M/phmtrc alys skeletal musc at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$105.60
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.
$704.00
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.
$22.09 with UNITED HEALTHCARE vs $704.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $22.09 | ↓ -79% |
| BLUE CROSS | TENNCARE BLUE SELECT | $28.39 | ↓ -73% |
| BLUE CROSS | TENNCARE BLUE CARE | $28.39 | ↓ -73% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $91.61 | ↓ -13% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $113.47 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $143.50 | ↑ +36% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $143.50 | ↑ +36% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $149.24 | ↑ +41% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $161.62 | ↑ +53% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $161.62 | ↑ +53% |
| AETNA | AETNA HEALTHCARE MEDICARE | $161.62 | ↑ +53% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $161.62 | ↑ +53% |
| HUMANA | HUMANA MEDICARE | $161.62 | ↑ +53% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $161.62 | ↑ +53% |
| SENTARA HEALTH | SENTARA MEDICARE | $161.62 | ↑ +53% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $161.62 | ↑ +53% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $164.85 | ↑ +56% |
| BLUE CROSS | BLUE CROSS MEDICARE | $168.09 | ↑ +59% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $168.09 | ↑ +59% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $169.70 | ↑ +61% |
| NHC ADVANTAGE | NHC ADVANTAGE | $169.70 | ↑ +61% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $169.70 | ↑ +61% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $169.70 | ↑ +61% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $169.70 | ↑ +61% |
| WELLCARE | WELLCARE MEDICARE | $171.32 | ↑ +62% |
| SENTARA HEALTH | SENTARA HEALTH | $181.70 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $201.05 | ↑ +90% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $207.08 | ↑ +96% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $207.28 | ↑ +96% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $209.09 | ↑ +98% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $211.10 | ↑ +100% |
| BLUE CROSS | BLUE CROSS E NETWORK | $268.04 | ↑ +154% |
| BLUE CROSS | BLUE CROSS S NETWORK | $271.33 | ↑ +157% |
| BLUE CROSS | BLUE CROSS P NETWORK | $273.79 | ↑ +159% |
| AETNA | AETNA | $300.61 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA PPO | $318.09 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $318.09 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA HMO | $318.09 | ↑ +201% |
| BLUE CROSS | ANTHEM EXCHANGE | $331.94 | ↑ +214% |
| MEDCOST | MEDCOST VHN | $335.03 | ↑ +217% |
| AMBETTER | AMBETTER | $352.34 | ↑ +234% |
| BLUE CROSS | ANTHEM HMO | $352.68 | ↑ +234% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $387.89 | ↑ +267% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $414.90 | ↑ +293% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $542.08 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $704.00 | ↑ +567% |
Visitor-reported prices
Comments
M/phmtrc alys skeletal musc at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $105.60 | $28.39 – $370.97 |
| Johnson City Medical Center | JOHNSON CITY | $105.60 | $28.39 – $346.58 |
| Hancock County Hospital | SNEEDVILLE | $103.27 | $18.41 – $232.08 |
| Greeneville Community Hospital | GREENEVILLE | $105.60 | $13.25 – $346.58 |
| Bristol Regional Medical Center | BRISTOL | $105.60 | $22.09 – $387.89 |
| Franklin Woods Community Hospital | JOHNSON CITY | $105.60 | $33.13 – $337.22 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $105.60 | $18.41 – $336.97 |
| Johnson County Community Hospital | MOUNTAIN CITY | $103.27 | $28.39 – $229.87 |