Catheter declot mechanical at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$460.95
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.
$3,073.00
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.
$578.00 with BLUE CROSS vs $3,113.45 with AMBETTER — 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 CARE | $578.00 | ↑ +25% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↑ +53% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $758.00 | ↑ +64% |
| SENTARA HEALTH | SENTARA HEALTH | $854.91 | ↑ +85% |
| AMERIGROUP | AMERIGROUP | $907.83 | ↑ +97% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,016.47 | ↑ +121% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,016.47 | ↑ +121% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,054.00 | ↑ +129% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,057.13 | ↑ +129% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,057.13 | ↑ +129% |
| MEDCOST | MEDCOST VHN | $1,075.55 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,204.00 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,266.00 | ↑ +175% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,266.00 | ↑ +175% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,406.00 | ↑ +205% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,428.19 | ↑ +210% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,428.19 | ↑ +210% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,428.19 | ↑ +210% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,428.19 | ↑ +210% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,428.19 | ↑ +210% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,428.19 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $1,428.19 | ↑ +210% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,428.19 | ↑ +210% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,428.19 | ↑ +210% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +217% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,471.04 | ↑ +219% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,485.32 | ↑ +222% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,485.32 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,499.60 | ↑ +225% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,499.60 | ↑ +225% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,499.60 | ↑ +225% |
| WELLCARE | WELLCARE MEDICARE | $1,513.88 | ↑ +228% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,560.00 | ↑ +238% |
| AETNA | AETNA | $1,960.57 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,304.75 | ↑ +400% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,469.00 | ↑ +436% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,521.00 | ↑ +447% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,521.00 | ↑ +447% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,073.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $3,073.00 | ↑ +567% |
| AMBETTER | AMBETTER | $3,113.45 | ↑ +575% |
Visitor-reported prices
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Catheter declot mechanical at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,088.01 | $733.50 – $1,141.72 |
| CHI Memorial Hospital Hixson | Hixson | $187.37 | $126.60 – $443.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $267.76 | $132.93 – $443.10 |
| Johnson City Medical Center | JOHNSON CITY | $460.95 | $933.72 – $3,202.23 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,088.01 | $954.50 – $1,217.22 |
| Greeneville Community Hospital | GREENEVILLE | $460.95 | $834.96 – $3,202.23 |
| Bristol Regional Medical Center | BRISTOL | $460.95 | $952.30 – $3,255.45 |
| Franklin Woods Community Hospital | JOHNSON CITY | $460.95 | $821.15 – $3,115.77 |