Psychotherapy group therapy at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$49.65
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.
$331.00
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.
$26.30 with BLUE CROSS vs $331.26 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $26.30 | ↓ -47% |
| BLUE CROSS | TENNCARE BLUE CARE | $26.30 | ↓ -47% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $26.52 | ↓ -47% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $33.96 | ↓ -32% |
| SENTARA HEALTH | SENTARA HEALTH | $85.43 | ↑ +72% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $96.37 | ↑ +94% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $96.37 | ↑ +94% |
| AETNA | AETNA HEALTHCARE MEDICARE | $96.37 | ↑ +94% |
| HUMANA | HUMANA MEDICARE | $96.37 | ↑ +94% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $96.37 | ↑ +94% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $96.37 | ↑ +94% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $96.37 | ↑ +94% |
| SENTARA HEALTH | SENTARA MEDICARE | $96.37 | ↑ +94% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $98.30 | ↑ +98% |
| BLUE CROSS | BLUE CROSS MEDICARE | $100.23 | ↑ +102% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $100.23 | ↑ +102% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $101.19 | ↑ +104% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $101.19 | ↑ +104% |
| NHC ADVANTAGE | NHC ADVANTAGE | $101.19 | ↑ +104% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $101.19 | ↑ +104% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $101.19 | ↑ +104% |
| WELLCARE | WELLCARE MEDICARE | $102.16 | ↑ +106% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $138.03 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $138.03 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $138.03 | ↑ +178% |
| AETNA | AETNA | $141.34 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $153.58 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $157.52 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $197.93 | ↑ +299% |
| AMBETTER | AMBETTER | $210.09 | ↑ +323% |
| BLUE CROSS | ANTHEM HMO | $210.30 | ↑ +324% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $231.30 | ↑ +366% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $247.40 | ↑ +398% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $254.87 | ↑ +413% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $315.49 | ↑ +535% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $324.96 | ↑ +555% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $325.27 | ↑ +555% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $328.11 | ↑ +561% |
| WELLCARE | WELLCARE MEDICAID | $331.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $331.26 | ↑ +567% |
Visitor-reported prices
Comments
Psychotherapy group therapy at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $49.65 | $26.30 – $305.22 |
| 62-1166050 BMH Carroll County | Huntingdon | $33.35 | $22.67 – $168.92 |
| Johnson City Medical Center | JOHNSON CITY | $49.65 | $26.30 – $319.64 |
| Hancock County Hospital | SNEEDVILLE | $48.76 | $26.30 – $364.19 |
| Greeneville Community Hospital | GREENEVILLE | $49.65 | $20.38 – $346.85 |
| Bristol Regional Medical Center | BRISTOL | $49.65 | $26.30 – $325.27 |
| Franklin Woods Community Hospital | JOHNSON CITY | $49.65 | $26.52 – $346.85 |
| 62-1138045 BMH Union City | Union City | $55.80 | $73.48 – $168.92 |