Borrelia burgdorferi (lyme disease) antibody nonspecific at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$28.65
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.
$191.00
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.
$8.52 with AMERIGROUP vs $191.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $8.52 | ↓ -70% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $12.80 | ↓ -55% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $12.80 | ↓ -55% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $13.31 | ↓ -54% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $13.31 | ↓ -54% |
| SENTARA HEALTH | SENTARA MEDICARE | $17.03 | ↓ -41% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $17.03 | ↓ -41% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $17.03 | ↓ -41% |
| AETNA | AETNA HEALTHCARE MEDICARE | $17.03 | ↓ -41% |
| HUMANA | HUMANA MEDICARE | $17.03 | ↓ -41% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $17.03 | ↓ -41% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $17.03 | ↓ -41% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $17.03 | ↓ -41% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $17.03 | ↓ -41% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $17.03 | ↓ -41% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $17.03 | ↓ -41% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $17.03 | ↓ -41% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $17.54 | ↓ -39% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $17.71 | ↓ -38% |
| BLUE CROSS | BLUE CROSS MEDICARE | $17.71 | ↓ -38% |
| NHC ADVANTAGE | NHC ADVANTAGE | $17.88 | ↓ -38% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $17.88 | ↓ -38% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $17.88 | ↓ -38% |
| WELLCARE | WELLCARE MEDICARE | $18.05 | ↓ -37% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $21.71 | ↓ -24% |
| BLUE CROSS | TENNCARE BLUE CARE | $30.48 | ↑ +6% |
| BLUE CROSS | TENNCARE BLUE SELECT | $30.48 | ↑ +6% |
| AMBETTER | AMBETTER | $37.13 | ↑ +30% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $37.53 | ↑ +31% |
| SENTARA HEALTH | SENTARA HEALTH | $53.14 | ↑ +85% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $57.98 | ↑ +102% |
| MEDCOST | MEDCOST VHN | $66.85 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $67.28 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA PPO | $67.28 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA HMO | $67.28 | ↑ +135% |
| BLUE CROSS | BLUE CROSS E NETWORK | $83.40 | ↑ +191% |
| BLUE CROSS | BLUE CROSS S NETWORK | $85.03 | ↑ +197% |
| BLUE CROSS | BLUE CROSS P NETWORK | $85.03 | ↑ +197% |
| AETNA | AETNA | $121.86 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $143.25 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $191.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $191.00 | ↑ +567% |
Visitor-reported prices
Comments
Borrelia burgdorferi (lyme disease) antibody nonspecific at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $210.80 | $6.13 – $65.46 |
| CHI Memorial Hospital Hixson | Hixson | $38.19 | $15.13 – $90.30 |
| 62-1166050 BMH Carroll County | Huntingdon | $57.04 | $14.82 – $34.06 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $54.57 | $15.13 – $90.30 |
| Johnson City Medical Center | JOHNSON CITY | $28.65 | $8.52 – $37.13 |
| Ascension Saint Thomas DeKalb | Smithville | $210.80 | $11.94 – $65.46 |
| Ascension Saint Thomas Highlands | Sparta | $210.80 | $11.94 – $65.46 |
| Ascension Saint Thomas River Park | McMinnville | $210.80 | $11.94 – $65.46 |