Brain image w/flow 4 + views at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$452.25
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.
?
What you pay up front if you don't use insurance.
$3,015.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$127.08 with BLUE CROSS vs $3,015.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $127.08 | ↓ -72% |
| BLUE CROSS | TENNCARE BLUE SELECT | $127.08 | ↓ -72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $230.01 | ↓ -49% |
| AMERIGROUP | AMERIGROUP | $418.45 | ↓ -7% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $492.62 | ↑ +9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $492.62 | ↑ +9% |
| AETNA | AETNA HEALTHCARE MEDICARE | $492.62 | ↑ +9% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $492.62 | ↑ +9% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $492.62 | ↑ +9% |
| SENTARA HEALTH | SENTARA MEDICARE | $492.62 | ↑ +9% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $492.62 | ↑ +9% |
| HUMANA | HUMANA MEDICARE | $492.62 | ↑ +9% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $492.62 | ↑ +9% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $507.40 | ↑ +12% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $508.23 | ↑ +12% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $508.23 | ↑ +12% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $509.62 | ↑ +13% |
| BLUE CROSS | BLUE CROSS MEDICARE | $512.33 | ↑ +13% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $512.33 | ↑ +13% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $517.25 | ↑ +14% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $517.25 | ↑ +14% |
| NHC ADVANTAGE | NHC ADVANTAGE | $517.25 | ↑ +14% |
| WELLCARE | WELLCARE MEDICARE | $522.18 | ↑ +15% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $528.56 | ↑ +17% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $528.56 | ↑ +17% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $552.26 | ↑ +22% |
| SENTARA HEALTH | SENTARA HEALTH | $838.77 | ↑ +85% |
| CIGNA HEALTHCARE | CIGNA HMO | $859.18 | ↑ +90% |
| CIGNA HEALTHCARE | CIGNA PPO | $859.18 | ↑ +90% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $859.18 | ↑ +90% |
| MEDCOST | MEDCOST VHN | $1,055.25 | ↑ +133% |
| AMBETTER | AMBETTER | $1,073.92 | ↑ +137% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,250.72 | ↑ +177% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,275.35 | ↑ +182% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,275.35 | ↑ +182% |
| AETNA | AETNA | $1,923.57 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,086.00 | ↑ +361% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,261.25 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,381.00 | ↑ +426% |
| WELLCARE | WELLCARE MEDICAID | $3,015.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,015.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,015.00 | ↑ +567% |
Visitor-reported prices
Comments
Brain image w/flow 4 + views at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $452.25 | $127.08 – $1,104.54 |
| Greeneville Community Hospital | GREENEVILLE | $452.25 | $127.08 – $1,104.54 |
| Bristol Regional Medical Center | BRISTOL | $452.25 | $127.08 – $1,236.21 |
| Franklin Woods Community Hospital | JOHNSON CITY | $452.25 | $154.47 – $1,074.72 |
| Holston Valley Medical Center | KINGSPORT | $452.25 | $127.08 – $1,236.21 |
| 62-0123940 BMH Collierville | Collierville | $470.19 | $109.55 – $985.78 |
| Indian Path Community Hospital | KINGSPORT | $452.25 | $127.08 – $1,182.29 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $452.25 | $127.08 – $1,073.92 |