Hematopoietic nuclear tx at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$418.80
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.
$2,792.00
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.
$138.88 with BLUE CROSS vs $2,792.00 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 | TENNCARE BLUE CARE | $138.88 | ↓ -67% |
| BLUE CROSS | TENNCARE BLUE SELECT | $138.88 | ↓ -67% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $174.14 | ↓ -58% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $188.80 | ↓ -55% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $213.36 | ↓ -49% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $221.35 | ↓ -47% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $221.35 | ↓ -47% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $221.35 | ↓ -47% |
| SENTARA HEALTH | SENTARA MEDICARE | $221.35 | ↓ -47% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $221.35 | ↓ -47% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $221.35 | ↓ -47% |
| AETNA | AETNA HEALTHCARE MEDICARE | $221.35 | ↓ -47% |
| HUMANA | HUMANA MEDICARE | $221.35 | ↓ -47% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $225.78 | ↓ -46% |
| BLUE CROSS | BLUE CROSS MEDICARE | $230.21 | ↓ -45% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $230.21 | ↓ -45% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $232.42 | ↓ -45% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $232.42 | ↓ -45% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $232.42 | ↓ -45% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $232.42 | ↓ -45% |
| NHC ADVANTAGE | NHC ADVANTAGE | $232.42 | ↓ -45% |
| BLUE CROSS | BLUE CROSS E NETWORK | $234.56 | ↓ -44% |
| WELLCARE | WELLCARE MEDICARE | $234.64 | ↓ -44% |
| BLUE CROSS | BLUE CROSS S NETWORK | $239.65 | ↓ -43% |
| BLUE CROSS | BLUE CROSS P NETWORK | $241.82 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $303.09 | ↓ -28% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $312.18 | ↓ -25% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $312.49 | ↓ -25% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $315.21 | ↓ -25% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $318.24 | ↓ -24% |
| BLUE CROSS | ANTHEM EXCHANGE | $454.62 | ↑ +9% |
| AMBETTER | AMBETTER | $482.55 | ↑ +15% |
| BLUE CROSS | ANTHEM HMO | $483.02 | ↑ +15% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $531.25 | ↑ +27% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $568.24 | ↑ +36% |
| SENTARA HEALTH | SENTARA HEALTH | $720.62 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $774.00 | ↑ +85% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $810.00 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,098.45 | ↑ +162% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,098.45 | ↑ +162% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,098.45 | ↑ +162% |
| AETNA | AETNA | $1,192.18 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,328.71 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,599.00 | ↑ +282% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,149.84 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $2,792.00 | ↑ +567% |
Visitor-reported prices
Comments
Hematopoietic nuclear tx at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $607.16 | $85.69 – $379.84 |
| Greeneville Community Hospital | GREENEVILLE | $418.80 | $104.48 – $474.66 |
| Bristol Regional Medical Center | BRISTOL | $418.80 | $138.88 – $531.25 |
| 62-0123940 BMH Collierville | Collierville | $839.16 | $114.01 – $410.48 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $418.80 | $138.88 – $461.51 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $85.69 – $379.84 |
| Ascension Saint Thomas Highlands | Sparta | not published | $85.69 – $379.84 |
| Ascension Saint Thomas River Park | McMinnville | not published | $85.69 – $379.84 |