App high cost ss f/n/g/h/f >100sq cm addl 100sq cm at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$137.55
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.
$917.00
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.
$255.11 with SENTARA HEALTH vs $2,774.03 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $255.11 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $320.95 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $341.12 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA HMO | $355.80 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $355.80 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $358.55 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $358.55 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $425.49 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $436.49 | ↑ +217% |
| AETNA | AETNA | $585.05 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $641.90 | ↑ +367% |
| BLUE CROSS | BLUE CROSS S NETWORK | $660.24 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $660.24 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $660.24 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $687.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $917.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $917.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,667.33 | ↑ +1839% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,667.33 | ↑ +1839% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,774.02 | ↑ +1917% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,774.03 | ↑ +1917% |
Visitor-reported prices
Comments
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,011.14 | $683.20 – $2,391.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $206.08 | $45.27 – $98.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,444.97 | $717.36 – $2,391.20 |
| Johnson City Medical Center | JOHNSON CITY | $137.55 | $358.55 – $2,556.41 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,678.95 | $141.68 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $137.55 | $281.52 – $2,667.33 |
| Bristol Regional Medical Center | BRISTOL | $137.55 | $281.52 – $2,547.48 |
| Franklin Woods Community Hospital | JOHNSON CITY | $137.55 | $341.12 – $2,774.03 |