Rmv&rplcmt phrnc nrv stim pg at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$13,975.20
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.
$93,168.00
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.
$8,178.00 with UNITED HEALTHCARE vs $93,168.00 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 | $8,178.00 | ↓ -41% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $12,568.00 | ↓ -10% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $13,136.00 | ↓ -6% |
| BLUE CROSS | BLUE CROSS E NETWORK | $14,876.00 | ↑ +6% |
| BLUE CROSS | BLUE CROSS S NETWORK | $15,211.00 | ↑ +9% |
| BLUE CROSS | BLUE CROSS P NETWORK | $15,211.00 | ↑ +9% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $21,337.00 | ↑ +53% |
| SENTARA HEALTH | SENTARA HEALTH | $24,046.66 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $24,264.35 | ↑ +74% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $24,992.28 | ↑ +79% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $25,016.54 | ↑ +79% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $25,234.93 | ↑ +81% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $25,477.57 | ↑ +82% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $29,273.21 | ↑ +109% |
| SENTARA HEALTH | SENTARA MEDICARE | $29,273.21 | ↑ +109% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $29,273.21 | ↑ +109% |
| AETNA | AETNA HEALTHCARE MEDICARE | $29,273.21 | ↑ +109% |
| HUMANA | HUMANA MEDICARE | $29,273.21 | ↑ +109% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $29,273.21 | ↑ +109% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $29,273.21 | ↑ +109% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $29,273.21 | ↑ +109% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $29,858.67 | ↑ +114% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $30,444.14 | ↑ +118% |
| BLUE CROSS | BLUE CROSS MEDICARE | $30,444.14 | ↑ +118% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $30,736.87 | ↑ +120% |
| NHC ADVANTAGE | NHC ADVANTAGE | $30,736.87 | ↑ +120% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $30,736.87 | ↑ +120% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $30,736.87 | ↑ +120% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $30,736.87 | ↑ +120% |
| WELLCARE | WELLCARE MEDICARE | $31,029.60 | ↑ +122% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $38,851.06 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $38,851.06 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $38,851.06 | ↑ +178% |
| AETNA | AETNA | $39,782.74 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $43,229.95 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $44,338.65 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $60,120.75 | ↑ +330% |
| AMBETTER | AMBETTER | $63,815.59 | ↑ +357% |
| BLUE CROSS | ANTHEM HMO | $63,876.36 | ↑ +357% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $65,217.60 | ↑ +367% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $70,255.70 | ↑ +403% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $71,739.36 | ↑ +413% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $75,146.63 | ↑ +438% |
| WELLCARE | WELLCARE MEDICAID | $93,168.00 | ↑ +567% |
Visitor-reported prices
Comments
Rmv&rplcmt phrnc nrv stim pg at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $13,975.20 | $23,474.20 – $67,191.37 |
| Johnson City Medical Center | JOHNSON CITY | $13,975.20 | $24,583.53 – $62,772.32 |
| Hancock County Hospital | SNEEDVILLE | $13,714.21 | $27,476.53 – $41,418.58 |
| Greeneville Community Hospital | GREENEVILLE | $13,975.20 | $25,010.91 – $62,772.32 |
| Bristol Regional Medical Center | BRISTOL | $13,975.20 | $24,992.28 – $70,255.70 |
| Franklin Woods Community Hospital | JOHNSON CITY | $13,975.20 | $24,597.30 – $61,077.52 |
| 62-0123940 BMH Collierville | Collierville | $17,486.49 | $26,509.44 – $55,809.34 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $13,975.20 | $27,476.53 – $61,032.16 |