Allograft umbil cord+amniotic membrane-q4148-cost per sq cm at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$186.21
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.
$1,241.41
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.
$112.91 with UNITED MINE WORKERS OF AMERICA vs $735.04 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 |
|---|---|---|---|
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $112.91 | ↓ -39% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $112.91 | ↓ -39% |
| AETNA | AETNA HEALTHCARE MEDICARE | $112.91 | ↓ -39% |
| HUMANA | HUMANA MEDICARE | $112.91 | ↓ -39% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $112.91 | ↓ -39% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $112.91 | ↓ -39% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $112.91 | ↓ -39% |
| SENTARA HEALTH | SENTARA MEDICARE | $112.91 | ↓ -39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $112.91 | ↓ -39% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $116.29 | ↓ -38% |
| BLUE CROSS | BLUE CROSS MEDICARE | $117.42 | ↓ -37% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $117.42 | ↓ -37% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $118.55 | ↓ -36% |
| NHC ADVANTAGE | NHC ADVANTAGE | $118.55 | ↓ -36% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $118.55 | ↓ -36% |
| WELLCARE | WELLCARE MEDICARE | $119.68 | ↓ -36% |
| SENTARA HEALTH | SENTARA HEALTH | $204.49 | ↑ +10% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $217.89 | ↑ +17% |
| AMBETTER | AMBETTER | $246.13 | ↑ +32% |
| MEDCOST | MEDCOST VHN | $257.26 | ↑ +38% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $289.69 | ↑ +56% |
| CIGNA HEALTHCARE | CIGNA PPO | $289.69 | ↑ +56% |
| CIGNA HEALTHCARE | CIGNA HMO | $289.69 | ↑ +56% |
| BLUE CROSS | TENNCARE BLUE CARE | $321.03 | ↑ +72% |
| BLUE CROSS | TENNCARE BLUE SELECT | $321.03 | ↑ +72% |
| AETNA | AETNA | $468.96 | ↑ +152% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $514.53 | ↑ +176% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $551.28 | ↑ +196% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $735.04 | ↑ +295% |
| WELLCARE | WELLCARE MEDICAID | $735.04 | ↑ +295% |
Visitor-reported prices
Comments
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $285.52 | $217.89 – $321.03 |
| 62-0123940 BMH Collierville | Collierville | $1,058.40 | $129.58 – $129.58 |
| Johnson County Community Hospital | MOUNTAIN CITY | $285.52 | $217.89 – $321.03 |