I-123 ioflupane diag at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$1,135.80
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.
$7,572.00
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.
$1,387.74 with MANAGED MEDICAIRE vs $6,868.00 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 |
|---|---|---|---|
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,387.74 | ↑ +22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,387.74 | ↑ +22% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,387.74 | ↑ +22% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,387.74 | ↑ +22% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,387.74 | ↑ +22% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,387.74 | ↑ +22% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,387.74 | ↑ +22% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,387.74 | ↑ +22% |
| HUMANA | HUMANA MEDICARE | $1,387.74 | ↑ +22% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,415.49 | ↑ +25% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,443.25 | ↑ +27% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,443.25 | ↑ +27% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,457.13 | ↑ +28% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,457.13 | ↑ +28% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,457.13 | ↑ +28% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,457.13 | ↑ +28% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,457.13 | ↑ +28% |
| WELLCARE | WELLCARE MEDICARE | $1,471.00 | ↑ +30% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,693.38 | ↑ +49% |
| SENTARA HEALTH | SENTARA HEALTH | $1,772.63 | ↑ +56% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,331.87 | ↑ +105% |
| BLUE CROSS | ANTHEM HMO | $2,331.87 | ↑ +105% |
| AETNA | AETNA | $2,932.64 | ↑ +158% |
| AMBETTER | AMBETTER | $3,025.27 | ↑ +166% |
| MEDCOST | MEDCOST VHN | $3,268.48 | ↑ +188% |
| BLUE CROSS | TENNCARE BLUE SELECT | $3,278.49 | ↑ +189% |
| BLUE CROSS | TENNCARE BLUE CARE | $3,278.49 | ↑ +189% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,330.58 | ↑ +193% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $4,653.16 | ↑ +310% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $4,807.60 | ↑ +323% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,288.36 | ↑ +366% |
| WELLCARE | WELLCARE MEDICAID | $6,868.00 | ↑ +505% |
Visitor-reported prices
Comments
I-123 ioflupane diag at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $1,135.80 | $1,387.74 – $3,330.58 |
| Johnson City Medical Center | JOHNSON CITY | $1,135.80 | $1,387.74 – $3,025.27 |
| Greeneville Community Hospital | GREENEVILLE | $1,135.80 | $1,387.74 – $3,025.27 |
| Bristol Regional Medical Center | BRISTOL | $1,135.80 | $1,387.74 – $3,330.58 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,135.80 | $1,387.74 – $3,025.27 |
| 62-0123940 BMH Collierville | Collierville | $913.08 | $1,318.62 – $2,776.04 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,135.80 | $1,387.74 – $3,025.27 |
| Johnson County Community Hospital | MOUNTAIN CITY | $1,579.64 | $3,278.49 – $4,653.16 |