Cath combo lt&rt heart w/inj/s at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$2,576.70
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.
$17,178.00
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.
$687.59 with BLUE CROSS vs $17,178.00 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 SELECT | $687.59 | ↓ -73% |
| BLUE CROSS | TENNCARE BLUE CARE | $687.59 | ↓ -73% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,560.00 | ↓ -1% |
| AMERIGROUP | AMERIGROUP | $2,598.53 | ↑ +1% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,941.32 | ↑ +14% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,941.32 | ↑ +14% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,941.32 | ↑ +14% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,941.32 | ↑ +14% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,941.32 | ↑ +14% |
| HUMANA | HUMANA MEDICARE | $2,941.32 | ↑ +14% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,941.32 | ↑ +14% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,941.32 | ↑ +14% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,941.32 | ↑ +14% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,029.56 | ↑ +18% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,058.97 | ↑ +19% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,058.97 | ↑ +19% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,088.39 | ↑ +20% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,088.39 | ↑ +20% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,088.39 | ↑ +20% |
| WELLCARE | WELLCARE MEDICARE | $3,117.80 | ↑ +21% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $3,190.00 | ↑ +24% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,407.72 | ↑ +32% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,407.72 | ↑ +32% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,544.03 | ↑ +38% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3,544.03 | ↑ +38% |
| SENTARA HEALTH | SENTARA HEALTH | $4,778.92 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $6,012.30 | ↑ +133% |
| AMBETTER | AMBETTER | $6,412.08 | ↑ +149% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $6,416.00 | ↑ +149% |
| CIGNA HEALTHCARE | CIGNA HMO | $6,737.00 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $6,737.00 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $7,323.00 | ↑ +184% |
| CIGNA HEALTHCARE | CIGNA PPO | $7,485.00 | ↑ +190% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $7,778.00 | ↑ +202% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $9,489.00 | ↑ +268% |
| AETNA | AETNA | $10,959.56 | ↑ +325% |
| BLUE CROSS | BLUE CROSS E NETWORK | $12,404.00 | ↑ +381% |
| BLUE CROSS | BLUE CROSS P NETWORK | $12,666.00 | ↑ +392% |
| BLUE CROSS | BLUE CROSS S NETWORK | $12,666.00 | ↑ +392% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $12,883.50 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $17,178.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $17,178.00 | ↑ +567% |
Visitor-reported prices
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Cath combo lt&rt heart w/inj/s at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $4,783.36 | $882.19 – $11,312.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $3,302.34 | $2,555.16 – $5,873.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $6,835.68 | $882.19 – $11,312.00 |
| Johnson City Medical Center | JOHNSON CITY | $2,576.70 | $687.59 – $6,594.90 |
| Greeneville Community Hospital | GREENEVILLE | $2,576.70 | $687.59 – $6,594.90 |
| Bristol Regional Medical Center | BRISTOL | $2,576.70 | $687.59 – $7,381.11 |
| Franklin Woods Community Hospital | JOHNSON CITY | $2,576.70 | $835.78 – $6,416.85 |
| Holston Valley Medical Center | KINGSPORT | $2,576.70 | $687.59 – $7,381.11 |