Mra, w/o&w/dye, spinal canal at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$537.15
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.
$3,581.00
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.
$320.42 with UNITED HEALTHCARE vs $3,581.00 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 | $320.42 | ↓ -40% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $330.96 | ↓ -38% |
| SENTARA HEALTH | SENTARA MEDICARE | $330.96 | ↓ -38% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $330.96 | ↓ -38% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $330.96 | ↓ -38% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $330.96 | ↓ -38% |
| HUMANA | HUMANA MEDICARE | $330.96 | ↓ -38% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $330.96 | ↓ -38% |
| AETNA | AETNA HEALTHCARE MEDICARE | $330.96 | ↓ -38% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $337.58 | ↓ -37% |
| BLUE CROSS | BLUE CROSS MEDICARE | $344.20 | ↓ -36% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $344.20 | ↓ -36% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $347.51 | ↓ -35% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $347.51 | ↓ -35% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $347.51 | ↓ -35% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $347.51 | ↓ -35% |
| NHC ADVANTAGE | NHC ADVANTAGE | $347.51 | ↓ -35% |
| WELLCARE | WELLCARE MEDICARE | $350.82 | ↓ -35% |
| BLUE CROSS | TENNCARE BLUE CARE | $389.99 | ↓ -27% |
| BLUE CROSS | TENNCARE BLUE SELECT | $389.99 | ↓ -27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $639.82 | ↑ +19% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $659.01 | ↑ +23% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $659.65 | ↑ +23% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $665.41 | ↑ +24% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $671.81 | ↑ +25% |
| BLUE CROSS | ANTHEM EXCHANGE | $679.71 | ↑ +27% |
| AMBETTER | AMBETTER | $721.49 | ↑ +34% |
| BLUE CROSS | ANTHEM HMO | $722.17 | ↑ +34% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $786.00 | ↑ +46% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $794.30 | ↑ +48% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $849.59 | ↑ +58% |
| SENTARA HEALTH | SENTARA HEALTH | $924.26 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,215.00 | ↑ +126% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,215.00 | ↑ +126% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,215.00 | ↑ +126% |
| AETNA | AETNA | $1,529.09 | ↑ +185% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,606.92 | ↑ +199% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,626.64 | ↑ +203% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,641.42 | ↑ +206% |
| MEDCOST | MEDCOST VHN | $1,704.20 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,448.00 | ↑ +356% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2,506.70 | ↑ +367% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,559.00 | ↑ +376% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,757.37 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $3,581.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,581.00 | ↑ +567% |
Visitor-reported prices
Comments
Mra, w/o&w/dye, spinal canal at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $537.15 | $316.52 – $759.66 |
| Johnson City Medical Center | JOHNSON CITY | $537.15 | $325.55 – $709.70 |
| Hancock County Hospital | SNEEDVILLE | $527.16 | $267.02 – $786.00 |
| Greeneville Community Hospital | GREENEVILLE | $537.15 | $192.25 – $709.70 |
| Bristol Regional Medical Center | BRISTOL | $537.15 | $320.42 – $794.30 |
| Franklin Woods Community Hospital | JOHNSON CITY | $537.15 | $316.76 – $703.41 |
| 62-0123940 BMH Collierville | Collierville | $1,330.77 | $310.67 – $654.04 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $537.15 | $267.02 – $725.22 |