I131 iodide cap, rx at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$71.70
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.
$478.00
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.
$10.35 with UNITED HEALTHCARE vs $538.29 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $10.35 | ↓ -86% |
| SENTARA HEALTH | SENTARA HEALTH | $16.52 | ↓ -77% |
| SENTARA HEALTH | SENTARA MEDICARE | $24.07 | ↓ -66% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $24.07 | ↓ -66% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $24.07 | ↓ -66% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $24.07 | ↓ -66% |
| HUMANA | HUMANA MEDICARE | $24.07 | ↓ -66% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $24.07 | ↓ -66% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $24.07 | ↓ -66% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $24.07 | ↓ -66% |
| AETNA | AETNA HEALTHCARE MEDICARE | $24.07 | ↓ -66% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $24.55 | ↓ -66% |
| BLUE CROSS | BLUE CROSS MEDICARE | $25.03 | ↓ -65% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $25.03 | ↓ -65% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $25.27 | ↓ -65% |
| NHC ADVANTAGE | NHC ADVANTAGE | $25.27 | ↓ -65% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $25.27 | ↓ -65% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $25.27 | ↓ -65% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $25.27 | ↓ -65% |
| WELLCARE | WELLCARE MEDICARE | $25.51 | ↓ -64% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $26.03 | ↓ -64% |
| CIGNA HEALTHCARE | CIGNA HMO | $26.69 | ↓ -63% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $26.69 | ↓ -63% |
| CIGNA HEALTHCARE | CIGNA PPO | $26.69 | ↓ -63% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $26.89 | ↓ -62% |
| AETNA | AETNA | $27.33 | ↓ -62% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $28.22 | ↓ -61% |
| MEDCOST | MEDCOST VHN | $30.46 | ↓ -58% |
| BLUE CROSS | ANTHEM EXCHANGE | $38.86 | ↓ -46% |
| BLUE CROSS | ANTHEM HMO | $38.86 | ↓ -46% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $44.80 | ↓ -38% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $49.28 | ↓ -31% |
| AMBETTER | AMBETTER | $52.47 | ↓ -27% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $57.77 | ↓ -19% |
| WELLCARE | WELLCARE MEDICAID | $64.00 | ↓ -11% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $64.00 | ↓ -11% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $64.00 | ↓ -11% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $512.66 | ↑ +615% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $528.55 | ↑ +637% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $533.17 | ↑ +644% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $538.29 | ↑ +651% |
Visitor-reported prices
Comments
I131 iodide cap, rx at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $71.70 | $15.53 – $495.96 |
| Ascension Saint Thomas Midtown | Nashville | $49.58 | $26.03 – $102.90 |
| CHI Memorial Hospital Hixson | Hixson | $23.68 | $16.00 – $56.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $33.84 | $16.80 – $56.00 |
| Johnson City Medical Center | JOHNSON CITY | $71.70 | $15.53 – $519.40 |
| Ascension Saint Thomas DeKalb | Smithville | $54.02 | $8.54 – $102.90 |
| Ascension Saint Thomas Highlands | Sparta | $54.02 | $8.54 – $102.90 |
| Ascension Saint Thomas River Park | McMinnville | $54.00 | $8.54 – $102.90 |