Mayo avwpr vw factor activity at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$40.20
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.
$268.00
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.
$15.43 with AMERIGROUP vs $268.00 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 | $15.43 | ↓ -62% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $19.50 | ↓ -51% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $26.48 | ↓ -34% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $27.28 | ↓ -32% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $27.30 | ↓ -32% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $27.54 | ↓ -31% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $27.80 | ↓ -31% |
| HUMANA | HUMANA MEDICARE | $30.86 | ↓ -23% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $30.86 | ↓ -23% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $30.86 | ↓ -23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $30.86 | ↓ -23% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $30.86 | ↓ -23% |
| SENTARA HEALTH | SENTARA MEDICARE | $30.86 | ↓ -23% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $30.86 | ↓ -23% |
| AETNA | AETNA HEALTHCARE MEDICARE | $30.86 | ↓ -23% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $30.86 | ↓ -23% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $30.86 | ↓ -23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $30.86 | ↓ -23% |
| BLUE CROSS | ANTHEM EXCHANGE | $30.86 | ↓ -23% |
| BLUE CROSS | ANTHEM HMO | $30.86 | ↓ -23% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $31.48 | ↓ -22% |
| BLUE CROSS | TENNCARE BLUE CARE | $31.59 | ↓ -21% |
| BLUE CROSS | TENNCARE BLUE SELECT | $31.59 | ↓ -21% |
| BLUE CROSS | BLUE CROSS MEDICARE | $32.09 | ↓ -20% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $32.09 | ↓ -20% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $32.09 | ↓ -20% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $32.40 | ↓ -19% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $32.40 | ↓ -19% |
| NHC ADVANTAGE | NHC ADVANTAGE | $32.40 | ↓ -19% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $32.40 | ↓ -19% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $32.40 | ↓ -19% |
| WELLCARE | WELLCARE MEDICARE | $32.71 | ↓ -19% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $33.51 | ↓ -17% |
| AMBETTER | AMBETTER | $67.27 | ↑ +67% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $67.85 | ↑ +69% |
| SENTARA HEALTH | SENTARA HEALTH | $69.17 | ↑ +72% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $74.06 | ↑ +84% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $92.34 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA PPO | $92.34 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA HMO | $92.34 | ↑ +130% |
| BLUE CROSS | BLUE CROSS E NETWORK | $102.04 | ↑ +154% |
| BLUE CROSS | BLUE CROSS S NETWORK | $103.29 | ↑ +157% |
| BLUE CROSS | BLUE CROSS P NETWORK | $104.23 | ↑ +159% |
| AETNA | AETNA | $114.44 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $127.54 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $206.36 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $268.00 | ↑ +567% |
Visitor-reported prices
Comments
Mayo avwpr vw factor activity at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $40.20 | $15.43 – $74.06 |
| Ascension Saint Thomas Midtown | Nashville | $26.00 | $11.11 – $97.06 |
| CHI Memorial Hospital Hixson | Hixson | $164.88 | $20.38 – $389.90 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $235.62 | $20.38 – $389.90 |
| Johnson City Medical Center | JOHNSON CITY | $40.20 | $15.43 – $67.27 |
| Ascension Saint Thomas DeKalb | Smithville | $26.00 | $16.09 – $97.06 |
| Ascension Saint Thomas Highlands | Sparta | $26.00 | $16.09 – $97.06 |
| Ascension Saint Thomas River Park | McMinnville | $26.00 | $16.09 – $97.06 |