Middle cerebral artery echo at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$93.90
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.
$626.00
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.
$37.75 with UNITED HEALTHCARE vs $626.00 with UNITED HEALTHCARE — 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 | $37.75 | ↓ -60% |
| BLUE CROSS | TENNCARE BLUE CARE | $53.89 | ↓ -43% |
| BLUE CROSS | TENNCARE BLUE SELECT | $53.89 | ↓ -43% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $57.17 | ↓ -39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $99.18 | ↑ +6% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $99.18 | ↑ +6% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $99.18 | ↑ +6% |
| HUMANA | HUMANA MEDICARE | $99.18 | ↑ +6% |
| AETNA | AETNA HEALTHCARE MEDICARE | $99.18 | ↑ +6% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $99.18 | ↑ +6% |
| SENTARA HEALTH | SENTARA MEDICARE | $99.18 | ↑ +6% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $99.18 | ↑ +6% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $101.16 | ↑ +8% |
| BLUE CROSS | BLUE CROSS MEDICARE | $103.14 | ↑ +10% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $103.14 | ↑ +10% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $104.14 | ↑ +11% |
| NHC ADVANTAGE | NHC ADVANTAGE | $104.14 | ↑ +11% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $104.14 | ↑ +11% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $104.14 | ↑ +11% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $104.14 | ↑ +11% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $104.98 | ↑ +12% |
| WELLCARE | WELLCARE MEDICARE | $105.13 | ↑ +12% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $125.18 | ↑ +33% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $128.93 | ↑ +37% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $129.06 | ↑ +37% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $130.19 | ↑ +39% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $131.44 | ↑ +40% |
| SENTARA HEALTH | SENTARA HEALTH | $161.57 | ↑ +72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $171.00 | ↑ +82% |
| BLUE CROSS | BLUE CROSS S NETWORK | $174.70 | ↑ +86% |
| BLUE CROSS | BLUE CROSS P NETWORK | $176.29 | ↑ +88% |
| BLUE CROSS | ANTHEM EXCHANGE | $203.69 | ↑ +117% |
| AMBETTER | AMBETTER | $216.21 | ↑ +130% |
| BLUE CROSS | ANTHEM HMO | $216.41 | ↑ +130% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $238.03 | ↑ +153% |
| CIGNA HEALTHCARE | CIGNA HMO | $238.14 | ↑ +154% |
| CIGNA HEALTHCARE | CIGNA PPO | $238.14 | ↑ +154% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $238.14 | ↑ +154% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $254.59 | ↑ +171% |
| AETNA | AETNA | $267.30 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $297.91 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $417.00 | ↑ +344% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $435.00 | ↑ +363% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $482.02 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $626.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $626.00 | ↑ +567% |
Visitor-reported prices
Comments
Middle cerebral artery echo at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $93.90 | $22.65 – $212.67 |
| Bristol Regional Medical Center | BRISTOL | $93.90 | $37.75 – $238.03 |
| 62-0123940 BMH Collierville | Collierville | $118.44 | $46.46 – $194.76 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $93.90 | $31.46 – $206.78 |
| Fort Sanders Regional Medical Center | Knoxville | $47.19 | $52.56 – $278.54 |
| Ascension Saint Thomas Midtown | Nashville | not published | $46.46 – $179.33 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $31.15 – $179.33 |
| Ascension Saint Thomas Highlands | Sparta | not published | $31.15 – $179.33 |