Piflu f-18, dia 1 millicurie at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$174.80
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.
$1,165.33
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.
$300.77 with SENTARA HEALTH vs $1,165.33 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $300.77 | ↑ +72% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $325.07 | ↑ +86% |
| SENTARA HEALTH | SENTARA MEDICARE | $346.49 | ↑ +98% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $346.49 | ↑ +98% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $346.49 | ↑ +98% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $346.49 | ↑ +98% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $346.49 | ↑ +98% |
| AETNA | AETNA HEALTHCARE MEDICARE | $346.49 | ↑ +98% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $346.49 | ↑ +98% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $346.49 | ↑ +98% |
| HUMANA | HUMANA MEDICARE | $346.49 | ↑ +98% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $353.42 | ↑ +102% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $360.35 | ↑ +106% |
| BLUE CROSS | BLUE CROSS MEDICARE | $360.35 | ↑ +106% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $363.81 | ↑ +108% |
| NHC ADVANTAGE | NHC ADVANTAGE | $363.81 | ↑ +108% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $363.81 | ↑ +108% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $363.81 | ↑ +108% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $363.81 | ↑ +108% |
| WELLCARE | WELLCARE MEDICARE | $367.28 | ↑ +110% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $405.58 | ↑ +132% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $485.94 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $485.94 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $485.94 | ↑ +178% |
| AETNA | AETNA | $497.60 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $554.58 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $558.50 | ↑ +220% |
| BLUE CROSS | ANTHEM HMO | $558.50 | ↑ +220% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $750.45 | ↑ +329% |
| AMBETTER | AMBETTER | $755.35 | ↑ +332% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $775.05 | ↑ +343% |
| BLUE CROSS | BLUE CROSS E NETWORK | $783.41 | ↑ +348% |
| BLUE CROSS | BLUE CROSS S NETWORK | $800.81 | ↑ +358% |
| BLUE CROSS | BLUE CROSS P NETWORK | $800.81 | ↑ +358% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $815.73 | ↑ +367% |
| BLUE CROSS | TENNCARE BLUE CARE | $817.04 | ↑ +367% |
| BLUE CROSS | TENNCARE BLUE SELECT | $817.04 | ↑ +367% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $831.58 | ↑ +376% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $897.30 | ↑ +413% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,104.15 | ↑ +532% |
| WELLCARE | WELLCARE MEDICAID | $1,165.33 | ↑ +567% |
Visitor-reported prices
Comments
Piflu f-18, dia 1 millicurie at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $568.32 | $384.00 – $1,344.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $812.16 | $403.20 – $1,344.00 |
| Johnson City Medical Center | JOHNSON CITY | $174.80 | $346.49 – $755.35 |
| Greeneville Community Hospital | GREENEVILLE | $174.80 | $195.04 – $755.35 |
| Bristol Regional Medical Center | BRISTOL | $174.80 | $325.07 – $831.58 |
| Franklin Woods Community Hospital | JOHNSON CITY | $174.80 | $346.49 – $755.35 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $174.80 | $270.89 – $755.35 |
| Johnson County Community Hospital | MOUNTAIN CITY | $268.03 | $487.60 – $1,104.15 |