MRI guid parenchymal tiss ablation 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.
$105.53 with BLUE CROSS 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $105.53 | ↓ -80% |
| BLUE CROSS | TENNCARE BLUE CARE | $105.53 | ↓ -80% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $262.23 | ↓ -51% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $270.09 | ↓ -50% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $270.36 | ↓ -50% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $272.72 | ↓ -49% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $275.34 | ↓ -49% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $786.00 | ↑ +46% |
| SENTARA HEALTH | SENTARA HEALTH | $924.26 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,215.00 | ↑ +126% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,215.00 | ↑ +126% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,215.00 | ↑ +126% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,389.64 | ↑ +159% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,406.69 | ↑ +162% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,419.48 | ↑ +164% |
| AETNA | AETNA | $1,529.09 | ↑ +185% |
| 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
MRI guid parenchymal tiss ablation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $537.15 | $105.53 – $777.00 |
| Bristol Regional Medical Center | BRISTOL | $537.15 | $105.53 – $786.00 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $537.15 | $105.53 – $786.00 |
| Ascension Saint Thomas Midtown | Nashville | not published | $90.97 – $1,690.68 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $90.97 – $1,690.68 |
| Ascension Saint Thomas Highlands | Sparta | not published | $90.97 – $1,690.68 |
| Ascension Saint Thomas River Park | McMinnville | not published | $135.92 – $1,690.68 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $90.97 – $1,690.68 |