Brief alcohol misuse counsel at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$51.90
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.
$346.00
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.
$32.09 with UNITED HEALTHCARE vs $346.00 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 | $32.09 | ↓ -38% |
| AMERIGROUP | AMERIGROUP | $66.44 | ↑ +28% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $92.17 | ↑ +78% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $92.17 | ↑ +78% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $92.17 | ↑ +78% |
| AETNA | AETNA HEALTHCARE MEDICARE | $92.17 | ↑ +78% |
| HUMANA | HUMANA MEDICARE | $92.17 | ↑ +78% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $92.17 | ↑ +78% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $92.17 | ↑ +78% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $92.17 | ↑ +78% |
| SENTARA HEALTH | SENTARA MEDICARE | $92.17 | ↑ +78% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $94.93 | ↑ +83% |
| BLUE CROSS | BLUE CROSS MEDICARE | $95.86 | ↑ +85% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $95.86 | ↑ +85% |
| SENTARA HEALTH | SENTARA HEALTH | $96.26 | ↑ +85% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $96.78 | ↑ +86% |
| NHC ADVANTAGE | NHC ADVANTAGE | $96.78 | ↑ +86% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $96.78 | ↑ +86% |
| WELLCARE | WELLCARE MEDICARE | $97.70 | ↑ +88% |
| MEDCOST | MEDCOST VHN | $121.10 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $134.25 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $134.25 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $160.54 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $164.70 | ↑ +217% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $178.70 | ↑ +244% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $178.70 | ↑ +244% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $185.85 | ↑ +258% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $185.85 | ↑ +258% |
| AMBETTER | AMBETTER | $200.93 | ↑ +287% |
| AETNA | AETNA | $220.75 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $242.20 | ↑ +367% |
| BLUE CROSS | BLUE CROSS S NETWORK | $249.12 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $249.12 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $249.12 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $259.50 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $346.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $346.00 | ↑ +567% |
Visitor-reported prices
Comments
Brief alcohol misuse counsel at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $51.90 | $32.09 – $206.66 |
| Hancock County Hospital | SNEEDVILLE | $53.59 | $17.83 – $187.64 |
| Greeneville Community Hospital | GREENEVILLE | $51.90 | $12.84 – $206.66 |
| Bristol Regional Medical Center | BRISTOL | $51.90 | $21.40 – $231.30 |
| Franklin Woods Community Hospital | JOHNSON CITY | $51.90 | $32.09 – $201.08 |
| Holston Valley Medical Center | KINGSPORT | $51.90 | $21.40 – $231.30 |
| Indian Path Community Hospital | KINGSPORT | $51.90 | $32.09 – $221.21 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $51.90 | $17.83 – $200.93 |