Assay of procainamide w/metab at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$29.25
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.
$195.00
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.
$8.38 with AMERIGROUP vs $195.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $8.38 | ↓ -71% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $12.56 | ↓ -57% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $12.93 | ↓ -56% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $12.95 | ↓ -56% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $13.06 | ↓ -55% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $13.19 | ↓ -55% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $14.23 | ↓ -51% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $16.75 | ↓ -43% |
| AETNA | AETNA HEALTHCARE MEDICARE | $16.75 | ↓ -43% |
| HUMANA | HUMANA MEDICARE | $16.75 | ↓ -43% |
| BLUE CROSS | ANTHEM EXCHANGE | $16.75 | ↓ -43% |
| BLUE CROSS | ANTHEM HMO | $16.75 | ↓ -43% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $16.75 | ↓ -43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $16.75 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $16.75 | ↓ -43% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $16.75 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $16.75 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $16.75 | ↓ -43% |
| SENTARA HEALTH | SENTARA MEDICARE | $16.75 | ↓ -43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $16.75 | ↓ -43% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $17.09 | ↓ -42% |
| BLUE CROSS | BLUE CROSS MEDICARE | $17.42 | ↓ -40% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $17.42 | ↓ -40% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $17.42 | ↓ -40% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $17.59 | ↓ -40% |
| NHC ADVANTAGE | NHC ADVANTAGE | $17.59 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $17.59 | ↓ -40% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $17.59 | ↓ -40% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $17.59 | ↓ -40% |
| WELLCARE | WELLCARE MEDICARE | $17.76 | ↓ -39% |
| AMBETTER | AMBETTER | $36.52 | ↑ +25% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $36.81 | ↑ +26% |
| BLUE CROSS | TENNCARE BLUE SELECT | $37.65 | ↑ +29% |
| BLUE CROSS | TENNCARE BLUE CARE | $37.65 | ↑ +29% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $40.20 | ↑ +37% |
| SENTARA HEALTH | SENTARA HEALTH | $50.33 | ↑ +72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $51.21 | ↑ +75% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $67.39 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA PPO | $67.39 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA HMO | $67.39 | ↑ +130% |
| BLUE CROSS | BLUE CROSS E NETWORK | $74.49 | ↑ +155% |
| BLUE CROSS | BLUE CROSS S NETWORK | $75.41 | ↑ +158% |
| BLUE CROSS | BLUE CROSS P NETWORK | $76.09 | ↑ +160% |
| AETNA | AETNA | $83.27 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $92.80 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $150.15 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $195.00 | ↑ +567% |
Visitor-reported prices
Comments
Assay of procainamide w/metab at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $29.25 | $8.38 – $40.20 |
| Ascension Saint Thomas Midtown | Nashville | $120.75 | $6.03 – $64.35 |
| CHI Memorial Hospital Hixson | Hixson | $30.79 | $14.88 – $72.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $19.32 | $14.57 – $33.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $44.00 | $14.88 – $72.80 |
| Johnson City Medical Center | JOHNSON CITY | $29.25 | $8.38 – $36.52 |
| Ascension Saint Thomas DeKalb | Smithville | $84.27 | $11.74 – $64.35 |
| Ascension Saint Thomas Highlands | Sparta | $84.27 | $11.74 – $64.35 |