Brachy source yttrium-90 at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$20,551.20
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.
$137,008.00
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.
$14,144.65 with UNITED HEALTHCARE vs $137,008.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $14,144.65 | ↓ -31% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $16,686.66 | ↓ -19% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $16,686.66 | ↓ -19% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $17,354.12 | ↓ -16% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $17,354.13 | ↓ -16% |
| AMERIGROUP | AMERIGROUP | $17,386.29 | ↓ -15% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $17,771.01 | ↓ -14% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $17,771.01 | ↓ -14% |
| AETNA | AETNA HEALTHCARE MEDICARE | $17,771.01 | ↓ -14% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $17,771.01 | ↓ -14% |
| HUMANA | HUMANA MEDICARE | $17,771.01 | ↓ -14% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $17,771.01 | ↓ -14% |
| SENTARA HEALTH | SENTARA MEDICARE | $17,771.01 | ↓ -14% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $17,771.01 | ↓ -14% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $17,771.01 | ↓ -14% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $18,304.14 | ↓ -11% |
| BLUE CROSS | BLUE CROSS MEDICARE | $18,481.85 | ↓ -10% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $18,481.85 | ↓ -10% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $18,659.56 | ↓ -9% |
| NHC ADVANTAGE | NHC ADVANTAGE | $18,659.56 | ↓ -9% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $18,659.56 | ↓ -9% |
| WELLCARE | WELLCARE MEDICARE | $18,837.27 | ↓ -8% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $21,921.28 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $23,839.39 | ↑ +16% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $24,935.46 | ↑ +21% |
| SENTARA HEALTH | SENTARA HEALTH | $38,115.63 | ↑ +85% |
| AMBETTER | AMBETTER | $38,740.80 | ↑ +89% |
| MEDCOST | MEDCOST VHN | $47,952.80 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $48,089.81 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA HMO | $48,089.81 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $54,803.20 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA PPO | $61,516.59 | ↑ +199% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $68,504.00 | ↑ +233% |
| AETNA | AETNA | $87,411.10 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $102,756.00 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $137,008.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $137,008.00 | ↑ +567% |
Visitor-reported prices
Comments
Brachy source yttrium-90 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $13,053.60 | $8,820.00 – $44,100.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $18,654.30 | $9,261.00 – $44,100.00 |
| Johnson City Medical Center | JOHNSON CITY | $20,551.20 | $14,144.65 – $38,740.80 |
| Greeneville Community Hospital | GREENEVILLE | $20,551.20 | $5,657.86 – $38,740.80 |
| Bristol Regional Medical Center | BRISTOL | $20,551.20 | $9,429.77 – $42,650.42 |
| Franklin Woods Community Hospital | JOHNSON CITY | $20,551.20 | $14,144.65 – $38,740.80 |
| Holston Valley Medical Center | KINGSPORT | $20,551.20 | $9,429.77 – $42,650.42 |
| 62-0123940 BMH Collierville | Collierville | $5,291.37 | $15,210.55 – $32,022.22 |