Bronch ebus samplng 1/2 node at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$1,457.25
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.
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What you pay up front if you don't use insurance.
$9,715.00
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.
$775.00 with BLUE CROSS vs $9,715.00 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 CARE | $775.00 | ↓ -47% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,395.00 | ↓ -4% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +5% |
| AMERIGROUP | AMERIGROUP | $2,416.56 | ↑ +66% |
| SENTARA HEALTH | SENTARA HEALTH | $2,702.71 | ↑ +85% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,313.00 | ↑ +127% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,382.63 | ↑ +132% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,382.63 | ↑ +132% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,382.63 | ↑ +132% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,382.63 | ↑ +132% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,382.63 | ↑ +132% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,382.63 | ↑ +132% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,382.63 | ↑ +132% |
| HUMANA | HUMANA MEDICARE | $3,382.63 | ↑ +132% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,382.63 | ↑ +132% |
| MEDCOST | MEDCOST VHN | $3,400.25 | ↑ +133% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,484.11 | ↑ +139% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,517.94 | ↑ +141% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,517.94 | ↑ +141% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,551.76 | ↑ +144% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,551.76 | ↑ +144% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,551.76 | ↑ +144% |
| WELLCARE | WELLCARE MEDICARE | $3,585.59 | ↑ +146% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,781.00 | ↑ +159% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,899.00 | ↑ +236% |
| CIGNA HEALTHCARE | CIGNA HMO | $5,238.00 | ↑ +259% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $5,238.00 | ↑ +259% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5,335.50 | ↑ +266% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5,335.50 | ↑ +266% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5,548.92 | ↑ +281% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5,548.92 | ↑ +281% |
| CIGNA HEALTHCARE | CIGNA PPO | $5,820.00 | ↑ +299% |
| BLUE CROSS | BLUE CROSS E NETWORK | $5,829.00 | ↑ +300% |
| BLUE CROSS | BLUE CROSS P NETWORK | $5,952.00 | ↑ +308% |
| BLUE CROSS | BLUE CROSS S NETWORK | $5,952.00 | ↑ +308% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $6,048.00 | ↑ +315% |
| AETNA | AETNA | $6,198.17 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,286.25 | ↑ +400% |
| AMBETTER | AMBETTER | $7,374.14 | ↑ +406% |
| WELLCARE | WELLCARE MEDICAID | $9,715.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $9,715.00 | ↑ +567% |
Visitor-reported prices
Comments
Bronch ebus samplng 1/2 node at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $13,637.87 | $2,543.00 – $3,142.00 |
| CHI Memorial Hospital Hixson | Hixson | $3,657.97 | $2,471.60 – $8,650.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $5,227.44 | $2,595.18 – $8,650.60 |
| Johnson City Medical Center | JOHNSON CITY | $1,457.25 | $2,485.47 – $7,584.39 |
| Ascension Saint Thomas DeKalb | Smithville | $5,916.11 | $995.96 – $3,160.00 |
| Ascension Saint Thomas Highlands | Sparta | $5,916.11 | $995.96 – $3,160.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $5,916.06 | $3,006.00 – $3,160.00 |
| Greeneville Community Hospital | GREENEVILLE | $1,457.25 | $2,222.58 – $7,584.39 |