Bronchoscopy w/fb removal 31635 at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$759.75
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.
$5,065.00
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.
$146.00 with UNITED HEALTHCARE vs $5,065.00 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 | $146.00 | ↓ -81% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $286.24 | ↓ -62% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↓ -48% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↓ -40% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↓ -22% |
| SENTARA HEALTH | SENTARA HEALTH | $1,409.08 | ↑ +85% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,614.86 | ↑ +113% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,614.86 | ↑ +113% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,614.86 | ↑ +113% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,614.86 | ↑ +113% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,614.86 | ↑ +113% |
| HUMANA | HUMANA MEDICARE | $1,614.86 | ↑ +113% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,614.86 | ↑ +113% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,614.86 | ↑ +113% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,614.86 | ↑ +113% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,663.30 | ↑ +119% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,679.45 | ↑ +121% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,679.45 | ↑ +121% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,695.60 | ↑ +123% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,695.60 | ↑ +123% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,695.60 | ↑ +123% |
| WELLCARE | WELLCARE MEDICARE | $1,711.75 | ↑ +125% |
| MEDCOST | MEDCOST VHN | $1,772.75 | ↑ +133% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,521.43 | ↑ +232% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,521.43 | ↑ +232% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,622.29 | ↑ +245% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,622.29 | ↑ +245% |
| AETNA | AETNA | $3,231.47 | ↑ +325% |
| AMBETTER | AMBETTER | $3,520.39 | ↑ +363% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,798.75 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $5,065.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $5,065.00 | ↑ +567% |
Visitor-reported prices
Comments
Bronchoscopy w/fb removal 31635 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,404.29 | $1,185.00 – $1,534.53 |
| CHI Memorial Hospital Hixson | Hixson | $1,839.94 | $1,243.20 – $4,351.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,058.92 | $1,369.95 – $3,149.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,629.37 | $1,305.36 – $4,351.20 |
| Johnson City Medical Center | JOHNSON CITY | $759.75 | $286.24 – $3,620.76 |
| Ascension Saint Thomas DeKalb | Smithville | $1,860.63 | $527.56 – $1,246.50 |
| Ascension Saint Thomas Highlands | Sparta | $1,860.63 | $527.56 – $1,246.50 |
| Ascension Saint Thomas River Park | McMinnville | $1,739.00 | $527.56 – $1,246.50 |