Insert and remove bone pin at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$506.70
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.
$3,378.00
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.
$130.45 with BLUE CROSS vs $6,766.69 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $130.45 | ↓ -74% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↓ -66% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↓ -7% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↓ -3% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +67% |
| SENTARA HEALTH | SENTARA HEALTH | $871.86 | ↑ +72% |
| AETNA | AETNA | $1,442.41 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,607.59 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,601.06 | ↑ +413% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,996.66 | ↑ +491% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,086.56 | ↑ +509% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,089.56 | ↑ +510% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,103.99 | ↑ +513% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,103.99 | ↑ +513% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,103.99 | ↑ +513% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,103.99 | ↑ +513% |
| HUMANA | HUMANA MEDICARE | $3,103.99 | ↑ +513% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,103.99 | ↑ +513% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,103.99 | ↑ +513% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,103.99 | ↑ +513% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3,116.53 | ↑ +515% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,146.49 | ↑ +521% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,166.07 | ↑ +525% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,228.15 | ↑ +537% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,228.15 | ↑ +537% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,259.19 | ↑ +543% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,259.19 | ↑ +543% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,259.19 | ↑ +543% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,259.19 | ↑ +543% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,259.19 | ↑ +543% |
| WELLCARE | WELLCARE MEDICARE | $3,290.23 | ↑ +549% |
| BLUE CROSS | ANTHEM EXCHANGE | $3,378.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $3,378.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,378.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $3,378.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,378.00 | ↑ +567% |
| AMBETTER | AMBETTER | $6,766.69 | ↑ +1235% |
Visitor-reported prices
Comments
Insert and remove bone pin at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $506.70 | $130.45 – $6,471.55 |
| Johnson City Medical Center | JOHNSON CITY | $506.70 | $130.45 – $6,656.07 |
| Hancock County Hospital | SNEEDVILLE | $497.26 | $130.45 – $3,459.26 |
| Greeneville Community Hospital | GREENEVILLE | $506.70 | $130.45 – $6,656.07 |
| Bristol Regional Medical Center | BRISTOL | $506.70 | $130.45 – $6,766.69 |
| Franklin Woods Community Hospital | JOHNSON CITY | $506.70 | $130.45 – $6,476.36 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $506.70 | $130.45 – $6,471.55 |
| Johnson County Community Hospital | MOUNTAIN CITY | $497.26 | $130.45 – $3,426.31 |