Bacterial meningitis antigen at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$17.85
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.
?
What you pay up front if you don't use insurance.
$119.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5.77 with AMERIGROUP vs $119.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $5.77 | ↓ -68% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $11.54 | ↓ -35% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $11.54 | ↓ -35% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $11.54 | ↓ -35% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $11.54 | ↓ -35% |
| SENTARA HEALTH | SENTARA MEDICARE | $11.54 | ↓ -35% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $11.54 | ↓ -35% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $11.54 | ↓ -35% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $11.54 | ↓ -35% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $11.54 | ↓ -35% |
| AETNA | AETNA HEALTHCARE MEDICARE | $11.54 | ↓ -35% |
| HUMANA | HUMANA MEDICARE | $11.54 | ↓ -35% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $11.54 | ↓ -35% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $11.89 | ↓ -33% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $12.00 | ↓ -33% |
| BLUE CROSS | BLUE CROSS MEDICARE | $12.00 | ↓ -33% |
| NHC ADVANTAGE | NHC ADVANTAGE | $12.12 | ↓ -32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $12.12 | ↓ -32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $12.12 | ↓ -32% |
| WELLCARE | WELLCARE MEDICARE | $12.23 | ↓ -31% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $12.80 | ↓ -28% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $12.80 | ↓ -28% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $13.00 | ↓ -27% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $13.31 | ↓ -25% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $13.31 | ↓ -25% |
| BLUE CROSS | TENNCARE BLUE SELECT | $24.46 | ↑ +37% |
| BLUE CROSS | TENNCARE BLUE CARE | $24.46 | ↑ +37% |
| AMBETTER | AMBETTER | $25.16 | ↑ +41% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $25.26 | ↑ +42% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $26.49 | ↑ +48% |
| SENTARA HEALTH | SENTARA HEALTH | $33.11 | ↑ +85% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $39.80 | ↑ +123% |
| CIGNA HEALTHCARE | CIGNA PPO | $39.80 | ↑ +123% |
| CIGNA HEALTHCARE | CIGNA HMO | $39.80 | ↑ +123% |
| MEDCOST | MEDCOST VHN | $41.65 | ↑ +133% |
| BLUE CROSS | BLUE CROSS E NETWORK | $56.85 | ↑ +218% |
| BLUE CROSS | BLUE CROSS S NETWORK | $57.96 | ↑ +225% |
| BLUE CROSS | BLUE CROSS P NETWORK | $57.96 | ↑ +225% |
| AETNA | AETNA | $75.92 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $89.25 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $119.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $119.00 | ↑ +567% |
Visitor-reported prices
Comments
Bacterial meningitis antigen at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $315.24 | $4.15 – $39.50 |
| CHI Memorial Hospital Hixson | Hixson | $28.42 | $9.05 – $67.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $95.22 | $10.04 – $23.08 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $40.61 | $9.05 – $67.20 |
| Johnson City Medical Center | JOHNSON CITY | $17.85 | $5.77 – $25.16 |
| Ascension Saint Thomas DeKalb | Smithville | $315.24 | $7.15 – $39.50 |
| Ascension Saint Thomas Highlands | Sparta | $315.24 | $7.15 – $39.50 |
| Ascension Saint Thomas River Park | McMinnville | $315.24 | $7.15 – $40.07 |