Ins pm gen w/exist mlt leads at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$4,020.60
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.
$26,804.00
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.
$5,681.00 with UNITED HEALTHCARE vs $39,834.35 with AMBETTER — 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 | $5,681.00 | ↑ +41% |
| SENTARA HEALTH | SENTARA HEALTH | $6,918.11 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $9,910.06 | ↑ +146% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $10,207.36 | ↑ +154% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $10,217.27 | ↑ +154% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $10,306.46 | ↑ +156% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $10,405.56 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $11,177.27 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $11,177.27 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $11,177.27 | ↑ +178% |
| AETNA | AETNA | $11,445.31 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $11,813.00 | ↑ +194% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $12,347.00 | ↑ +207% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $12,437.06 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $12,756.02 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $13,463.00 | ↑ +235% |
| BLUE CROSS | BLUE CROSS S NETWORK | $13,767.00 | ↑ +242% |
| BLUE CROSS | BLUE CROSS P NETWORK | $13,767.00 | ↑ +242% |
| SENTARA HEALTH | SENTARA MEDICARE | $18,272.64 | ↑ +354% |
| AETNA | AETNA HEALTHCARE MEDICARE | $18,272.64 | ↑ +354% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $18,272.64 | ↑ +354% |
| HUMANA | HUMANA MEDICARE | $18,272.64 | ↑ +354% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $18,272.64 | ↑ +354% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $18,272.64 | ↑ +354% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $18,272.64 | ↑ +354% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $18,272.64 | ↑ +354% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $18,638.09 | ↑ +364% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $18,762.80 | ↑ +367% |
| BLUE CROSS | BLUE CROSS MEDICARE | $19,003.54 | ↑ +373% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $19,003.54 | ↑ +373% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $19,186.27 | ↑ +377% |
| NHC ADVANTAGE | NHC ADVANTAGE | $19,186.27 | ↑ +377% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $19,186.27 | ↑ +377% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $19,186.27 | ↑ +377% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $19,186.27 | ↑ +377% |
| WELLCARE | WELLCARE MEDICARE | $19,368.99 | ↑ +382% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $20,054.00 | ↑ +399% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $20,639.08 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $26,804.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $26,804.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $26,804.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $26,804.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $26,804.00 | ↑ +567% |
| AMBETTER | AMBETTER | $39,834.35 | ↑ +891% |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $4,020.60 | $9,587.35 – $38,096.90 |
| CHI Memorial Hospital Hixson | Hixson | $10,862.32 | $7,339.40 – $25,687.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $10,849.79 | $4,693.00 – $34,828.52 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $15,522.84 | $7,706.37 – $25,687.90 |
| Johnson City Medical Center | JOHNSON CITY | $4,020.60 | $10,040.42 – $39,183.13 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $8,405.85 | $1,869.19 – $6,935.50 |
| Greeneville Community Hospital | GREENEVILLE | $4,020.60 | $10,895.13 – $39,183.13 |
| Bristol Regional Medical Center | BRISTOL | $4,020.60 | $10,207.36 – $39,834.35 |