Place device/marker, non pro at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$582.75
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.
$3,885.00
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.
$1,002.72 with SENTARA HEALTH vs $3,885.00 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $1,002.72 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,313.06 | ↑ +125% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,313.06 | ↑ +125% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,313.06 | ↑ +125% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,313.06 | ↑ +125% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,313.06 | ↑ +125% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,313.06 | ↑ +125% |
| HUMANA | HUMANA MEDICARE | $1,313.06 | ↑ +125% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,313.06 | ↑ +125% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,325.21 | ↑ +127% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,339.32 | ↑ +130% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,364.97 | ↑ +134% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,365.58 | ↑ +134% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,365.58 | ↑ +134% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,366.29 | ↑ +134% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,378.22 | ↑ +137% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,378.71 | ↑ +137% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,378.71 | ↑ +137% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,378.71 | ↑ +137% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,378.71 | ↑ +137% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,378.71 | ↑ +137% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,391.47 | ↑ +139% |
| WELLCARE | WELLCARE MEDICARE | $1,391.84 | ↑ +139% |
| AETNA | AETNA | $1,658.90 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,848.87 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,246.00 | ↑ +285% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,297.00 | ↑ +294% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,297.00 | ↑ +294% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,696.73 | ↑ +363% |
| AMBETTER | AMBETTER | $2,862.47 | ↑ +391% |
| BLUE CROSS | ANTHEM HMO | $2,865.19 | ↑ +392% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,991.45 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,151.34 | ↑ +441% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,370.72 | ↑ +478% |
| WELLCARE | WELLCARE MEDICAID | $3,885.00 | ↑ +567% |
Visitor-reported prices
Comments
Place device/marker, non pro at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $701.22 | $1,751.37 – $1,888.20 |
| Greeneville Community Hospital | GREENEVILLE | $582.75 | $1,008.00 – $2,815.67 |
| Bristol Regional Medical Center | BRISTOL | $582.75 | $1,313.06 – $3,151.34 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $582.75 | $1,255.79 – $2,737.61 |
| Fort Sanders Regional Medical Center | Knoxville | $699.93 | $181.00 – $1,908.90 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $1,340.89 – $1,340.89 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $1,340.89 – $1,340.89 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $1,340.89 – $1,340.89 |