Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$295.05
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.
$1,967.00
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.
$23.55 with BLUE CROSS vs $607.11 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 | $23.55 | ↓ -92% |
| BLUE CROSS | TENNCARE BLUE CARE | $23.55 | ↓ -92% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $51.80 | ↓ -82% |
| SENTARA HEALTH | SENTARA HEALTH | $105.44 | ↓ -64% |
| MEDCOST | MEDCOST VHN | $132.65 | ↓ -55% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $140.99 | ↓ -52% |
| CIGNA HEALTHCARE | CIGNA HMO | $147.05 | ↓ -50% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $147.05 | ↓ -50% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $148.19 | ↓ -50% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $148.19 | ↓ -50% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $166.00 | ↓ -44% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $175.86 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA PPO | $180.40 | ↓ -39% |
| AMERIGROUP | AMERIGROUP | $226.00 | ↓ -23% |
| AETNA | AETNA | $241.80 | ↓ -18% |
| BLUE CROSS | BLUE CROSS P NETWORK | $272.88 | ↓ -8% |
| BLUE CROSS | BLUE CROSS S NETWORK | $272.88 | ↓ -8% |
| BLUE CROSS | BLUE CROSS E NETWORK | $272.88 | ↓ -8% |
| AETNA | AETNA HEALTHCARE MEDICARE | $278.49 | ↓ -6% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $278.49 | ↓ -6% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $278.49 | ↓ -6% |
| HUMANA | HUMANA MEDICARE | $278.49 | ↓ -6% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $278.49 | ↓ -6% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $278.49 | ↓ -6% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $278.49 | ↓ -6% |
| SENTARA HEALTH | SENTARA MEDICARE | $278.49 | ↓ -6% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $278.49 | ↓ -6% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $284.25 | ↓ -4% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $286.84 | ↓ -3% |
| BLUE CROSS | BLUE CROSS MEDICARE | $289.63 | ↓ -2% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $289.63 | ↓ -2% |
| NHC ADVANTAGE | NHC ADVANTAGE | $292.41 | ↓ -1% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $292.41 | ↓ -1% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $292.41 | ↓ -1% |
| WELLCARE | WELLCARE MEDICARE | $295.20 | ↑ +0% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $341.33 | ↑ +16% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $341.33 | ↑ +16% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $354.98 | ↑ +20% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $354.99 | ↑ +20% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $379.00 | ↑ +28% |
| WELLCARE | WELLCARE MEDICAID | $379.00 | ↑ +28% |
| AMBETTER | AMBETTER | $607.11 | ↑ +106% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $395.57 | $20.30 – $998.50 |
| CHI Memorial Hospital Hixson | Hixson | $393.39 | $30.21 – $930.30 |
| 62-1166050 BMH Carroll County | Huntingdon | $291.64 | $234.50 – $539.08 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $562.17 | $30.21 – $930.30 |
| Johnson City Medical Center | JOHNSON CITY | $295.05 | $23.55 – $624.42 |
| Ascension Saint Thomas DeKalb | Smithville | $395.57 | $20.30 – $1,004.50 |
| Ascension Saint Thomas River Park | McMinnville | $395.57 | $20.30 – $1,004.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $395.57 | $20.30 – $1,004.50 |