New Patient Office Visit (level 5) at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$65.55
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.
$437.00
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.
$105.91 with UNITED HEALTHCARE vs $437.00 with WELLCARE — 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 | $105.91 | ↑ +62% |
| SENTARA HEALTH | SENTARA HEALTH | $112.79 | ↑ +72% |
| BLUE CROSS | TENNCARE BLUE SELECT | $121.85 | ↑ +86% |
| BLUE CROSS | TENNCARE BLUE CARE | $121.85 | ↑ +86% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $134.16 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $141.15 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $141.15 | ↑ +115% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $143.16 | ↑ +118% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $182.23 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $182.23 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $182.23 | ↑ +178% |
| AETNA | AETNA | $186.60 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $202.77 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $207.97 | ↑ +217% |
| BLUE CROSS | ANTHEM HMO | $221.43 | ↑ +238% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $221.43 | ↑ +238% |
| BLUE CROSS | ANTHEM EXCHANGE | $221.43 | ↑ +238% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $336.49 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $437.00 | ↑ +567% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $65.55 | $121.85 – $158.86 |
| CHI Memorial Hospital Hixson | Hixson | $287.72 | $94.76 – $680.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $136.85 | $105.04 – $146.79 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $411.16 | $94.76 – $680.40 |
| Johnson City Medical Center | JOHNSON CITY | $65.55 | $121.85 – $158.86 |
| Hancock County Hospital | SNEEDVILLE | $64.17 | $85.65 – $121.85 |
| Greeneville Community Hospital | GREENEVILLE | $65.55 | $63.54 – $121.85 |
| Bristol Regional Medical Center | BRISTOL | $65.55 | $105.91 – $121.85 |