Hrdtry brst ca-rlatd do 5+ at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$732.00
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.
$4,880.00
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.
$558.89 with UNITED HEALTHCARE vs $4,880.00 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 | TENNCARE UNITED HEALTHCARE | $558.89 | ↓ -24% |
| AMERIGROUP | AMERIGROUP | $651.98 | ↓ -11% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $674.59 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $679.05 | ↓ -7% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $679.05 | ↓ -7% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $694.83 | ↓ -5% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $695.50 | ↓ -5% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $701.57 | ↓ -4% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $706.21 | ↓ -4% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $708.32 | ↓ -3% |
| BLUE CROSS | TENNCARE BLUE SELECT | $877.85 | ↑ +20% |
| BLUE CROSS | TENNCARE BLUE CARE | $877.85 | ↑ +20% |
| SENTARA HEALTH | SENTARA HEALTH | $1,259.53 | ↑ +72% |
| HUMANA | HUMANA MEDICARE | $1,303.95 | ↑ +78% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,303.95 | ↑ +78% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,303.95 | ↑ +78% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,303.95 | ↑ +78% |
| BLUE CROSS | ANTHEM HMO | $1,303.95 | ↑ +78% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,303.95 | ↑ +78% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,303.95 | ↑ +78% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,303.95 | ↑ +78% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,303.95 | ↑ +78% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,303.95 | ↑ +78% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,303.95 | ↑ +78% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,330.03 | ↑ +82% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,356.11 | ↑ +85% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,356.11 | ↑ +85% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,369.15 | ↑ +87% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,369.15 | ↑ +87% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,369.15 | ↑ +87% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,369.15 | ↑ +87% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,369.15 | ↑ +87% |
| WELLCARE | WELLCARE MEDICARE | $1,382.19 | ↑ +89% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,496.97 | ↑ +105% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,034.96 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,034.96 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,034.96 | ↑ +178% |
| AETNA | AETNA | $2,083.76 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $2,322.39 | ↑ +217% |
| AMBETTER | AMBETTER | $2,842.61 | ↑ +288% |
| BLUE CROSS | BLUE CROSS E NETWORK | $3,036.62 | ↑ +315% |
| BLUE CROSS | BLUE CROSS S NETWORK | $3,073.88 | ↑ +320% |
| BLUE CROSS | BLUE CROSS P NETWORK | $3,101.83 | ↑ +324% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,129.48 | ↑ +328% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $3,416.00 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,757.60 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $4,880.00 | ↑ +567% |
Visitor-reported prices
Comments
Hrdtry brst ca-rlatd do 5+ at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $732.00 | $651.98 – $3,129.48 |
| Johnson City Medical Center | JOHNSON CITY | $732.00 | $651.98 – $2,842.61 |
| Hancock County Hospital | SNEEDVILLE | $718.29 | $465.74 – $1,496.97 |
| Greeneville Community Hospital | GREENEVILLE | $732.00 | $335.33 – $2,842.61 |
| Bristol Regional Medical Center | BRISTOL | $732.00 | $558.89 – $3,129.48 |
| Franklin Woods Community Hospital | JOHNSON CITY | $732.00 | $651.98 – $2,842.61 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $732.00 | $465.74 – $2,842.61 |
| Johnson County Community Hospital | MOUNTAIN CITY | $718.29 | $679.05 – $1,496.97 |