Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$373.50
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.
$2,490.00
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.
$450.88 with AMERIGROUP 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $450.88 | ↑ +21% |
| SENTARA HEALTH | SENTARA MEDICARE | $670.54 | ↑ +80% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $670.54 | ↑ +80% |
| AETNA | AETNA HEALTHCARE MEDICARE | $670.54 | ↑ +80% |
| HUMANA | HUMANA MEDICARE | $670.54 | ↑ +80% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $670.54 | ↑ +80% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $670.54 | ↑ +80% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $670.54 | ↑ +80% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $670.54 | ↑ +80% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $670.54 | ↑ +80% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $690.66 | ↑ +85% |
| SENTARA HEALTH | SENTARA HEALTH | $692.72 | ↑ +85% |
| BLUE CROSS | BLUE CROSS MEDICARE | $697.36 | ↑ +87% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $697.36 | ↑ +87% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $704.07 | ↑ +89% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $704.07 | ↑ +89% |
| NHC ADVANTAGE | NHC ADVANTAGE | $704.07 | ↑ +89% |
| WELLCARE | WELLCARE MEDICARE | $710.77 | ↑ +90% |
| MEDCOST | MEDCOST VHN | $871.50 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $926.28 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $966.12 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $966.12 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $973.59 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $973.59 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,155.36 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,185.24 | ↑ +217% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,266.68 | ↑ +239% |
| AMBETTER | AMBETTER | $1,461.78 | ↑ +291% |
| AETNA | AETNA | $1,588.62 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,743.00 | ↑ +367% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,792.80 | ↑ +380% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,792.80 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,792.80 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,867.50 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $2,490.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,490.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,667.33 | ↑ +614% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,667.33 | ↑ +614% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,774.02 | ↑ +643% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,774.03 | ↑ +643% |
Visitor-reported prices
Comments
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $2,021.98 | $1,366.20 – $4,781.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $974.05 | $1,453.17 – $3,340.62 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,889.52 | $1,434.51 – $4,781.70 |
| Johnson City Medical Center | JOHNSON CITY | $373.50 | $463.74 – $2,458.08 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $879.60 | $260.62 – $1,004.50 |
| Greeneville Community Hospital | GREENEVILLE | $373.50 | $414.69 – $2,667.33 |
| Bristol Regional Medical Center | BRISTOL | $373.50 | $701.12 – $2,501.38 |
| Franklin Woods Community Hospital | JOHNSON CITY | $373.50 | $407.83 – $2,667.33 |