Application multi layer compression below knee (both sides) at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$110.40
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.
$736.00
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.
$82.07 with BLUE CROSS vs $490.00 with SEVEN CORNERS, INC. — 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $82.07 | ↓ -26% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $115.08 | ↑ +4% |
| AMERIGROUP | AMERIGROUP | $125.07 | ↑ +13% |
| SENTARA HEALTH | SENTARA HEALTH | $136.32 | ↑ +23% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $147.43 | ↑ +34% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $147.43 | ↑ +34% |
| SENTARA HEALTH | SENTARA MEDICARE | $147.43 | ↑ +34% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $147.43 | ↑ +34% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $147.43 | ↑ +34% |
| AETNA | AETNA HEALTHCARE MEDICARE | $147.43 | ↑ +34% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $147.43 | ↑ +34% |
| HUMANA | HUMANA MEDICARE | $147.43 | ↑ +34% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $147.43 | ↑ +34% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $151.86 | ↑ +38% |
| BLUE CROSS | BLUE CROSS MEDICARE | $153.33 | ↑ +39% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $153.33 | ↑ +39% |
| NHC ADVANTAGE | NHC ADVANTAGE | $154.80 | ↑ +40% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $154.80 | ↑ +40% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $154.80 | ↑ +40% |
| WELLCARE | WELLCARE MEDICARE | $156.28 | ↑ +42% |
| MEDCOST | MEDCOST VHN | $171.50 | ↑ +55% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $182.28 | ↑ +65% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $190.12 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA HMO | $190.12 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $191.59 | ↑ +74% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $191.59 | ↑ +74% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $227.36 | ↑ +106% |
| CIGNA HEALTHCARE | CIGNA PPO | $233.24 | ↑ +111% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $272.31 | ↑ +147% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $272.31 | ↑ +147% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $283.20 | ↑ +157% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $283.21 | ↑ +157% |
| AETNA | AETNA | $312.62 | ↑ +183% |
| AMBETTER | AMBETTER | $321.40 | ↑ +191% |
| BLUE CROSS | BLUE CROSS S NETWORK | $352.80 | ↑ +220% |
| BLUE CROSS | BLUE CROSS E NETWORK | $352.80 | ↑ +220% |
| BLUE CROSS | BLUE CROSS P NETWORK | $352.80 | ↑ +220% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $367.50 | ↑ +233% |
| WELLCARE | WELLCARE MEDICAID | $490.00 | ↑ +344% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $490.00 | ↑ +344% |
Visitor-reported prices
Comments
Application multi layer compression below knee (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $187.08 | $126.40 – $442.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $54.05 | $125.35 – $288.16 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $267.34 | $132.72 – $442.40 |
| Johnson City Medical Center | JOHNSON CITY | $110.40 | $82.07 – $330.57 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $342.57 | $45.00 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $108.10 | $63.94 – $285.93 |
| Greeneville Community Hospital | GREENEVILLE | $110.40 | $46.03 – $330.57 |
| Bristol Regional Medical Center | BRISTOL | $110.40 | $76.72 – $369.97 |