Middle cerebral artery echo at Holston Valley Medical Center

130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$93.90

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$626.00

Gross charge

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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.

Full explanation →

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 →

Payer
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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
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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

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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

All Tennessee hospitals for this procedure →