Analysis gene f5 leiden variant at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$106.95
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.
$713.00
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.
$36.69 with AMERIGROUP vs $713.00 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 | $36.69 | ↓ -66% |
| BLUE CROSS | TENNCARE BLUE CARE | $47.12 | ↓ -56% |
| BLUE CROSS | TENNCARE BLUE SELECT | $47.12 | ↓ -56% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $49.44 | ↓ -54% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $49.44 | ↓ -54% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $51.42 | ↓ -52% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $51.42 | ↓ -52% |
| AETNA | AETNA HEALTHCARE MEDICARE | $73.37 | ↓ -31% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $73.37 | ↓ -31% |
| HUMANA | HUMANA MEDICARE | $73.37 | ↓ -31% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $73.37 | ↓ -31% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $73.37 | ↓ -31% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $73.37 | ↓ -31% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $73.37 | ↓ -31% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $73.37 | ↓ -31% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $73.37 | ↓ -31% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $73.37 | ↓ -31% |
| SENTARA HEALTH | SENTARA MEDICARE | $73.37 | ↓ -31% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $73.37 | ↓ -31% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $75.03 | ↓ -30% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $75.57 | ↓ -29% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $76.30 | ↓ -29% |
| BLUE CROSS | BLUE CROSS MEDICARE | $76.30 | ↓ -29% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $77.04 | ↓ -28% |
| NHC ADVANTAGE | NHC ADVANTAGE | $77.04 | ↓ -28% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $77.04 | ↓ -28% |
| WELLCARE | WELLCARE MEDICARE | $77.77 | ↓ -27% |
| AMBETTER | AMBETTER | $159.95 | ↑ +50% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $161.68 | ↑ +51% |
| SENTARA HEALTH | SENTARA HEALTH | $198.36 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $249.55 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $276.64 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $276.64 | ↑ +159% |
| BLUE CROSS | BLUE CROSS E NETWORK | $340.98 | ↑ +219% |
| CIGNA HEALTHCARE | CIGNA PPO | $344.38 | ↑ +222% |
| BLUE CROSS | BLUE CROSS S NETWORK | $347.65 | ↑ +225% |
| BLUE CROSS | BLUE CROSS P NETWORK | $347.65 | ↑ +225% |
| AETNA | AETNA | $454.89 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $499.10 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $534.75 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $713.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $713.00 | ↑ +567% |
Visitor-reported prices
Comments
Analysis gene f5 leiden variant at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $52.58 | $26.41 – $237.02 |
| CHI Memorial Hospital Hixson | Hixson | $69.86 | $40.00 – $165.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $319.70 | $40.62 – $146.74 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $99.83 | $40.00 – $165.20 |
| Johnson City Medical Center | JOHNSON CITY | $106.95 | $36.69 – $159.95 |
| Ascension Saint Thomas DeKalb | Smithville | $52.58 | $40.62 – $237.02 |
| Ascension Saint Thomas Highlands | Sparta | $52.58 | $40.62 – $237.02 |
| Ascension Saint Thomas River Park | McMinnville | $52.58 | $41.27 – $237.02 |