Procalcitonin at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$30.45
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.
$203.00
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.
$13.61 with AMERIGROUP vs $203.00 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 | $13.61 | ↓ -55% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $13.70 | ↓ -55% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $14.11 | ↓ -54% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $14.12 | ↓ -54% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $14.25 | ↓ -53% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $14.39 | ↓ -53% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $22.76 | ↓ -25% |
| BLUE CROSS | TENNCARE BLUE SELECT | $26.17 | ↓ -14% |
| BLUE CROSS | TENNCARE BLUE CARE | $26.17 | ↓ -14% |
| BLUE CROSS | ANTHEM HMO | $27.22 | ↓ -11% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $27.22 | ↓ -11% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $27.22 | ↓ -11% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $27.22 | ↓ -11% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $27.22 | ↓ -11% |
| SENTARA HEALTH | SENTARA MEDICARE | $27.22 | ↓ -11% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $27.22 | ↓ -11% |
| AETNA | AETNA HEALTHCARE MEDICARE | $27.22 | ↓ -11% |
| HUMANA | HUMANA MEDICARE | $27.22 | ↓ -11% |
| BLUE CROSS | ANTHEM EXCHANGE | $27.22 | ↓ -11% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $27.22 | ↓ -11% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $27.22 | ↓ -11% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $27.22 | ↓ -11% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $27.76 | ↓ -9% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $27.76 | ↓ -9% |
| BLUE CROSS | BLUE CROSS MEDICARE | $28.31 | ↓ -7% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $28.31 | ↓ -7% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $28.31 | ↓ -7% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $28.58 | ↓ -6% |
| NHC ADVANTAGE | NHC ADVANTAGE | $28.58 | ↓ -6% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $28.58 | ↓ -6% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $28.58 | ↓ -6% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $28.58 | ↓ -6% |
| WELLCARE | WELLCARE MEDICARE | $28.85 | ↓ -5% |
| SENTARA HEALTH | SENTARA HEALTH | $52.39 | ↑ +72% |
| AMBETTER | AMBETTER | $59.34 | ↑ +95% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $59.91 | ↑ +97% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $65.33 | ↑ +115% |
| BLUE CROSS | BLUE CROSS E NETWORK | $77.36 | ↑ +154% |
| BLUE CROSS | BLUE CROSS S NETWORK | $78.31 | ↑ +157% |
| BLUE CROSS | BLUE CROSS P NETWORK | $79.02 | ↑ +160% |
| AETNA | AETNA | $86.68 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $96.61 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA PPO | $107.72 | ↑ +254% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $107.72 | ↑ +254% |
| CIGNA HEALTHCARE | CIGNA HMO | $107.72 | ↑ +254% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $156.31 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $203.00 | ↑ +567% |
Visitor-reported prices
Comments
Procalcitonin at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $30.45 | $13.25 – $65.33 |
| Ascension Saint Thomas Midtown | Nashville | $91.44 | $9.80 – $103.84 |
| CHI Memorial Hospital Hixson | Hixson | $48.25 | $23.79 – $114.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $117.99 | $22.56 – $54.44 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $68.95 | $23.79 – $114.10 |
| Johnson City Medical Center | JOHNSON CITY | $30.45 | $13.61 – $59.34 |
| Ascension Saint Thomas DeKalb | Smithville | $91.44 | $18.78 – $103.84 |
| Ascension Saint Thomas Highlands | Sparta | $91.44 | $18.78 – $103.84 |