Chest apical lordotic proj at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$72.75
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.
$485.00
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.
$21.26 with BLUE CROSS vs $485.00 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 CARE | $21.26 | ↓ -71% |
| BLUE CROSS | TENNCARE BLUE SELECT | $21.26 | ↓ -71% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $54.87 | ↓ -25% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $55.91 | ↓ -23% |
| AMERIGROUP | AMERIGROUP | $57.37 | ↓ -21% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $76.55 | ↑ +5% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $76.55 | ↑ +5% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $78.96 | ↑ +9% |
| HUMANA | HUMANA MEDICARE | $78.96 | ↑ +9% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $78.96 | ↑ +9% |
| AETNA | AETNA HEALTHCARE MEDICARE | $78.96 | ↑ +9% |
| SENTARA HEALTH | SENTARA MEDICARE | $78.96 | ↑ +9% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $78.96 | ↑ +9% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $78.96 | ↑ +9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $78.96 | ↑ +9% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $78.96 | ↑ +9% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $79.61 | ↑ +9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $79.61 | ↑ +9% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $81.32 | ↑ +12% |
| BLUE CROSS | BLUE CROSS MEDICARE | $82.11 | ↑ +13% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $82.11 | ↑ +13% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $82.90 | ↑ +14% |
| NHC ADVANTAGE | NHC ADVANTAGE | $82.90 | ↑ +14% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $82.90 | ↑ +14% |
| WELLCARE | WELLCARE MEDICARE | $83.69 | ↑ +15% |
| BLUE CROSS | BLUE CROSS E NETWORK | $103.14 | ↑ +42% |
| BLUE CROSS | BLUE CROSS S NETWORK | $105.18 | ↑ +45% |
| BLUE CROSS | BLUE CROSS P NETWORK | $105.18 | ↑ +45% |
| SENTARA HEALTH | SENTARA HEALTH | $134.93 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $169.75 | ↑ +133% |
| AMBETTER | AMBETTER | $172.12 | ↑ +137% |
| AETNA | AETNA | $309.43 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↑ +340% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $339.50 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $363.75 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $364.00 | ↑ +400% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $472.00 | ↑ +549% |
| WELLCARE | WELLCARE MEDICAID | $485.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $485.00 | ↑ +567% |
Visitor-reported prices
Comments
Chest apical lordotic proj at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $90.57 | $18.33 – $127.70 |
| CHI Memorial Hospital Hixson | Hixson | $99.16 | $27.28 – $234.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $141.71 | $27.28 – $234.50 |
| Johnson City Medical Center | JOHNSON CITY | $72.75 | $21.26 – $177.03 |
| Ascension Saint Thomas Highlands | Sparta | $94.35 | $18.33 – $127.70 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $89.87 | $18.33 – $127.70 |
| Hancock County Hospital | SNEEDVILLE | $71.53 | $21.26 – $87.38 |
| Greeneville Community Hospital | GREENEVILLE | $72.75 | $21.26 – $177.03 |