Infect ag if influenza a at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$10.35
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.
$69.00
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.
$8.04 with AMERIGROUP vs $69.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $8.04 | ↓ -22% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $10.19 | ↓ -2% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $10.20 | ↓ -1% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $10.50 | ↑ +1% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $10.52 | ↑ +2% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $10.60 | ↑ +2% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $10.71 | ↑ +3% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $16.07 | ↑ +55% |
| AETNA | AETNA HEALTHCARE MEDICARE | $16.07 | ↑ +55% |
| HUMANA | HUMANA MEDICARE | $16.07 | ↑ +55% |
| BLUE CROSS | ANTHEM EXCHANGE | $16.07 | ↑ +55% |
| BLUE CROSS | ANTHEM HMO | $16.07 | ↑ +55% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $16.07 | ↑ +55% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $16.07 | ↑ +55% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $16.07 | ↑ +55% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $16.07 | ↑ +55% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $16.07 | ↑ +55% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $16.07 | ↑ +55% |
| SENTARA HEALTH | SENTARA MEDICARE | $16.07 | ↑ +55% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $16.07 | ↑ +55% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $16.39 | ↑ +58% |
| BLUE CROSS | BLUE CROSS MEDICARE | $16.71 | ↑ +61% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $16.71 | ↑ +61% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $16.71 | ↑ +61% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $16.87 | ↑ +63% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $16.87 | ↑ +63% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $16.87 | ↑ +63% |
| NHC ADVANTAGE | NHC ADVANTAGE | $16.87 | ↑ +63% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $16.87 | ↑ +63% |
| WELLCARE | WELLCARE MEDICARE | $17.03 | ↑ +65% |
| SENTARA HEALTH | SENTARA HEALTH | $17.81 | ↑ +72% |
| BLUE CROSS | TENNCARE BLUE SELECT | $23.17 | ↑ +124% |
| BLUE CROSS | TENNCARE BLUE CARE | $23.17 | ↑ +124% |
| AETNA | AETNA | $29.46 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $32.84 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $34.21 | ↑ +231% |
| AMBETTER | AMBETTER | $35.03 | ↑ +238% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $35.37 | ↑ +242% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $38.57 | ↑ +273% |
| CIGNA HEALTHCARE | CIGNA PPO | $48.24 | ↑ +366% |
| CIGNA HEALTHCARE | CIGNA HMO | $48.24 | ↑ +366% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $48.24 | ↑ +366% |
| BLUE CROSS | BLUE CROSS E NETWORK | $50.92 | ↑ +392% |
| BLUE CROSS | BLUE CROSS S NETWORK | $51.55 | ↑ +398% |
| BLUE CROSS | BLUE CROSS P NETWORK | $52.01 | ↑ +403% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $53.13 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $69.00 | ↑ +567% |
Visitor-reported prices
Comments
Infect ag if influenza a at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $10.12 | $8.50 – $35.37 |
| Greeneville Community Hospital | GREENEVILLE | $10.35 | $6.12 – $35.03 |
| Bristol Regional Medical Center | BRISTOL | $10.35 | $8.04 – $38.57 |
| 62-0123940 BMH Collierville | Collierville | $18.90 | $15.27 – $32.14 |
| 62-1138045 BMH Union City | Union City | $17.40 | $13.98 – $32.14 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $10.35 | $8.04 – $35.03 |
| Parkwest Medical Center | Knoxville | $72.45 | $7.23 – $59.40 |
| Roane County Medical Center | Harriman | $37.95 | $7.23 – $59.40 |