Pelvic CT scan (without contrast) at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$587.70
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.
$3,918.00
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.
$99.18 with AETNA vs $3,918.00 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 |
|---|---|---|---|
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $99.18 | ↓ -83% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $99.18 | ↓ -83% |
| SENTARA HEALTH | SENTARA MEDICARE | $99.18 | ↓ -83% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $99.18 | ↓ -83% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $99.18 | ↓ -83% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $99.18 | ↓ -83% |
| HUMANA | HUMANA MEDICARE | $99.18 | ↓ -83% |
| AETNA | AETNA HEALTHCARE MEDICARE | $99.18 | ↓ -83% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $101.16 | ↓ -83% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $103.14 | ↓ -82% |
| BLUE CROSS | BLUE CROSS MEDICARE | $103.14 | ↓ -82% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $104.14 | ↓ -82% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $104.14 | ↓ -82% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $104.14 | ↓ -82% |
| NHC ADVANTAGE | NHC ADVANTAGE | $104.14 | ↓ -82% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $104.14 | ↓ -82% |
| WELLCARE | WELLCARE MEDICARE | $105.13 | ↓ -82% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $115.13 | ↓ -80% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $133.32 | ↓ -77% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $137.32 | ↓ -77% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $137.45 | ↓ -77% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $138.65 | ↓ -76% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $139.99 | ↓ -76% |
| BLUE CROSS | TENNCARE BLUE CARE | $193.79 | ↓ -67% |
| BLUE CROSS | TENNCARE BLUE SELECT | $193.79 | ↓ -67% |
| BLUE CROSS | ANTHEM EXCHANGE | $203.69 | ↓ -65% |
| AMBETTER | AMBETTER | $216.21 | ↓ -63% |
| BLUE CROSS | ANTHEM HMO | $216.41 | ↓ -63% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $238.03 | ↓ -59% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $254.59 | ↓ -57% |
| BLUE CROSS | BLUE CROSS E NETWORK | $284.83 | ↓ -52% |
| BLUE CROSS | BLUE CROSS S NETWORK | $288.32 | ↓ -51% |
| BLUE CROSS | BLUE CROSS P NETWORK | $290.94 | ↓ -50% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $354.60 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $427.00 | ↓ -27% |
| CIGNA HEALTHCARE | CIGNA PPO | $642.00 | ↑ +9% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $642.00 | ↑ +9% |
| CIGNA HEALTHCARE | CIGNA HMO | $642.00 | ↑ +9% |
| SENTARA HEALTH | SENTARA HEALTH | $1,011.24 | ↑ +72% |
| AETNA | AETNA | $1,672.99 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,835.00 | ↑ +212% |
| MEDCOST | MEDCOST VHN | $1,864.58 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,919.00 | ↑ +227% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,016.86 | ↑ +413% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,026.00 | ↑ +415% |
| WELLCARE | WELLCARE MEDICAID | $3,918.00 | ↑ +567% |
Visitor-reported prices
Comments
Pelvic CT scan (without contrast) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $587.70 | $94.85 – $227.64 |
| Ascension Saint Thomas Midtown | Nashville | $625.65 | $91.66 – $562.72 |
| CHI Memorial Hospital Hixson | Hixson | $501.13 | $78.34 – $1,467.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $697.59 | $84.48 – $194.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $716.14 | $78.34 – $1,467.00 |
| Johnson City Medical Center | JOHNSON CITY | $587.70 | $97.56 – $212.67 |
| Ascension Saint Thomas DeKalb | Smithville | $817.49 | $90.33 – $562.76 |
| Ascension Saint Thomas Highlands | Sparta | $817.49 | $90.33 – $562.76 |