Pt re-evaluation patient/family at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$48.60
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.
$324.00
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.
$52.36 with BLUE CROSS vs $324.00 with UNITED 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 | $52.36 | ↑ +8% |
| BLUE CROSS | TENNCARE BLUE CARE | $52.36 | ↑ +8% |
| AMERIGROUP | AMERIGROUP | $59.63 | ↑ +23% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $61.00 | ↑ +26% |
| BLUE CROSS | ANTHEM EXCHANGE | $64.12 | ↑ +32% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $64.12 | ↑ +32% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $64.12 | ↑ +32% |
| SENTARA HEALTH | SENTARA MEDICARE | $64.12 | ↑ +32% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $64.12 | ↑ +32% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $64.12 | ↑ +32% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $64.12 | ↑ +32% |
| AETNA | AETNA HEALTHCARE MEDICARE | $64.12 | ↑ +32% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $64.12 | ↑ +32% |
| HUMANA | HUMANA MEDICARE | $64.12 | ↑ +32% |
| BLUE CROSS | ANTHEM HMO | $64.12 | ↑ +32% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $65.40 | ↑ +35% |
| BLUE CROSS | BLUE CROSS MEDICARE | $66.68 | ↑ +37% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $66.68 | ↑ +37% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $67.33 | ↑ +39% |
| NHC ADVANTAGE | NHC ADVANTAGE | $67.33 | ↑ +39% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $67.33 | ↑ +39% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $67.33 | ↑ +39% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $67.33 | ↑ +39% |
| WELLCARE | WELLCARE MEDICARE | $67.97 | ↑ +40% |
| SENTARA HEALTH | SENTARA HEALTH | $83.62 | ↑ +72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $116.00 | ↑ +139% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $135.11 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $135.11 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $135.11 | ↑ +178% |
| AETNA | AETNA | $138.35 | ↑ +185% |
| AMBETTER | AMBETTER | $139.78 | ↑ +188% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $150.34 | ↑ +209% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $153.89 | ↑ +217% |
| MEDCOST | MEDCOST VHN | $154.19 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $225.89 | ↑ +365% |
| BLUE CROSS | BLUE CROSS S NETWORK | $230.55 | ↑ +374% |
| BLUE CROSS | BLUE CROSS P NETWORK | $230.55 | ↑ +374% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $245.00 | ↑ +404% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $249.48 | ↑ +413% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $257.00 | ↑ +429% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $291.83 | ↑ +500% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $300.58 | ↑ +518% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $300.88 | ↑ +519% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $303.50 | ↑ +524% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $306.42 | ↑ +530% |
| WELLCARE | WELLCARE MEDICAID | $324.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $324.00 | ↑ +567% |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $48.60 | $38.00 – $282.33 |
| Ascension Saint Thomas Midtown | Nashville | $46.65 | $45.14 – $119.16 |
| CHI Memorial Hospital Hixson | Hixson | $46.48 | $31.40 – $189.52 |
| 62-1166050 BMH Carroll County | Huntingdon | $103.96 | $43.76 – $45.14 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $66.42 | $32.97 – $189.52 |
| Johnson City Medical Center | JOHNSON CITY | $48.60 | $44.00 – $295.67 |
| Ascension Saint Thomas DeKalb | Smithville | $48.26 | $45.14 – $119.16 |
| Ascension Saint Thomas Highlands | Sparta | $48.26 | $45.14 – $119.16 |