Cap trach decann 15mm at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$1,694.10
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.
$11,294.02
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.
$91.36 with UNITED HEALTHCARE vs $571.03 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 | UHC HERITAGE SELECT | $91.36 | ↓ -95% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $99.36 | ↓ -94% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $103.93 | ↓ -94% |
| SENTARA HEALTH | SENTARA HEALTH | $158.86 | ↓ -91% |
| MEDCOST | MEDCOST VHN | $199.86 | ↓ -88% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $200.43 | ↓ -88% |
| CIGNA HEALTHCARE | CIGNA HMO | $200.43 | ↓ -88% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $228.41 | ↓ -87% |
| CIGNA HEALTHCARE | CIGNA PPO | $256.39 | ↓ -85% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $285.52 | ↓ -83% |
| AETNA | AETNA | $364.32 | ↓ -78% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $428.27 | ↓ -75% |
| WELLCARE | WELLCARE MEDICAID | $571.03 | ↓ -66% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $571.03 | ↓ -66% |
Visitor-reported prices
Comments
Cap trach decann 15mm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $7,121.76 | $49.00 – $245.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $10,177.38 | $51.45 – $245.00 |
| Johnson City Medical Center | JOHNSON CITY | $1,694.10 | $372.26 – $372.26 |
| Hancock County Hospital | SNEEDVILLE | $2,597.62 | $292.28 – $292.28 |
| Greeneville Community Hospital | GREENEVILLE | $1,694.10 | $68.15 – $68.15 |
| Bristol Regional Medical Center | BRISTOL | $1,694.10 | $68.15 – $68.15 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,694.10 | $354.17 – $354.17 |
| Holston Valley Medical Center | KINGSPORT | $1,694.10 | $68.15 – $68.15 |