Cardiac rehabilitation op phase 2 without continous ecg monitoring at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$49.20
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.
$328.00
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.
$17.68 with BLUE CROSS vs $328.00 with UNITED HEALTHCARE — 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 SELECT | $17.68 | ↓ -64% |
| BLUE CROSS | TENNCARE BLUE CARE | $17.68 | ↓ -64% |
| CIGNA HEALTHCARE | CIGNA PPO | $27.13 | ↓ -45% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $27.13 | ↓ -45% |
| CIGNA HEALTHCARE | CIGNA HMO | $27.13 | ↓ -45% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $62.65 | ↑ +27% |
| SENTARA HEALTH | SENTARA HEALTH | $91.25 | ↑ +85% |
| AMERIGROUP | AMERIGROUP | $107.74 | ↑ +119% |
| MEDCOST | MEDCOST VHN | $114.80 | ↑ +133% |
| BLUE CROSS | BLUE CROSS E NETWORK | $115.00 | ↑ +134% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $116.00 | ↑ +136% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $116.95 | ↑ +138% |
| SENTARA HEALTH | SENTARA MEDICARE | $116.95 | ↑ +138% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $116.95 | ↑ +138% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $116.95 | ↑ +138% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $116.95 | ↑ +138% |
| AETNA | AETNA HEALTHCARE MEDICARE | $116.95 | ↑ +138% |
| HUMANA | HUMANA MEDICARE | $116.95 | ↑ +138% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $116.95 | ↑ +138% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $116.95 | ↑ +138% |
| BLUE CROSS | BLUE CROSS P NETWORK | $117.00 | ↑ +138% |
| BLUE CROSS | BLUE CROSS S NETWORK | $117.00 | ↑ +138% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $120.46 | ↑ +145% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $121.63 | ↑ +147% |
| BLUE CROSS | BLUE CROSS MEDICARE | $121.63 | ↑ +147% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $122.80 | ↑ +150% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $122.80 | ↑ +150% |
| NHC ADVANTAGE | NHC ADVANTAGE | $122.80 | ↑ +150% |
| WELLCARE | WELLCARE MEDICARE | $123.97 | ↑ +152% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $152.19 | ↑ +209% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $206.56 | ↑ +320% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $206.56 | ↑ +320% |
| AETNA | AETNA | $209.26 | ↑ +325% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $214.82 | ↑ +337% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $214.82 | ↑ +337% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $246.00 | ↑ +400% |
| AMBETTER | AMBETTER | $254.96 | ↑ +418% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $328.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $328.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $328.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $328.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $328.00 | ↑ +567% |
Visitor-reported prices
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Cardiac rehabilitation op phase 2 without continous ecg monitoring at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $99.36 | $15.24 – $168.81 |
| CHI Memorial Hospital Hixson | Hixson | $160.14 | $22.68 – $378.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $75.21 | $15.24 – $229.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $228.85 | $22.68 – $378.70 |
| Johnson City Medical Center | JOHNSON CITY | $49.20 | $17.68 – $262.23 |
| Ascension Saint Thomas DeKalb | Smithville | $92.70 | $15.24 – $166.39 |
| Ascension Saint Thomas River Park | McMinnville | $92.70 | $22.77 – $166.39 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $92.81 | $15.24 – $168.81 |