Unlisted spec derm svc/px at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$86.85
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.
?
What you pay up front if you don't use insurance.
$579.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$16.27 with UNITED HEALTHCARE vs $579.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $16.27 | ↓ -81% |
| SENTARA HEALTH | SENTARA HEALTH | $149.44 | ↑ +72% |
| SENTARA HEALTH | SENTARA MEDICARE | $190.33 | ↑ +119% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $190.33 | ↑ +119% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $190.33 | ↑ +119% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $190.33 | ↑ +119% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $190.33 | ↑ +119% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $190.33 | ↑ +119% |
| AETNA | AETNA HEALTHCARE MEDICARE | $190.33 | ↑ +119% |
| HUMANA | HUMANA MEDICARE | $190.33 | ↑ +119% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $194.14 | ↑ +124% |
| BLUE CROSS | BLUE CROSS MEDICARE | $197.95 | ↑ +128% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $197.95 | ↑ +128% |
| NHC ADVANTAGE | NHC ADVANTAGE | $199.85 | ↑ +130% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $199.85 | ↑ +130% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $199.85 | ↑ +130% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $199.85 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $199.85 | ↑ +130% |
| WELLCARE | WELLCARE MEDICARE | $201.75 | ↑ +132% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $218.55 | ↑ +152% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $225.10 | ↑ +159% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $225.33 | ↑ +159% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $227.29 | ↑ +162% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $229.48 | ↑ +164% |
| CIGNA HEALTHCARE | CIGNA HMO | $241.44 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $241.44 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $241.44 | ↑ +178% |
| AETNA | AETNA | $247.23 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $268.66 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $275.55 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $390.90 | ↑ +350% |
| AMBETTER | AMBETTER | $414.92 | ↑ +378% |
| BLUE CROSS | ANTHEM HMO | $415.32 | ↑ +378% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $445.83 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $456.80 | ↑ +426% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $488.60 | ↑ +463% |
| WELLCARE | WELLCARE MEDICAID | $579.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $579.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $579.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $579.00 | ↑ +567% |
Visitor-reported prices
Comments
Unlisted spec derm svc/px at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $86.85 | $24.41 – $436.87 |
| Johnson City Medical Center | JOHNSON CITY | $86.85 | $24.41 – $408.14 |
| Greeneville Community Hospital | GREENEVILLE | $86.85 | $9.76 – $408.14 |
| Bristol Regional Medical Center | BRISTOL | $86.85 | $16.27 – $456.80 |
| Franklin Woods Community Hospital | JOHNSON CITY | $86.85 | $24.41 – $397.12 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $86.85 | $13.56 – $396.83 |
| Sycamore Shoals Hospital | ELIZABETHTON | $86.85 | $24.41 – $396.83 |
| Ascension Saint Thomas Midtown | Nashville | not published | $171.26 – $266.41 |