Antibody id rbc panel at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$93.75
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.
$625.00
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.
$13.55 with BLUE CROSS vs $708.96 with AMBETTER — 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 | $13.55 | ↓ -86% |
| BLUE CROSS | TENNCARE BLUE CARE | $13.55 | ↓ -86% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $22.38 | ↓ -76% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $45.85 | ↓ -51% |
| CIGNA HEALTHCARE | CIGNA HMO | $80.54 | ↓ -14% |
| CIGNA HEALTHCARE | CIGNA PPO | $80.54 | ↓ -14% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $80.54 | ↓ -14% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $90.22 | ↓ -4% |
| AMERIGROUP | AMERIGROUP | $95.66 | ↑ +2% |
| BLUE CROSS | BLUE CROSS E NETWORK | $111.82 | ↑ +19% |
| BLUE CROSS | BLUE CROSS S NETWORK | $114.01 | ↑ +22% |
| BLUE CROSS | BLUE CROSS P NETWORK | $114.01 | ↑ +22% |
| SENTARA HEALTH | SENTARA HEALTH | $173.88 | ↑ +85% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $186.23 | ↑ +99% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $186.23 | ↑ +99% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $193.68 | ↑ +107% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $193.68 | ↑ +107% |
| MEDCOST | MEDCOST VHN | $218.75 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $283.41 | ↑ +202% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $283.41 | ↑ +202% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $283.41 | ↑ +202% |
| AETNA | AETNA HEALTHCARE MEDICARE | $325.21 | ↑ +247% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $325.21 | ↑ +247% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $325.21 | ↑ +247% |
| HUMANA | HUMANA MEDICARE | $325.21 | ↑ +247% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $325.21 | ↑ +247% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $325.21 | ↑ +247% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $325.21 | ↑ +247% |
| SENTARA HEALTH | SENTARA MEDICARE | $325.21 | ↑ +247% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $325.21 | ↑ +247% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $334.97 | ↑ +257% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $338.22 | ↑ +261% |
| BLUE CROSS | BLUE CROSS MEDICARE | $338.22 | ↑ +261% |
| NHC ADVANTAGE | NHC ADVANTAGE | $341.47 | ↑ +264% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $341.47 | ↑ +264% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $341.47 | ↑ +264% |
| WELLCARE | WELLCARE MEDICARE | $344.72 | ↑ +268% |
| AETNA | AETNA | $398.75 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $468.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $625.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $625.00 | ↑ +567% |
| AMBETTER | AMBETTER | $708.96 | ↑ +656% |
Visitor-reported prices
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Antibody id rbc panel at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $167.00 | $11.68 – $482.30 |
| CHI Memorial Hospital Hixson | Hixson | $131.13 | $6.12 – $310.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $126.27 | $11.68 – $656.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $187.39 | $6.12 – $310.10 |
| Johnson City Medical Center | JOHNSON CITY | $93.75 | $13.55 – $729.17 |
| Ascension Saint Thomas DeKalb | Smithville | $167.00 | $11.68 – $475.36 |
| Ascension Saint Thomas Highlands | Sparta | $167.00 | $11.68 – $475.36 |
| Ascension Saint Thomas River Park | McMinnville | $167.00 | $12.32 – $475.36 |