Img rta detcj/mntr ds staff at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$25.05
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.
$167.00
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.
$10.79 with BLUE CROSS vs $167.00 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $10.79 | ↓ -57% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $11.29 | ↓ -55% |
| SENTARA HEALTH | SENTARA HEALTH | $43.10 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $51.27 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $53.94 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $53.94 | ↑ +115% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $55.96 | ↑ +123% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $55.96 | ↑ +123% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $55.96 | ↑ +123% |
| HUMANA | HUMANA MEDICARE | $55.96 | ↑ +123% |
| SENTARA HEALTH | SENTARA MEDICARE | $55.96 | ↑ +123% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $55.96 | ↑ +123% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $55.96 | ↑ +123% |
| AETNA | AETNA HEALTHCARE MEDICARE | $55.96 | ↑ +123% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $57.08 | ↑ +128% |
| BLUE CROSS | BLUE CROSS MEDICARE | $58.20 | ↑ +132% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $58.20 | ↑ +132% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $58.76 | ↑ +135% |
| NHC ADVANTAGE | NHC ADVANTAGE | $58.76 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $58.76 | ↑ +135% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $58.76 | ↑ +135% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $58.76 | ↑ +135% |
| WELLCARE | WELLCARE MEDICARE | $59.32 | ↑ +137% |
| CIGNA HEALTHCARE | CIGNA HMO | $69.64 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $69.64 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $69.64 | ↑ +178% |
| AETNA | AETNA | $71.31 | ↑ +185% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $72.90 | ↑ +191% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $75.09 | ↑ +200% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $75.16 | ↑ +200% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $75.82 | ↑ +203% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $76.55 | ↑ +206% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $77.49 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $79.48 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $114.94 | ↑ +359% |
| AMBETTER | AMBETTER | $122.00 | ↑ +387% |
| BLUE CROSS | ANTHEM HMO | $122.12 | ↑ +388% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $128.59 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $134.31 | ↑ +436% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $143.66 | ↑ +473% |
| WELLCARE | WELLCARE MEDICAID | $167.00 | ↑ +567% |
Visitor-reported prices
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Img rta detcj/mntr ds staff at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $25.05 | $10.79 – $128.45 |
| Johnson City Medical Center | JOHNSON CITY | $25.05 | $10.79 – $120.01 |
| Hancock County Hospital | SNEEDVILLE | $24.61 | $9.41 – $84.16 |
| Greeneville Community Hospital | GREENEVILLE | $25.05 | $6.78 – $120.01 |
| Bristol Regional Medical Center | BRISTOL | $25.05 | $10.79 – $134.31 |
| Franklin Woods Community Hospital | JOHNSON CITY | $25.05 | $10.79 – $116.76 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $25.05 | $9.41 – $116.68 |
| Johnson County Community Hospital | MOUNTAIN CITY | $24.61 | $10.79 – $83.36 |