Radphm lcl tmr spect/ct 2+ areas/2+ days at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$644.40
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.
$4,296.00
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.
$543.69 with BLUE CROSS vs $4,296.00 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 | $543.69 | ↓ -16% |
| BLUE CROSS | TENNCARE BLUE SELECT | $543.69 | ↓ -16% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $763.23 | ↑ +18% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $774.00 | ↑ +20% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $810.00 | ↑ +26% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,063.81 | ↑ +65% |
| SENTARA HEALTH | SENTARA HEALTH | $1,108.80 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,139.31 | ↑ +77% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,173.49 | ↑ +82% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,174.63 | ↑ +82% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,184.88 | ↑ +84% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,196.28 | ↑ +86% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,228.17 | ↑ +91% |
| HUMANA | HUMANA MEDICARE | $1,228.17 | ↑ +91% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,228.17 | ↑ +91% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,228.17 | ↑ +91% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,228.17 | ↑ +91% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,228.17 | ↑ +91% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,228.17 | ↑ +91% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,228.17 | ↑ +91% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,252.73 | ↑ +94% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,277.30 | ↑ +98% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,277.30 | ↑ +98% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,289.58 | ↑ +100% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,289.58 | ↑ +100% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,289.58 | ↑ +100% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,289.58 | ↑ +100% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,289.58 | ↑ +100% |
| WELLCARE | WELLCARE MEDICARE | $1,301.86 | ↑ +102% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,599.00 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,791.43 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,791.43 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,791.43 | ↑ +178% |
| AETNA | AETNA | $1,834.39 | ↑ +185% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,863.42 | ↑ +189% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,903.80 | ↑ +195% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,921.11 | ↑ +198% |
| MEDCOST | MEDCOST VHN | $2,044.47 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,522.40 | ↑ +291% |
| AMBETTER | AMBETTER | $2,677.41 | ↑ +315% |
| BLUE CROSS | ANTHEM HMO | $2,679.97 | ↑ +316% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,947.61 | ↑ +357% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $3,007.20 | ↑ +367% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,152.82 | ↑ +389% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,307.92 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $4,296.00 | ↑ +567% |
Visitor-reported prices
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Radphm lcl tmr spect/ct 2+ areas/2+ days at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,509.60 | $697.57 – $3,570.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,157.30 | $697.57 – $3,570.00 |
| Greeneville Community Hospital | GREENEVILLE | $644.40 | $457.94 – $2,633.64 |
| Bristol Regional Medical Center | BRISTOL | $644.40 | $543.69 – $2,947.61 |
| 62-0123940 BMH Collierville | Collierville | $897.12 | $468.70 – $2,390.86 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $644.40 | $543.69 – $2,560.63 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $8,608.88 | $327.76 – $1,752.20 |
| Parkwest Medical Center | Knoxville | $609.60 | $585.88 – $2,060.84 |