Chest X-ray at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$69.30
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.
$462.00
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.
$16.68 with BLUE CROSS vs $462.00 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 | $16.68 | ↓ -76% |
| BLUE CROSS | TENNCARE BLUE SELECT | $16.68 | ↓ -76% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $43.60 | ↓ -37% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $55.91 | ↓ -19% |
| AMERIGROUP | AMERIGROUP | $57.37 | ↓ -17% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $76.55 | ↑ +10% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $76.55 | ↑ +10% |
| AETNA | AETNA HEALTHCARE MEDICARE | $78.96 | ↑ +14% |
| SENTARA HEALTH | SENTARA MEDICARE | $78.96 | ↑ +14% |
| HUMANA | HUMANA MEDICARE | $78.96 | ↑ +14% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $78.96 | ↑ +14% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $78.96 | ↑ +14% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $78.96 | ↑ +14% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $78.96 | ↑ +14% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $78.96 | ↑ +14% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $78.96 | ↑ +14% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $79.61 | ↑ +15% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $79.61 | ↑ +15% |
| BLUE CROSS | BLUE CROSS E NETWORK | $80.89 | ↑ +17% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $81.32 | ↑ +17% |
| BLUE CROSS | BLUE CROSS MEDICARE | $82.11 | ↑ +18% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $82.11 | ↑ +18% |
| BLUE CROSS | BLUE CROSS P NETWORK | $82.48 | ↑ +19% |
| BLUE CROSS | BLUE CROSS S NETWORK | $82.48 | ↑ +19% |
| NHC ADVANTAGE | NHC ADVANTAGE | $82.90 | ↑ +20% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $82.90 | ↑ +20% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $82.90 | ↑ +20% |
| WELLCARE | WELLCARE MEDICARE | $83.69 | ↑ +21% |
| SENTARA HEALTH | SENTARA HEALTH | $128.53 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $161.70 | ↑ +133% |
| AMBETTER | AMBETTER | $172.12 | ↑ +148% |
| AETNA | AETNA | $294.76 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↑ +362% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $323.40 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $346.50 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $364.00 | ↑ +425% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $462.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $462.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $462.00 | ↑ +567% |
Visitor-reported prices
Comments
Chest X-ray at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $115.77 | $14.38 – $127.70 |
| CHI Memorial Hospital Hixson | Hixson | $203.36 | $21.40 – $480.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $105.34 | $14.38 – $160.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $290.61 | $21.40 – $480.90 |
| Johnson City Medical Center | JOHNSON CITY | $69.30 | $16.68 – $177.03 |
| Ascension Saint Thomas DeKalb | Smithville | $113.87 | $14.38 – $127.70 |
| Ascension Saint Thomas Highlands | Sparta | $113.87 | $14.38 – $127.70 |
| Ascension Saint Thomas River Park | McMinnville | $103.26 | $20.89 – $127.70 |