MRI breast c-+ w/cad uni at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$702.00
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.
?
What you pay up front if you don't use insurance.
$4,680.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$215.19 with BLUE CROSS vs $4,680.00 with WELLCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BLUE CROSS | ANTHEM EXCHANGE | $215.19 | ↓ -69% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $215.19 | ↓ -69% |
| BLUE CROSS | ANTHEM HMO | $215.19 | ↓ -69% |
| BLUE CROSS | TENNCARE BLUE SELECT | $249.76 | ↓ -64% |
| BLUE CROSS | TENNCARE BLUE CARE | $249.76 | ↓ -64% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $504.82 | ↓ -28% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $519.97 | ↓ -26% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $520.47 | ↓ -26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $525.01 | ↓ -25% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $530.06 | ↓ -24% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $786.00 | ↑ +12% |
| BLUE CROSS | BLUE CROSS E NETWORK | $863.97 | ↑ +23% |
| BLUE CROSS | BLUE CROSS S NETWORK | $874.57 | ↑ +25% |
| BLUE CROSS | BLUE CROSS P NETWORK | $882.52 | ↑ +26% |
| SENTARA HEALTH | SENTARA HEALTH | $1,207.91 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,215.00 | ↑ +73% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,215.00 | ↑ +73% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,215.00 | ↑ +73% |
| AETNA | AETNA | $1,998.36 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $2,227.21 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,448.00 | ↑ +249% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,559.00 | ↑ +265% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $3,276.00 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,603.60 | ↑ +413% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,035.00 | ↑ +475% |
| WELLCARE | WELLCARE MEDICAID | $4,680.00 | ↑ +567% |
Visitor-reported prices
Comments
MRI breast c-+ w/cad uni at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $702.00 | $215.19 – $786.00 |
| Johnson City Medical Center | JOHNSON CITY | $702.00 | $249.76 – $786.00 |
| Greeneville Community Hospital | GREENEVILLE | $702.00 | $249.76 – $777.00 |
| Bristol Regional Medical Center | BRISTOL | $702.00 | $215.19 – $786.00 |
| Franklin Woods Community Hospital | JOHNSON CITY | $702.00 | $303.59 – $2,938.00 |
| 62-0123940 BMH Collierville | Collierville | $677.04 | $215.31 – $720.00 |
| 62-1138045 BMH Union City | Union City | $676.80 | $306.00 – $416.08 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $702.00 | $215.19 – $786.00 |