Resp virus 6-11 targets at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$373.80
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.
$2,492.00
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.
$109.03 with AMERIGROUP vs $2,492.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $109.03 | ↓ -71% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $176.02 | ↓ -53% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $185.90 | ↓ -50% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $191.48 | ↓ -49% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $191.66 | ↓ -49% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $193.34 | ↓ -48% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $195.20 | ↓ -48% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $218.06 | ↓ -42% |
| AETNA | AETNA HEALTHCARE MEDICARE | $218.06 | ↓ -42% |
| HUMANA | HUMANA MEDICARE | $218.06 | ↓ -42% |
| BLUE CROSS | ANTHEM EXCHANGE | $218.06 | ↓ -42% |
| BLUE CROSS | ANTHEM HMO | $218.06 | ↓ -42% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $218.06 | ↓ -42% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $218.06 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $218.06 | ↓ -42% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $218.06 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $218.06 | ↓ -42% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $218.06 | ↓ -42% |
| SENTARA HEALTH | SENTARA MEDICARE | $218.06 | ↓ -42% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $218.06 | ↓ -42% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $222.42 | ↓ -40% |
| BLUE CROSS | BLUE CROSS MEDICARE | $226.78 | ↓ -39% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $226.78 | ↓ -39% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $226.78 | ↓ -39% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $228.96 | ↓ -39% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $228.96 | ↓ -39% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $228.96 | ↓ -39% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $228.96 | ↓ -39% |
| NHC ADVANTAGE | NHC ADVANTAGE | $228.96 | ↓ -39% |
| WELLCARE | WELLCARE MEDICARE | $231.14 | ↓ -38% |
| BLUE CROSS | TENNCARE BLUE SELECT | $276.49 | ↓ -26% |
| BLUE CROSS | TENNCARE BLUE CARE | $276.49 | ↓ -26% |
| AMBETTER | AMBETTER | $475.37 | ↑ +27% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $480.71 | ↑ +29% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $523.34 | ↑ +40% |
| SENTARA HEALTH | SENTARA HEALTH | $643.19 | ↑ +72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $949.25 | ↑ +154% |
| BLUE CROSS | BLUE CROSS S NETWORK | $960.89 | ↑ +157% |
| BLUE CROSS | BLUE CROSS P NETWORK | $969.63 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,039.16 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,039.16 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,039.16 | ↑ +178% |
| AETNA | AETNA | $1,064.08 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,185.94 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,744.40 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,918.84 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $2,492.00 | ↑ +567% |
Visitor-reported prices
Comments
Resp virus 6-11 targets at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $373.80 | $109.03 – $523.34 |
| CHI Memorial Hospital Hixson | Hixson | $319.09 | $108.39 – $754.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $456.00 | $108.39 – $754.60 |
| Johnson City Medical Center | JOHNSON CITY | $373.80 | $109.03 – $475.37 |
| Greeneville Community Hospital | GREENEVILLE | $373.80 | $98.13 – $475.37 |
| Bristol Regional Medical Center | BRISTOL | $373.80 | $109.03 – $523.34 |
| Franklin Woods Community Hospital | JOHNSON CITY | $373.80 | $109.03 – $475.37 |
| 62-0123940 BMH Collierville | Collierville | $173.46 | $207.16 – $436.12 |