% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $679.57 | ↓ -22% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $693.16 | ↓ -21% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $694.83 | ↓ -20% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $695.50 | ↓ -20% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $701.57 | ↓ -20% |
| BLUE CROSS | BLUE CROSS MEDICARE | $706.75 | ↓ -19% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $706.75 | ↓ -19% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $706.75 | ↓ -19% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $708.32 | ↓ -19% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $713.55 | ↓ -18% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $713.55 | ↓ -18% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $713.55 | ↓ -18% |
| NHC ADVANTAGE | NHC ADVANTAGE | $713.55 | ↓ -18% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $713.55 | ↓ -18% |
| WELLCARE | WELLCARE MEDICARE | $720.34 | ↓ -17% |
| AMBETTER | AMBETTER | $1,481.46 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,497.69 | ↑ +72% |
| SENTARA HEALTH | SENTARA HEALTH | $1,500.59 | ↑ +72% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,630.97 | ↑ +87% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,215.40 | ↑ +154% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,242.58 | ↑ +157% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,262.97 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,424.44 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,424.44 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,424.44 | ↑ +178% |
| AETNA | AETNA | $2,482.58 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $2,766.88 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $4,069.80 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,476.78 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $5,814.00 | ↑ +567% |
Visitor-reported prices
Comments
Hearing loss dup/del analys at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $855.83 | $339.79 – $1,497.69 |
| Greeneville Community Hospital | GREENEVILLE | $872.10 | $244.65 – $1,481.46 |
| Bristol Regional Medical Center | BRISTOL | $872.10 | $339.79 – $1,630.97 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $872.10 | $339.79 – $1,481.46 |
| Ascension Saint Thomas Midtown | Nashville | not published | $244.65 – $2,131.08 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $552.11 – $2,131.08 |
| Ascension Saint Thomas Highlands | Sparta | not published | $552.11 – $2,131.08 |
| Ascension Saint Thomas River Park | McMinnville | not published | $611.61 – $2,131.08 |