Cholangiogram percutaneous compl at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$980.10
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.
$6,534.00
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.
$775.00 with BLUE CROSS vs $7,081.52 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 | $775.00 | ↓ -21% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +55% |
| SENTARA HEALTH | SENTARA HEALTH | $1,817.76 | ↑ +85% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,850.00 | ↑ +89% |
| MEDCOST | MEDCOST VHN | $2,286.90 | ↑ +133% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,395.44 | ↑ +144% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,395.44 | ↑ +144% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,491.25 | ↑ +154% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,491.26 | ↑ +154% |
| AMERIGROUP | AMERIGROUP | $2,688.64 | ↑ +174% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,248.41 | ↑ +231% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,248.41 | ↑ +231% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,248.41 | ↑ +231% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,248.41 | ↑ +231% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,248.41 | ↑ +231% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,248.41 | ↑ +231% |
| HUMANA | HUMANA MEDICARE | $3,248.41 | ↑ +231% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,248.41 | ↑ +231% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,248.41 | ↑ +231% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,345.86 | ↑ +241% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,378.34 | ↑ +245% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,378.34 | ↑ +245% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,410.83 | ↑ +248% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,410.83 | ↑ +248% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,410.83 | ↑ +248% |
| WELLCARE | WELLCARE MEDICARE | $3,443.31 | ↑ +251% |
| AETNA | AETNA | $4,168.69 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,900.50 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5,125.00 | ↑ +423% |
| CIGNA HEALTHCARE | CIGNA HMO | $5,238.00 | ↑ +434% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $5,238.00 | ↑ +434% |
| CIGNA HEALTHCARE | CIGNA PPO | $5,820.00 | ↑ +494% |
| BLUE CROSS | BLUE CROSS E NETWORK | $5,829.00 | ↑ +495% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $5,849.00 | ↑ +497% |
| BLUE CROSS | BLUE CROSS P NETWORK | $5,952.00 | ↑ +507% |
| BLUE CROSS | BLUE CROSS S NETWORK | $5,952.00 | ↑ +507% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $6,048.00 | ↑ +517% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $6,534.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $6,534.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $6,534.00 | ↑ +567% |
| AMBETTER | AMBETTER | $7,081.52 | ↑ +623% |
Visitor-reported prices
Comments
Cholangiogram percutaneous compl at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,391.54 | $2,543.00 – $3,142.00 |
| CHI Memorial Hospital Hixson | Hixson | $2,223.56 | $1,502.40 – $5,258.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,177.58 | $1,577.52 – $5,258.40 |
| Johnson City Medical Center | JOHNSON CITY | $980.10 | $2,207.52 – $7,283.43 |
| Ascension Saint Thomas DeKalb | Smithville | $1,391.54 | $1,088.56 – $3,160.00 |
| Ascension Saint Thomas River Park | McMinnville | $1,391.54 | $1,088.56 – $3,160.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,391.54 | $3,006.00 – $3,160.00 |
| Franklin Woods Community Hospital | JOHNSON CITY | $980.10 | $2,395.44 – $7,086.79 |