Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im at Holston Valley Medical Center

130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$24.23

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$161.50

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$11.65 with UNITED HEALTHCARE vs $161.50 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 →

Payer
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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
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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 $11.65 ↓ -52%
UNITED HEALTHCARE UHC HERITAGE SELECT $27.27 ↑ +13%
BLUE CROSS TENNCARE BLUE CARE $27.98 ↑ +15%
BLUE CROSS TENNCARE BLUE SELECT $27.98 ↑ +15%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $28.16 ↑ +16%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $31.88 ↑ +32%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $32.84 ↑ +36%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $32.87 ↑ +36%
BLUE CROSS ANTHEM EXCHANGE $33.15 ↑ +37%
BLUE CROSS ANTHEM HMO $33.15 ↑ +37%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $33.15 ↑ +37%
AETNA AETNA BETTER HEALTH OF VIRGINIA $33.16 ↑ +37%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $33.47 ↑ +38%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $38.90 ↑ +61%
SENTARA HEALTH SENTARA HEALTH $41.68 ↑ +72%
CIGNA HEALTHCARE CIGNA PPO $67.35 ↑ +178%
CIGNA HEALTHCARE CIGNA HMO $67.35 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $67.35 ↑ +178%
AETNA AETNA $68.96 ↑ +185%
MEDCOST MEDCOST VHN $76.86 ↑ +217%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $113.05 ↑ +367%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $124.36 ↑ +413%
WELLCARE WELLCARE MEDICAID $161.50 ↑ +567%

Visitor-reported prices

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Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im at other Tennessee hospitals

Hospital City Cash price Negotiated range
Indian Path Community Hospital KINGSPORT $23.12 $17.47 – $38.90
CHI Memorial Hospital Hixson Hixson $71.70 $12.59 – $54.96
62-1166050 BMH Carroll County Huntingdon $4.21 $20.00 – $26.74
CHI Memorial Hospital Chattanooga Chattanooga $102.46 $12.59 – $54.96
Johnson City Medical Center JOHNSON CITY $25.16 $1.00 – $33.60
Hancock County Hospital SNEEDVILLE $35.45 $0.24 – $38.90
Greeneville Community Hospital GREENEVILLE $23.12 $6.99 – $124.31
Bristol Regional Medical Center BRISTOL $26.12 $11.65 – $38.90

All Tennessee hospitals for this procedure →