Njx cath slct p-art angrp bi at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$101.25
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.
$675.00
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.
$60.08 with BLUE CROSS vs $675.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $60.08 | ↓ -41% |
| BLUE CROSS | TENNCARE BLUE CARE | $60.08 | ↓ -41% |
| SENTARA HEALTH | SENTARA HEALTH | $174.22 | ↑ +72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $178.00 | ↑ +76% |
| BLUE CROSS | BLUE CROSS S NETWORK | $183.00 | ↑ +81% |
| BLUE CROSS | BLUE CROSS P NETWORK | $183.00 | ↑ +81% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $277.00 | ↑ +174% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $281.48 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $281.48 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $281.48 | ↑ +178% |
| AETNA | AETNA | $288.23 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $289.00 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $313.20 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $321.23 | ↑ +217% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $344.00 | ↑ +240% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $433.14 | ↑ +328% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $446.13 | ↑ +341% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $446.57 | ↑ +341% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $450.46 | ↑ +345% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $454.80 | ↑ +349% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $472.50 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $519.75 | ↑ +413% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $528.00 | ↑ +421% |
| WELLCARE | WELLCARE MEDICAID | $675.00 | ↑ +567% |
Visitor-reported prices
Comments
Njx cath slct p-art angrp bi at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $101.25 | $60.08 – $435.80 |
| Johnson City Medical Center | JOHNSON CITY | $101.25 | $60.08 – $456.39 |
| Hancock County Hospital | SNEEDVILLE | $99.59 | $60.08 – $500.00 |
| Greeneville Community Hospital | GREENEVILLE | $101.25 | $60.08 – $476.19 |
| Bristol Regional Medical Center | BRISTOL | $101.25 | $60.08 – $454.80 |
| Franklin Woods Community Hospital | JOHNSON CITY | $101.25 | $73.02 – $495.24 |
| 62-0123940 BMH Collierville | Collierville | $1,637.58 | $64.20 – $87.76 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $101.25 | $60.08 – $500.00 |