Myelogphy 2/> spine regions at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$223.65
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.
$1,491.00
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.
$165.73 with CIGNA HEALTHCARE vs $1,621.20 with AMBETTER — 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $165.73 | ↓ -26% |
| BLUE CROSS | TENNCARE BLUE CARE | $200.16 | ↓ -11% |
| BLUE CROSS | TENNCARE BLUE SELECT | $200.16 | ↓ -11% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↑ +0% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↑ +4% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $296.60 | ↑ +33% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $323.23 | ↑ +45% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↑ +65% |
| BLUE CROSS | BLUE CROSS E NETWORK | $382.98 | ↑ +71% |
| SENTARA HEALTH | SENTARA HEALTH | $384.83 | ↑ +72% |
| BLUE CROSS | BLUE CROSS S NETWORK | $391.28 | ↑ +75% |
| BLUE CROSS | BLUE CROSS P NETWORK | $394.84 | ↑ +77% |
| AETNA | AETNA | $636.66 | ↑ +185% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $697.50 | ↑ +212% |
| MEDCOST | MEDCOST VHN | $709.57 | ↑ +217% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $718.42 | ↑ +221% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $719.12 | ↑ +222% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $725.40 | ↑ +224% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $732.38 | ↑ +227% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $743.67 | ↑ +233% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $743.67 | ↑ +233% |
| AETNA | AETNA HEALTHCARE MEDICARE | $743.67 | ↑ +233% |
| HUMANA | HUMANA MEDICARE | $743.67 | ↑ +233% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $743.67 | ↑ +233% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $743.67 | ↑ +233% |
| SENTARA HEALTH | SENTARA MEDICARE | $743.67 | ↑ +233% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $743.67 | ↑ +233% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $758.54 | ↑ +239% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $773.41 | ↑ +246% |
| BLUE CROSS | BLUE CROSS MEDICARE | $773.41 | ↑ +246% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $780.85 | ↑ +249% |
| NHC ADVANTAGE | NHC ADVANTAGE | $780.85 | ↑ +249% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $780.85 | ↑ +249% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $780.85 | ↑ +249% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $780.85 | ↑ +249% |
| WELLCARE | WELLCARE MEDICARE | $788.29 | ↑ +252% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,148.07 | ↑ +413% |
| BLUE CROSS | ANTHEM HMO | $1,491.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,491.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,491.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,491.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,491.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,491.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,491.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,491.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,621.20 | ↑ +625% |
Visitor-reported prices
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Myelogphy 2/> spine regions at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $672.52 | $148.54 – $1,590.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $961.06 | $148.54 – $1,590.40 |
| Greeneville Community Hospital | GREENEVILLE | $223.65 | $165.73 – $1,594.69 |
| Bristol Regional Medical Center | BRISTOL | $223.65 | $165.73 – $1,621.20 |
| 62-0123940 BMH Collierville | Collierville | $522.48 | $172.55 – $1,446.92 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $223.65 | $165.73 – $1,550.48 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $5,989.06 | $116.20 – $920.54 |
| Ascension Saint Thomas Midtown | Nashville | not published | $112.22 – $1,089.31 |