Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$36.60
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.
$244.00
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.
$29.42 with BLUE CROSS vs $244.00 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 | $29.42 | ↓ -20% |
| BLUE CROSS | TENNCARE BLUE CARE | $29.42 | ↓ -20% |
| AMERIGROUP | AMERIGROUP | $40.26 | ↑ +10% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $43.29 | ↑ +18% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $43.29 | ↑ +18% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $43.29 | ↑ +18% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $43.29 | ↑ +18% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $43.29 | ↑ +18% |
| AETNA | AETNA HEALTHCARE MEDICARE | $43.29 | ↑ +18% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $43.29 | ↑ +18% |
| BLUE CROSS | ANTHEM HMO | $43.29 | ↑ +18% |
| SENTARA HEALTH | SENTARA MEDICARE | $43.29 | ↑ +18% |
| HUMANA | HUMANA MEDICARE | $43.29 | ↑ +18% |
| BLUE CROSS | ANTHEM EXCHANGE | $43.29 | ↑ +18% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $44.16 | ↑ +21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $44.29 | ↑ +21% |
| BLUE CROSS | BLUE CROSS MEDICARE | $45.02 | ↑ +23% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $45.02 | ↑ +23% |
| NHC ADVANTAGE | NHC ADVANTAGE | $45.45 | ↑ +24% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $45.45 | ↑ +24% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $45.45 | ↑ +24% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $45.45 | ↑ +24% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $45.45 | ↑ +24% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $45.62 | ↑ +25% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $45.66 | ↑ +25% |
| WELLCARE | WELLCARE MEDICARE | $45.89 | ↑ +25% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $46.06 | ↑ +26% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $46.50 | ↑ +27% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $61.00 | ↑ +67% |
| SENTARA HEALTH | SENTARA HEALTH | $62.98 | ↑ +72% |
| AMBETTER | AMBETTER | $94.37 | ↑ +158% |
| CIGNA HEALTHCARE | CIGNA HMO | $101.75 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $101.75 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $101.75 | ↑ +178% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $103.90 | ↑ +184% |
| AETNA | AETNA | $104.19 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $113.22 | ↑ +209% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $116.00 | ↑ +217% |
| MEDCOST | MEDCOST VHN | $116.12 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $156.87 | ↑ +329% |
| BLUE CROSS | BLUE CROSS P NETWORK | $160.11 | ↑ +337% |
| BLUE CROSS | BLUE CROSS S NETWORK | $160.11 | ↑ +337% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $187.88 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $244.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $244.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $244.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $244.00 | ↑ +567% |
Visitor-reported prices
Comments
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $36.60 | $29.42 – $103.90 |
| Ascension Saint Thomas Midtown | Nashville | $50.82 | $25.36 – $82.75 |
| CHI Memorial Hospital Hixson | Hixson | $26.64 | $18.00 – $189.52 |
| 62-1166050 BMH Carroll County | Huntingdon | $39.79 | $25.36 – $31.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $38.07 | $18.90 – $189.52 |
| Johnson City Medical Center | JOHNSON CITY | $36.60 | $29.42 – $94.37 |
| Ascension Saint Thomas DeKalb | Smithville | $54.56 | $25.36 – $82.75 |
| Ascension Saint Thomas Highlands | Sparta | $54.56 | $25.36 – $82.75 |