Prcrd drg 0-5yr or w/anomly at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$913.65
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.
$6,091.00
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.
$775.00 with BLUE CROSS vs $6,091.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↓ -15% |
| BLUE CROSS | TENNCARE BLUE SELECT | $775.00 | ↓ -15% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,055.00 | ↑ +15% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,077.00 | ↑ +18% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,103.00 | ↑ +21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,264.94 | ↑ +38% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,302.89 | ↑ +43% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,304.15 | ↑ +43% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,315.54 | ↑ +44% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,328.19 | ↑ +45% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +67% |
| SENTARA HEALTH | SENTARA HEALTH | $1,572.09 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,861.00 | ↑ +104% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,246.00 | ↑ +146% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,297.00 | ↑ +151% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,297.00 | ↑ +151% |
| AETNA | AETNA | $2,600.86 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $2,898.71 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $3,037.06 | ↑ +232% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +251% |
| BLUE CROSS | ANTHEM HMO | $3,226.77 | ↑ +253% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,796.10 | ↑ +315% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,239.00 | ↑ +364% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,239.00 | ↑ +364% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,239.00 | ↑ +364% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,690.07 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $6,091.00 | ↑ +567% |
Visitor-reported prices
Comments
Prcrd drg 0-5yr or w/anomly at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $913.65 | $1,390.68 – $1,390.68 |
| Bristol Regional Medical Center | BRISTOL | $913.65 | $1,302.89 – $1,328.19 |
| 62-0123940 BMH Collierville | Collierville | $440.58 | $284.85 – $284.85 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $913.65 | $1,432.40 – $1,460.21 |
| Ascension Saint Thomas Midtown | Nashville | not published | $2,118.00 – $2,225.50 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $2,118.00 – $2,225.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $2,118.00 – $2,225.50 |
| Ascension Saint Thomas River Park | McMinnville | not published | $2,118.00 – $2,225.50 |