Tte w or without fol w/con,stres at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$585.00
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.
$3,900.00
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.
$334.01 with UNITED HEALTHCARE vs $3,900.00 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 | $334.01 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $587.84 | ↑ +0% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $605.48 | ↑ +4% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $606.06 | ↑ +4% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $611.36 | ↑ +5% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $617.23 | ↑ +6% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $743.67 | ↑ +27% |
| HUMANA | HUMANA MEDICARE | $743.67 | ↑ +27% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $743.67 | ↑ +27% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $743.67 | ↑ +27% |
| SENTARA HEALTH | SENTARA MEDICARE | $743.67 | ↑ +27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $743.67 | ↑ +27% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $743.67 | ↑ +27% |
| AETNA | AETNA HEALTHCARE MEDICARE | $743.67 | ↑ +27% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $758.54 | ↑ +30% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $773.41 | ↑ +32% |
| BLUE CROSS | BLUE CROSS MEDICARE | $773.41 | ↑ +32% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $780.85 | ↑ +33% |
| NHC ADVANTAGE | NHC ADVANTAGE | $780.85 | ↑ +33% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $780.85 | ↑ +33% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $780.85 | ↑ +33% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $780.85 | ↑ +33% |
| WELLCARE | WELLCARE MEDICARE | $788.29 | ↑ +35% |
| SENTARA HEALTH | SENTARA HEALTH | $1,006.59 | ↑ +72% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,527.32 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,596.00 | ↑ +173% |
| AMBETTER | AMBETTER | $1,621.20 | ↑ +177% |
| BLUE CROSS | ANTHEM HMO | $1,622.73 | ↑ +177% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,626.30 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,626.30 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,626.30 | ↑ +178% |
| AETNA | AETNA | $1,665.30 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,669.00 | ↑ +185% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,784.80 | ↑ +205% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,809.60 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $1,856.01 | ↑ +217% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,909.04 | ↑ +226% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2,730.00 | ↑ +367% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,973.00 | ↑ +408% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,003.00 | ↑ +413% |
| BLUE CROSS | BLUE CROSS S NETWORK | $3,034.37 | ↑ +419% |
| BLUE CROSS | BLUE CROSS P NETWORK | $3,034.37 | ↑ +419% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,850.00 | ↑ +558% |
| WELLCARE | WELLCARE MEDICAID | $3,900.00 | ↑ +567% |
Visitor-reported prices
Comments
Tte w or without fol w/con,stres at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,108.76 | $1,254.66 – $1,568.32 |
| CHI Memorial Hospital Hixson | Hixson | $992.20 | $482.03 – $2,346.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,417.90 | $482.03 – $2,346.40 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,108.76 | $1,254.66 – $1,568.32 |
| Greeneville Community Hospital | GREENEVILLE | $585.00 | $200.41 – $1,594.69 |
| Bristol Regional Medical Center | BRISTOL | $585.00 | $334.01 – $1,784.80 |
| 62-0123940 BMH Collierville | Collierville | $791.49 | $687.29 – $1,446.92 |
| 62-1138045 BMH Union City | Union City | $753.80 | $627.64 – $1,442.84 |