Bone Density Scan (DEXA) at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$78.75
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.
$525.00
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.
$55.50 with CIGNA HEALTHCARE vs $525.00 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $55.50 | ↓ -30% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $64.33 | ↓ -18% |
| BLUE CROSS | TENNCARE BLUE SELECT | $82.44 | ↑ +5% |
| BLUE CROSS | TENNCARE BLUE CARE | $82.44 | ↑ +5% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $87.47 | ↑ +11% |
| AETNA | AETNA HEALTHCARE MEDICARE | $94.85 | ↑ +20% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $94.85 | ↑ +20% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $94.85 | ↑ +20% |
| SENTARA HEALTH | SENTARA MEDICARE | $94.85 | ↑ +20% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $94.85 | ↑ +20% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $94.85 | ↑ +20% |
| HUMANA | HUMANA MEDICARE | $94.85 | ↑ +20% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $94.85 | ↑ +20% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $94.85 | ↑ +20% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $97.70 | ↑ +24% |
| BLUE CROSS | BLUE CROSS MEDICARE | $98.65 | ↑ +25% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $98.65 | ↑ +25% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $99.59 | ↑ +26% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $99.59 | ↑ +26% |
| NHC ADVANTAGE | NHC ADVANTAGE | $99.59 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $100.54 | ↑ +28% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $103.91 | ↑ +32% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $103.91 | ↑ +32% |
| AMERIGROUP | AMERIGROUP | $105.71 | ↑ +34% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $108.06 | ↑ +37% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $108.07 | ↑ +37% |
| SENTARA HEALTH | SENTARA HEALTH | $146.06 | ↑ +85% |
| BLUE CROSS | BLUE CROSS E NETWORK | $159.63 | ↑ +103% |
| BLUE CROSS | BLUE CROSS S NETWORK | $162.77 | ↑ +107% |
| BLUE CROSS | BLUE CROSS P NETWORK | $162.77 | ↑ +107% |
| MEDCOST | MEDCOST VHN | $183.75 | ↑ +133% |
| AMBETTER | AMBETTER | $206.78 | ↑ +163% |
| CIGNA HEALTHCARE | CIGNA HMO | $236.48 | ↑ +200% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $236.48 | ↑ +200% |
| CIGNA HEALTHCARE | CIGNA PPO | $236.48 | ↑ +200% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↑ +306% |
| AETNA | AETNA | $334.95 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $364.00 | ↑ +362% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $393.75 | ↑ +400% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $472.00 | ↑ +499% |
| WELLCARE | WELLCARE MEDICAID | $525.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $525.00 | ↑ +567% |
Visitor-reported prices
Comments
Bone Density Scan (DEXA) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $161.37 | $41.22 – $179.33 |
| CHI Memorial Hospital Hixson | Hixson | $121.36 | $54.60 – $287.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $114.77 | $54.84 – $194.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $173.43 | $54.60 – $287.00 |
| Johnson City Medical Center | JOHNSON CITY | $78.75 | $55.50 – $212.67 |
| Ascension Saint Thomas DeKalb | Smithville | $161.37 | $35.38 – $179.33 |
| Ascension Saint Thomas Highlands | Sparta | $161.37 | $35.38 – $179.33 |
| Ascension Saint Thomas River Park | McMinnville | $161.37 | $35.38 – $179.33 |