Ultrasound trgt dyn mbubb ea addl at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$145.50
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.
$970.00
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.
$153.62 with BLUE CROSS vs $970.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $153.62 | ↑ +6% |
| BLUE CROSS | TENNCARE BLUE CARE | $153.62 | ↑ +6% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $206.83 | ↑ +42% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $213.03 | ↑ +46% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $213.24 | ↑ +47% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $215.10 | ↑ +48% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $217.17 | ↑ +49% |
| SENTARA HEALTH | SENTARA HEALTH | $250.36 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA PPO | $404.49 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $404.49 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $404.49 | ↑ +178% |
| AETNA | AETNA | $414.19 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $417.00 | ↑ +187% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $435.00 | ↑ +199% |
| MEDCOST | MEDCOST VHN | $461.62 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $526.52 | ↑ +262% |
| BLUE CROSS | BLUE CROSS S NETWORK | $537.93 | ↑ +270% |
| BLUE CROSS | BLUE CROSS P NETWORK | $542.82 | ↑ +273% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $679.00 | ↑ +367% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $687.00 | ↑ +372% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $746.90 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $970.00 | ↑ +567% |
Visitor-reported prices
Comments
Ultrasound trgt dyn mbubb ea addl at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $145.50 | $153.62 – $227.39 |
| Bristol Regional Medical Center | BRISTOL | $145.50 | $153.62 – $217.17 |
| 62-0123940 BMH Collierville | Collierville | $49.98 | $132.43 – $267.29 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $145.50 | $153.62 – $238.76 |
| Ascension Saint Thomas Midtown | Nashville | not published | $132.43 – $355.02 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $132.43 – $355.02 |
| Ascension Saint Thomas Highlands | Sparta | not published | $132.43 – $355.02 |
| Ascension Saint Thomas River Park | McMinnville | not published | $192.35 – $355.02 |