Pet image full body at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$1,937.55
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.
$12,917.00
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.
$622.17 with UNITED HEALTHCARE vs $12,917.00 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 | $622.17 | ↓ -68% |
| BLUE CROSS | TENNCARE BLUE SELECT | $877.32 | ↓ -55% |
| BLUE CROSS | TENNCARE BLUE CARE | $877.32 | ↓ -55% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,215.79 | ↓ -37% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,356.52 | ↓ -30% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,356.52 | ↓ -30% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,356.52 | ↓ -30% |
| HUMANA | HUMANA MEDICARE | $1,356.52 | ↓ -30% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,356.52 | ↓ -30% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,356.52 | ↓ -30% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,356.52 | ↓ -30% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,356.52 | ↓ -30% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,383.65 | ↓ -29% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,410.78 | ↓ -27% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,410.78 | ↓ -27% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,424.35 | ↓ -26% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,424.35 | ↓ -26% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,424.35 | ↓ -26% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,424.35 | ↓ -26% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,424.35 | ↓ -26% |
| WELLCARE | WELLCARE MEDICARE | $1,437.91 | ↓ -26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,747.54 | ↓ -10% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,799.97 | ↓ -7% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,801.71 | ↓ -7% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,817.45 | ↓ -6% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,821.57 | ↓ -6% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,834.92 | ↓ -5% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,786.00 | ↑ +44% |
| AMBETTER | AMBETTER | $2,957.22 | ↑ +53% |
| BLUE CROSS | ANTHEM HMO | $2,960.04 | ↑ +53% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,255.65 | ↑ +68% |
| SENTARA HEALTH | SENTARA HEALTH | $3,333.88 | ↑ +72% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,482.30 | ↑ +80% |
| CIGNA HEALTHCARE | CIGNA HMO | $3,924.62 | ↑ +103% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,924.62 | ↑ +103% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $3,924.62 | ↑ +103% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,957.00 | ↑ +104% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $4,136.00 | ↑ +113% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4,940.96 | ↑ +155% |
| BLUE CROSS | BLUE CROSS S NETWORK | $5,048.04 | ↑ +161% |
| BLUE CROSS | BLUE CROSS P NETWORK | $5,093.93 | ↑ +163% |
| AETNA | AETNA | $5,515.56 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $6,147.20 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $6,522.00 | ↑ +237% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $9,946.09 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $12,917.00 | ↑ +567% |
Visitor-reported prices
Comments
Pet image full body at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $1,937.55 | $373.30 – $2,908.87 |
| Bristol Regional Medical Center | BRISTOL | $1,937.55 | $622.17 – $3,255.65 |
| 62-1138045 BMH Union City | Union City | $2,211.60 | $1,158.73 – $2,663.74 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,937.55 | $518.48 – $2,828.23 |
| HORIZON MEDICAL CENTER | DICKSON | $5,052.48 | $353.24 – $2,672.00 |
| Ascension Saint Thomas Midtown | Nashville | not published | $756.31 – $3,581.20 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $513.30 – $3,581.20 |
| Ascension Saint Thomas Highlands | Sparta | not published | $513.30 – $3,581.20 |