Artery x-rays spine at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$1,357.80
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.
$9,052.00
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.
$254.18 with CIGNA HEALTHCARE vs $11,005.77 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $254.18 | ↓ -81% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↓ -76% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $364.00 | ↓ -73% |
| BLUE CROSS | TENNCARE BLUE SELECT | $413.85 | ↓ -70% |
| BLUE CROSS | TENNCARE BLUE CARE | $413.85 | ↓ -70% |
| CIGNA HEALTHCARE | CIGNA PPO | $457.27 | ↓ -66% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $457.27 | ↓ -66% |
| CIGNA HEALTHCARE | CIGNA HMO | $457.27 | ↓ -66% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $472.00 | ↓ -65% |
| BLUE CROSS | BLUE CROSS E NETWORK | $574.22 | ↓ -58% |
| BLUE CROSS | BLUE CROSS S NETWORK | $585.53 | ↓ -57% |
| BLUE CROSS | BLUE CROSS P NETWORK | $585.53 | ↓ -57% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $808.48 | ↓ -40% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,877.97 | ↑ +38% |
| SENTARA HEALTH | SENTARA HEALTH | $2,518.27 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $3,168.20 | ↑ +133% |
| AMERIGROUP | AMERIGROUP | $3,938.95 | ↑ +190% |
| AETNA | AETNA HEALTHCARE MEDICARE | $5,048.52 | ↑ +272% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $5,048.52 | ↑ +272% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $5,048.52 | ↑ +272% |
| HUMANA | HUMANA MEDICARE | $5,048.52 | ↑ +272% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $5,048.52 | ↑ +272% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $5,048.52 | ↑ +272% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $5,048.52 | ↑ +272% |
| SENTARA HEALTH | SENTARA MEDICARE | $5,048.52 | ↑ +272% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $5,048.52 | ↑ +272% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $5,199.97 | ↑ +283% |
| BLUE CROSS | BLUE CROSS MEDICARE | $5,250.46 | ↑ +287% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $5,250.46 | ↑ +287% |
| NHC ADVANTAGE | NHC ADVANTAGE | $5,300.94 | ↑ +290% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $5,300.94 | ↑ +290% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $5,300.94 | ↑ +290% |
| WELLCARE | WELLCARE MEDICARE | $5,351.43 | ↑ +294% |
| AETNA | AETNA | $5,775.18 | ↑ +325% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $6,409.78 | ↑ +372% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $6,409.78 | ↑ +372% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $6,666.17 | ↑ +391% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $6,666.17 | ↑ +391% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6,789.00 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $9,052.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $9,052.00 | ↑ +567% |
| AMBETTER | AMBETTER | $11,005.77 | ↑ +711% |
Visitor-reported prices
Comments
Artery x-rays spine at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $994.49 | $148.27 – $7,353.90 |
| CHI Memorial Hospital Hixson | Hixson | $5,524.55 | $221.14 – $13,064.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $7,894.88 | $221.14 – $13,064.80 |
| Johnson City Medical Center | JOHNSON CITY | $1,357.80 | $254.18 – $11,319.56 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $994.49 | $148.27 – $7,353.90 |
| Greeneville Community Hospital | GREENEVILLE | $1,357.80 | $224.00 – $11,319.56 |
| Bristol Regional Medical Center | BRISTOL | $1,357.80 | $224.00 – $11,507.70 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,357.80 | $254.18 – $11,013.95 |