Carbohydrate deficient transf - sendout at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$16.80
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.
$112.00
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.
$9.03 with AMERIGROUP vs $112.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $9.03 | ↓ -46% |
| BLUE CROSS | TENNCARE BLUE CARE | $9.37 | ↓ -44% |
| BLUE CROSS | TENNCARE BLUE SELECT | $9.37 | ↓ -44% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $13.72 | ↓ -18% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $13.72 | ↓ -18% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $14.27 | ↓ -15% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $14.27 | ↓ -15% |
| AETNA | AETNA HEALTHCARE MEDICARE | $18.06 | ↑ +8% |
| HUMANA | HUMANA MEDICARE | $18.06 | ↑ +8% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $18.06 | ↑ +8% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $18.06 | ↑ +8% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $18.06 | ↑ +8% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $18.06 | ↑ +8% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $18.06 | ↑ +8% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $18.06 | ↑ +8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $18.06 | ↑ +8% |
| SENTARA HEALTH | SENTARA MEDICARE | $18.06 | ↑ +8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $18.06 | ↑ +8% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $18.06 | ↑ +8% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $18.60 | ↑ +11% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $18.78 | ↑ +12% |
| BLUE CROSS | BLUE CROSS MEDICARE | $18.78 | ↑ +12% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $18.96 | ↑ +13% |
| NHC ADVANTAGE | NHC ADVANTAGE | $18.96 | ↑ +13% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $18.96 | ↑ +13% |
| WELLCARE | WELLCARE MEDICARE | $19.14 | ↑ +14% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $23.01 | ↑ +37% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $26.43 | ↑ +57% |
| SENTARA HEALTH | SENTARA HEALTH | $31.16 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $39.20 | ↑ +133% |
| AMBETTER | AMBETTER | $39.37 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $39.70 | ↑ +136% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $71.07 | ↑ +323% |
| CIGNA HEALTHCARE | CIGNA PPO | $71.07 | ↑ +323% |
| CIGNA HEALTHCARE | CIGNA HMO | $71.07 | ↑ +323% |
| AETNA | AETNA | $71.46 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $84.00 | ↑ +400% |
| BLUE CROSS | BLUE CROSS E NETWORK | $100.74 | ↑ +500% |
| BLUE CROSS | BLUE CROSS S NETWORK | $102.71 | ↑ +511% |
| BLUE CROSS | BLUE CROSS P NETWORK | $102.71 | ↑ +511% |
| WELLCARE | WELLCARE MEDICAID | $112.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $112.00 | ↑ +567% |
Visitor-reported prices
Comments
Carbohydrate deficient transf - sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $16.80 | $9.03 – $39.37 |
| Hancock County Hospital | SNEEDVILLE | $16.33 | $9.37 – $39.70 |
| Greeneville Community Hospital | GREENEVILLE | $16.80 | $8.13 – $39.37 |
| Bristol Regional Medical Center | BRISTOL | $16.80 | $9.03 – $43.34 |
| Franklin Woods Community Hospital | JOHNSON CITY | $16.80 | $9.03 – $39.37 |
| Holston Valley Medical Center | KINGSPORT | $16.80 | $9.03 – $43.34 |
| 62-0123940 BMH Collierville | Collierville | $62.16 | $8.08 – $36.12 |
| Indian Path Community Hospital | KINGSPORT | $16.80 | $9.03 – $43.34 |