MRA w/cont, abd at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$604.95
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.
$4,033.00
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.
$261.50 with UNITED HEALTHCARE vs $4,033.00 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 | $261.50 | ↓ -57% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $330.96 | ↓ -45% |
| SENTARA HEALTH | SENTARA MEDICARE | $330.96 | ↓ -45% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $330.96 | ↓ -45% |
| HUMANA | HUMANA MEDICARE | $330.96 | ↓ -45% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $330.96 | ↓ -45% |
| AETNA | AETNA HEALTHCARE MEDICARE | $330.96 | ↓ -45% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $330.96 | ↓ -45% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $330.96 | ↓ -45% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $337.58 | ↓ -44% |
| BLUE CROSS | BLUE CROSS MEDICARE | $344.20 | ↓ -43% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $344.20 | ↓ -43% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $347.51 | ↓ -43% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $347.51 | ↓ -43% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $347.51 | ↓ -43% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $347.51 | ↓ -43% |
| NHC ADVANTAGE | NHC ADVANTAGE | $347.51 | ↓ -43% |
| WELLCARE | WELLCARE MEDICARE | $350.82 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $639.82 | ↑ +6% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $659.01 | ↑ +9% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $659.65 | ↑ +9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $665.41 | ↑ +10% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $671.81 | ↑ +11% |
| BLUE CROSS | ANTHEM EXCHANGE | $679.71 | ↑ +12% |
| AMBETTER | AMBETTER | $721.49 | ↑ +19% |
| BLUE CROSS | ANTHEM HMO | $722.17 | ↑ +19% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $786.00 | ↑ +30% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $794.30 | ↑ +31% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $849.59 | ↑ +40% |
| SENTARA HEALTH | SENTARA HEALTH | $1,040.92 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,215.00 | ↑ +101% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,215.00 | ↑ +101% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,215.00 | ↑ +101% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,390.36 | ↑ +130% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,407.42 | ↑ +133% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,420.21 | ↑ +135% |
| AETNA | AETNA | $1,722.09 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,919.30 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,448.00 | ↑ +305% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,559.00 | ↑ +323% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2,823.10 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,105.41 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $4,033.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,033.00 | ↑ +567% |
Visitor-reported prices
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MRA w/cont, abd at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $604.95 | $316.52 – $759.66 |
| Ascension Saint Thomas Midtown | Nashville | $772.02 | $503.26 – $953.29 |
| CHI Memorial Hospital Hixson | Hixson | $1,618.24 | $298.93 – $3,826.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,012.92 | $283.71 – $652.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,312.55 | $298.93 – $3,826.90 |
| Johnson City Medical Center | JOHNSON CITY | $604.95 | $325.55 – $709.70 |
| Ascension Saint Thomas DeKalb | Smithville | $810.53 | $217.92 – $953.29 |
| Ascension Saint Thomas Highlands | Sparta | $810.53 | $217.92 – $953.29 |