Removal w/reinsrt nonbiogrdble at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$180.30
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.
$1,202.00
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.
$79.05 with UNITED HEALTHCARE vs $1,202.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $79.05 | ↓ -56% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $218.55 | ↑ +21% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $225.10 | ↑ +25% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $225.33 | ↑ +25% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $227.29 | ↑ +26% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $229.48 | ↑ +27% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $239.54 | ↑ +33% |
| SENTARA HEALTH | SENTARA HEALTH | $310.24 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $369.01 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $388.25 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $388.25 | ↑ +115% |
| AETNA | AETNA HEALTHCARE MEDICARE | $423.79 | ↑ +135% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $423.79 | ↑ +135% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $423.79 | ↑ +135% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $423.79 | ↑ +135% |
| SENTARA HEALTH | SENTARA MEDICARE | $423.79 | ↑ +135% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $423.79 | ↑ +135% |
| HUMANA | HUMANA MEDICARE | $423.79 | ↑ +135% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $423.79 | ↑ +135% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $432.26 | ↑ +140% |
| BLUE CROSS | BLUE CROSS MEDICARE | $440.74 | ↑ +144% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $440.74 | ↑ +144% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $444.97 | ↑ +147% |
| NHC ADVANTAGE | NHC ADVANTAGE | $444.97 | ↑ +147% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $444.97 | ↑ +147% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $444.97 | ↑ +147% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $444.97 | ↑ +147% |
| WELLCARE | WELLCARE MEDICARE | $449.21 | ↑ +149% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $501.23 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $501.23 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $501.23 | ↑ +178% |
| AETNA | AETNA | $513.25 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $557.73 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $572.03 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $870.36 | ↑ +383% |
| AMBETTER | AMBETTER | $923.85 | ↑ +412% |
| BLUE CROSS | ANTHEM HMO | $924.73 | ↑ +413% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $925.54 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,017.09 | ↑ +464% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,087.89 | ↑ +503% |
| WELLCARE | WELLCARE MEDICAID | $1,202.00 | ↑ +567% |
Visitor-reported prices
Comments
Removal w/reinsrt nonbiogrdble at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $180.30 | $47.43 – $908.75 |
| Bristol Regional Medical Center | BRISTOL | $180.30 | $79.05 – $1,017.09 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $180.30 | $65.88 – $883.56 |
| Ascension Saint Thomas Midtown | Nashville | not published | $45.00 – $2,225.50 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $45.00 – $2,225.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $45.00 – $2,225.50 |
| Ascension Saint Thomas River Park | McMinnville | not published | $45.00 – $2,225.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $45.00 – $2,225.50 |