Plc pq device breast ea addl lesion Ultrasound guide at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$93.90
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.
$626.00
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.
$161.57 with SENTARA HEALTH vs $1,744.55 with MOLINA 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $161.57 | ↑ +72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $178.00 | ↑ +90% |
| BLUE CROSS | BLUE CROSS S NETWORK | $183.00 | ↑ +95% |
| BLUE CROSS | BLUE CROSS P NETWORK | $183.00 | ↑ +95% |
| AETNA | AETNA | $267.30 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $277.00 | ↑ +195% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $289.00 | ↑ +208% |
| MEDCOST | MEDCOST VHN | $297.91 | ↑ +217% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $344.00 | ↑ +266% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $482.02 | ↑ +413% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $528.00 | ↑ +462% |
| CIGNA HEALTHCARE | CIGNA HMO | $626.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $626.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA PPO | $626.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $626.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $626.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $626.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,661.48 | ↑ +1669% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,712.99 | ↑ +1724% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,727.94 | ↑ +1740% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,744.55 | ↑ +1758% |
Visitor-reported prices
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Plc pq device breast ea addl lesion Ultrasound guide at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $93.90 | $626.00 – $1,671.68 |
| Ascension Saint Thomas Midtown | Nashville | $1,528.98 | $394.86 – $2,225.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $193.89 | $35.13 – $98.00 |
| Johnson City Medical Center | JOHNSON CITY | $93.90 | $626.00 – $1,750.67 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,528.98 | $394.86 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $93.90 | $1,826.63 – $1,826.63 |
| Bristol Regional Medical Center | BRISTOL | $93.90 | $626.00 – $1,744.55 |
| Franklin Woods Community Hospital | JOHNSON CITY | $93.90 | $1,826.63 – $1,899.70 |