Albumin (human), 25%, 50ml at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$34.83
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.
$232.21
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.
$53.08 with AMERIGROUP vs $195.07 with AETNA — 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 MEDICARE WELLPOINT | $53.08 | ↑ +52% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $53.08 | ↑ +52% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $53.08 | ↑ +52% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $53.08 | ↑ +52% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $53.08 | ↑ +52% |
| SENTARA HEALTH | SENTARA MEDICARE | $53.08 | ↑ +52% |
| HUMANA | HUMANA MEDICARE | $53.08 | ↑ +52% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $53.08 | ↑ +52% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $53.08 | ↑ +52% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $53.08 | ↑ +52% |
| AETNA | AETNA HEALTHCARE MEDICARE | $53.08 | ↑ +52% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $53.08 | ↑ +52% |
| SENTARA HEALTH | SENTARA HEALTH | $53.60 | ↑ +54% |
| BLUE CROSS | TENNCARE BLUE CARE | $54.01 | ↑ +55% |
| BLUE CROSS | TENNCARE BLUE SELECT | $54.01 | ↑ +55% |
| AMERIGROUP | AMERIGROUP | $54.55 | ↑ +57% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $54.67 | ↑ +57% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $55.10 | ↑ +58% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $55.20 | ↑ +58% |
| BLUE CROSS | BLUE CROSS MEDICARE | $55.20 | ↑ +58% |
| NHC ADVANTAGE | NHC ADVANTAGE | $55.73 | ↑ +60% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $55.73 | ↑ +60% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $55.73 | ↑ +60% |
| WELLCARE | WELLCARE MEDICARE | $56.26 | ↑ +62% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $61.24 | ↑ +76% |
| BLUE CROSS | BLUE CROSS E NETWORK | $62.11 | ↑ +78% |
| BLUE CROSS | BLUE CROSS S NETWORK | $63.49 | ↑ +82% |
| BLUE CROSS | BLUE CROSS P NETWORK | $63.49 | ↑ +82% |
| MEDCOST | MEDCOST VHN | $67.43 | ↑ +94% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $80.78 | ↑ +132% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $107.41 | ↑ +208% |
| CIGNA HEALTHCARE | CIGNA HMO | $107.41 | ↑ +208% |
| CIGNA HEALTHCARE | CIGNA PPO | $107.41 | ↑ +208% |
| AMBETTER | AMBETTER | $115.71 | ↑ +232% |
| AETNA | AETNA | $122.92 | ↑ +253% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $144.50 | ↑ +315% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $187.57 | ↑ +439% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $187.57 | ↑ +439% |
| WELLCARE | WELLCARE MEDICAID | $192.67 | ↑ +453% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $192.67 | ↑ +453% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $195.07 | ↑ +460% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $195.07 | ↑ +460% |
Visitor-reported prices
Comments
Albumin (human), 25%, 50ml at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $123.36 | $46.01 – $227.80 |
| CHI Memorial Hospital Hixson | Hixson | $68.52 | $37.41 – $135.36 |
| 62-1166050 BMH Carroll County | Huntingdon | $50.92 | $46.56 – $67.17 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $97.91 | $37.41 – $135.36 |
| Johnson City Medical Center | JOHNSON CITY | $141.47 | $19.50 – $172.85 |
| Ascension Saint Thomas DeKalb | Smithville | $123.36 | $34.02 – $112.77 |
| Ascension Saint Thomas Highlands | Sparta | $123.36 | $34.02 – $112.77 |
| Ascension Saint Thomas River Park | McMinnville | $123.36 | $34.02 – $70.69 |