Trauma partial team response w/critical care services level 4 at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$988.65
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.
$6,591.00
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.
$483.32 with UNITED HEALTHCARE vs $6,277.00 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 | $483.32 | ↓ -51% |
| SENTARA HEALTH | SENTARA HEALTH | $1,620.09 | ↑ +64% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,927.04 | ↑ +95% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,027.47 | ↑ +105% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,027.47 | ↑ +105% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,596.94 | ↑ +163% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,617.51 | ↑ +165% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,617.51 | ↑ +165% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,617.51 | ↑ +165% |
| AETNA | AETNA | $2,680.28 | ↑ +171% |
| BLUE CROSS | ANTHEM HMO | $2,759.17 | ↑ +179% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,912.53 | ↑ +195% |
| MEDCOST | MEDCOST VHN | $2,987.22 | ↑ +202% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,245.99 | ↑ +228% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $4,393.90 | ↑ +344% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,833.29 | ↑ +389% |
| WELLCARE | WELLCARE MEDICAID | $6,277.00 | ↑ +535% |
Visitor-reported prices
Comments
Trauma partial team response w/critical care services level 4 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $988.65 | $724.99 – $3,961.03 |
| Johnson City Medical Center | JOHNSON CITY | $988.65 | $724.99 – $2,162.75 |
| Greeneville Community Hospital | GREENEVILLE | $988.65 | $289.99 – $289.99 |
| Bristol Regional Medical Center | BRISTOL | $988.65 | $483.32 – $3,153.04 |
| Franklin Woods Community Hospital | JOHNSON CITY | $988.65 | $724.99 – $2,162.75 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $988.65 | $402.77 – $2,977.40 |
| Sycamore Shoals Hospital | ELIZABETHTON | $988.65 | $724.99 – $2,162.75 |
| Parkwest Medical Center | Knoxville | not published | $365.95 – $1,269.79 |