Bone marrow biopsyneedle/trocar 38221 at Sycamore Shoals Hospital

1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$554.70

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$3,698.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$578.00 with BLUE CROSS vs $3,698.00 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 →

Payer
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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
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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 CARE $578.00 ↑ +4%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $758.00 ↑ +37%
SENTARA HEALTH SENTARA HEALTH $1,028.78 ↑ +85%
UNITED HEALTHCARE UHC HERITAGE SELECT $1,054.00 ↑ +90%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $1,204.00 ↑ +117%
AMERIGROUP AMERIGROUP $1,244.99 ↑ +124%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $1,266.00 ↑ +128%
CIGNA HEALTHCARE CIGNA HMO $1,266.00 ↑ +128%
MEDCOST MEDCOST VHN $1,294.30 ↑ +133%
CIGNA HEALTHCARE CIGNA PPO $1,406.00 ↑ +153%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $1,463.00 ↑ +164%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $1,498.45 ↑ +170%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $1,498.45 ↑ +170%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $1,498.45 ↑ +170%
AETNA AETNA HEALTHCARE MEDICARE $1,498.45 ↑ +170%
HUMANA HUMANA MEDICARE $1,498.45 ↑ +170%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $1,498.45 ↑ +170%
ALLCARE MEDICARE ALLCARE MEDICARE $1,498.45 ↑ +170%
MANAGED MEDICAIRE MANAGED MEDICAIRE $1,498.45 ↑ +170%
SENTARA HEALTH SENTARA MEDICARE $1,498.45 ↑ +170%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $1,523.00 ↑ +175%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $1,543.41 ↑ +178%
BLUE CROSS BLUE CROSS MEDICARE $1,558.39 ↑ +181%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $1,558.39 ↑ +181%
UNITED HEALTHCARE UNITED HEALTHCARE $1,560.00 ↑ +181%
NHC ADVANTAGE NHC ADVANTAGE $1,573.37 ↑ +184%
CIGNA HEALTHCARE CIGNA MEDICARE $1,573.37 ↑ +184%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $1,573.37 ↑ +184%
WELLCARE WELLCARE MEDICARE $1,588.36 ↑ +186%
AETNA AETNA $2,359.32 ↑ +325%
BLUE CROSS BLUE CROSS E NETWORK $2,469.00 ↑ +345%
BLUE CROSS BLUE CROSS P NETWORK $2,521.00 ↑ +354%
BLUE CROSS BLUE CROSS S NETWORK $2,521.00 ↑ +354%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $2,587.10 ↑ +366%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $2,587.10 ↑ +366%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $2,690.58 ↑ +385%
AETNA AETNA BETTER HEALTH OF VIRGINIA $2,690.59 ↑ +385%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $2,773.50 ↑ +400%
AMBETTER AMBETTER $3,266.63 ↑ +489%
WELLCARE WELLCARE MEDICAID $3,698.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $3,698.00 ↑ +567%

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Bone marrow biopsyneedle/trocar 38221 at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $1,288.76 $733.50 – $1,141.72
CHI Memorial Hospital Hixson Hixson $1,825.44 $1,233.40 – $4,316.90
62-1166050 BMH Carroll County Huntingdon $438.15 $1,287.14 – $2,958.94
CHI Memorial Hospital Chattanooga Chattanooga $2,608.65 $1,295.07 – $4,316.90
Johnson City Medical Center JOHNSON CITY $554.70 $1,280.49 – $3,359.76
Ascension Saint Thomas DeKalb Smithville $1,288.76 $413.29 – $1,004.50
Ascension Saint Thomas Highlands Sparta $1,288.76 $413.29 – $1,004.50
Ascension Saint Thomas Rutherford Murfreesboro $1,288.76 $954.50 – $1,217.22

All Tennessee hospitals for this procedure →