Bone marrow imaging mult at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$474.90
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.
$3,166.00
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.
$103.91 with BLUE CROSS vs $3,166.00 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 SELECT | $103.91 | ↓ -78% |
| BLUE CROSS | TENNCARE BLUE CARE | $103.91 | ↓ -78% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $204.65 | ↓ -57% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $230.27 | ↓ -52% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $265.21 | ↓ -44% |
| AMERIGROUP | AMERIGROUP | $322.73 | ↓ -32% |
| AETNA | AETNA HEALTHCARE MEDICARE | $362.70 | ↓ -24% |
| HUMANA | HUMANA MEDICARE | $362.70 | ↓ -24% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $362.70 | ↓ -24% |
| SENTARA HEALTH | SENTARA MEDICARE | $362.70 | ↓ -24% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $362.70 | ↓ -24% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $362.70 | ↓ -24% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $362.70 | ↓ -24% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $362.70 | ↓ -24% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $362.70 | ↓ -24% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $373.58 | ↓ -21% |
| BLUE CROSS | BLUE CROSS MEDICARE | $377.21 | ↓ -21% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $377.21 | ↓ -21% |
| NHC ADVANTAGE | NHC ADVANTAGE | $380.84 | ↓ -20% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $380.84 | ↓ -20% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $380.84 | ↓ -20% |
| WELLCARE | WELLCARE MEDICARE | $384.46 | ↓ -19% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $508.23 | ↑ +7% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $508.23 | ↑ +7% |
| CIGNA HEALTHCARE | CIGNA HMO | $527.54 | ↑ +11% |
| CIGNA HEALTHCARE | CIGNA PPO | $527.54 | ↑ +11% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $527.54 | ↑ +11% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $528.56 | ↑ +11% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $528.56 | ↑ +11% |
| BLUE CROSS | BLUE CROSS E NETWORK | $786.13 | ↑ +66% |
| AMBETTER | AMBETTER | $790.69 | ↑ +66% |
| BLUE CROSS | BLUE CROSS P NETWORK | $801.61 | ↑ +69% |
| BLUE CROSS | BLUE CROSS S NETWORK | $801.61 | ↑ +69% |
| SENTARA HEALTH | SENTARA HEALTH | $880.78 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $1,108.10 | ↑ +133% |
| AETNA | AETNA | $2,019.91 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,086.00 | ↑ +339% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,374.50 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,381.00 | ↑ +401% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,086.00 | ↑ +550% |
| WELLCARE | WELLCARE MEDICAID | $3,166.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,166.00 | ↑ +567% |
Visitor-reported prices
Comments
Bone marrow imaging mult at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $474.90 | $103.91 – $813.24 |
| Ascension Saint Thomas Highlands | Sparta | $759.27 | $89.58 – $589.01 |
| Greeneville Community Hospital | GREENEVILLE | $474.90 | $92.11 – $813.24 |
| Bristol Regional Medical Center | BRISTOL | $474.90 | $103.91 – $910.18 |
| Franklin Woods Community Hospital | JOHNSON CITY | $474.90 | $126.31 – $791.28 |
| Holston Valley Medical Center | KINGSPORT | $474.90 | $103.91 – $910.18 |
| Indian Path Community Hospital | KINGSPORT | $474.90 | $103.91 – $870.49 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $474.90 | $103.91 – $790.69 |