Abdominal Ultrasound (complete) at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$101.55
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.
$677.00
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.
$64.60 with BLUE CROSS vs $677.00 with SEVEN CORNERS, INC. — 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 | $64.60 | ↓ -36% |
| BLUE CROSS | TENNCARE BLUE CARE | $64.60 | ↓ -36% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $86.68 | ↓ -15% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $94.85 | ↓ -7% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $94.85 | ↓ -7% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $94.85 | ↓ -7% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $94.85 | ↓ -7% |
| AETNA | AETNA HEALTHCARE MEDICARE | $94.85 | ↓ -7% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $94.85 | ↓ -7% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $94.85 | ↓ -7% |
| SENTARA HEALTH | SENTARA MEDICARE | $94.85 | ↓ -7% |
| HUMANA | HUMANA MEDICARE | $94.85 | ↓ -7% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $97.70 | ↓ -4% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $98.65 | ↓ -3% |
| BLUE CROSS | BLUE CROSS MEDICARE | $98.65 | ↓ -3% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $99.59 | ↓ -2% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $99.59 | ↓ -2% |
| NHC ADVANTAGE | NHC ADVANTAGE | $99.59 | ↓ -2% |
| WELLCARE | WELLCARE MEDICARE | $100.54 | ↓ -1% |
| AMERIGROUP | AMERIGROUP | $105.71 | ↑ +4% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $113.57 | ↑ +12% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $147.32 | ↑ +45% |
| SENTARA HEALTH | SENTARA HEALTH | $188.34 | ↑ +85% |
| AMBETTER | AMBETTER | $206.78 | ↑ +104% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $227.39 | ↑ +124% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $227.39 | ↑ +124% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $236.48 | ↑ +133% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $236.49 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $236.95 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $289.55 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA PPO | $289.55 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $289.55 | ↑ +185% |
| BLUE CROSS | BLUE CROSS E NETWORK | $416.92 | ↑ +311% |
| BLUE CROSS | BLUE CROSS S NETWORK | $425.13 | ↑ +319% |
| BLUE CROSS | BLUE CROSS P NETWORK | $425.13 | ↑ +319% |
| AETNA | AETNA | $431.93 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $469.00 | ↑ +362% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $507.75 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $535.00 | ↑ +427% |
| WELLCARE | WELLCARE MEDICAID | $677.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $677.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $677.00 | ↑ +567% |
Visitor-reported prices
Comments
Abdominal Ultrasound (complete) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $226.31 | $55.69 – $218.95 |
| CHI Memorial Hospital Hixson | Hixson | $625.16 | $82.88 – $1,478.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $288.19 | $55.69 – $194.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $893.38 | $82.88 – $1,478.40 |
| Johnson City Medical Center | JOHNSON CITY | $101.55 | $64.60 – $212.67 |
| Ascension Saint Thomas DeKalb | Smithville | $469.01 | $47.68 – $218.95 |
| Ascension Saint Thomas Highlands | Sparta | $469.01 | $47.68 – $218.95 |
| Ascension Saint Thomas River Park | McMinnville | $446.66 | $47.68 – $218.95 |