Athrectomy tib/pero/unilat/ini ves 37229 at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$4,568.55
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.
$30,457.00
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.
$948.00 with UNITED HEALTHCARE vs $30,457.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $948.00 | ↓ -79% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $6,190.00 | ↑ +35% |
| SENTARA HEALTH | SENTARA HEALTH | $8,473.14 | ↑ +85% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $10,066.81 | ↑ +120% |
| MEDCOST | MEDCOST VHN | $10,659.95 | ↑ +133% |
| BLUE CROSS | BLUE CROSS E NETWORK | $10,792.00 | ↑ +136% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $10,806.00 | ↑ +137% |
| BLUE CROSS | BLUE CROSS P NETWORK | $11,019.00 | ↑ +141% |
| BLUE CROSS | BLUE CROSS S NETWORK | $11,019.00 | ↑ +141% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $11,817.32 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $11,817.32 | ↑ +159% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $14,004.00 | ↑ +207% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $14,132.05 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $14,710.73 | ↑ +222% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $15,116.94 | ↑ +231% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $15,116.94 | ↑ +231% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $15,721.62 | ↑ +244% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $15,721.62 | ↑ +244% |
| AETNA | AETNA | $19,431.57 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $22,842.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $30,457.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $30,457.00 | ↑ +567% |
Visitor-reported prices
Comments
Athrectomy tib/pero/unilat/ini ves 37229 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $15,469.73 | $2,118.00 – $3,422.09 |
| CHI Memorial Hospital Hixson | Hixson | $5,484.29 | $3,705.60 – $12,969.60 |
| 62-1166050 BMH Carroll County | Huntingdon | $11,358.78 | $4,693.00 – $32,793.28 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $7,837.35 | $3,890.88 – $12,969.60 |
| Johnson City Medical Center | JOHNSON CITY | $4,568.55 | $10,066.81 – $14,488.28 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $15,469.73 | $2,118.00 – $3,648.60 |
| Greeneville Community Hospital | GREENEVILLE | $4,568.55 | $10,066.81 – $15,116.94 |
| Bristol Regional Medical Center | BRISTOL | $4,568.55 | $10,066.81 – $14,437.68 |