Muscle test hemidiaphragm at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$71.55
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.
$477.00
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.
$7.38 with BLUE CROSS vs $477.00 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $7.38 | ↓ -90% |
| BLUE CROSS | TENNCARE BLUE SELECT | $7.46 | ↓ -90% |
| BLUE CROSS | TENNCARE BLUE CARE | $7.46 | ↓ -90% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $50.47 | ↓ -29% |
| HUMANA | HUMANA MEDICARE | $122.07 | ↑ +71% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $122.07 | ↑ +71% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $122.07 | ↑ +71% |
| AETNA | AETNA HEALTHCARE MEDICARE | $122.07 | ↑ +71% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $122.07 | ↑ +71% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $122.07 | ↑ +71% |
| SENTARA HEALTH | SENTARA MEDICARE | $122.07 | ↑ +71% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $122.07 | ↑ +71% |
| SENTARA HEALTH | SENTARA HEALTH | $123.11 | ↑ +72% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $124.51 | ↑ +74% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $126.95 | ↑ +77% |
| BLUE CROSS | BLUE CROSS MEDICARE | $126.95 | ↑ +77% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $128.17 | ↑ +79% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $128.17 | ↑ +79% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $128.17 | ↑ +79% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $128.17 | ↑ +79% |
| NHC ADVANTAGE | NHC ADVANTAGE | $128.17 | ↑ +79% |
| WELLCARE | WELLCARE MEDICARE | $129.39 | ↑ +81% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $167.94 | ↑ +135% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $172.98 | ↑ +142% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $173.15 | ↑ +142% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $174.66 | ↑ +144% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $176.34 | ↑ +146% |
| CIGNA HEALTHCARE | CIGNA PPO | $198.91 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $198.91 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $198.91 | ↑ +178% |
| AETNA | AETNA | $203.68 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $221.33 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $227.00 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $250.70 | ↑ +250% |
| AMBETTER | AMBETTER | $266.10 | ↑ +272% |
| BLUE CROSS | ANTHEM HMO | $266.36 | ↑ +272% |
| BLUE CROSS | BLUE CROSS E NETWORK | $269.54 | ↑ +277% |
| BLUE CROSS | BLUE CROSS S NETWORK | $275.10 | ↑ +284% |
| BLUE CROSS | BLUE CROSS P NETWORK | $275.10 | ↑ +284% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $292.96 | ↑ +309% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $313.36 | ↑ +338% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $367.29 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $477.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $477.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $477.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $477.00 | ↑ +567% |
Visitor-reported prices
Comments
Muscle test hemidiaphragm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $71.55 | $7.38 – $261.75 |
| Bristol Regional Medical Center | BRISTOL | $71.55 | $7.38 – $292.96 |
| 62-0123940 BMH Collierville | Collierville | $143.64 | $6.43 – $286.54 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $71.55 | $7.38 – $254.50 |
| Ascension Saint Thomas Midtown | Nashville | not published | $6.43 – $209.78 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $6.43 – $206.75 |
| Ascension Saint Thomas Highlands | Sparta | not published | $6.43 – $206.75 |
| Ascension Saint Thomas River Park | McMinnville | not published | $9.61 – $206.75 |