Bone marrow biopsyneedle/trocar 38221 at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$554.70
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.
$3,698.00
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.
$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 →
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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 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% |
Visitor-reported prices
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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 |