Clsd/shoulder dislo/manip/no anest 23650 at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$245.85
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.
$1,639.00
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.
$146.00 with UNITED HEALTHCARE vs $1,639.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $146.00 | ↓ -41% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $195.08 | ↓ -21% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $223.80 | ↓ -9% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $223.80 | ↓ -9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $223.80 | ↓ -9% |
| AETNA | AETNA HEALTHCARE MEDICARE | $223.80 | ↓ -9% |
| HUMANA | HUMANA MEDICARE | $223.80 | ↓ -9% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $223.80 | ↓ -9% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $223.80 | ↓ -9% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $223.80 | ↓ -9% |
| SENTARA HEALTH | SENTARA MEDICARE | $223.80 | ↓ -9% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $230.51 | ↓ -6% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $232.75 | ↓ -5% |
| BLUE CROSS | BLUE CROSS MEDICARE | $232.75 | ↓ -5% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $234.98 | ↓ -4% |
| NHC ADVANTAGE | NHC ADVANTAGE | $234.98 | ↓ -4% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $234.98 | ↓ -4% |
| WELLCARE | WELLCARE MEDICARE | $237.22 | ↓ -4% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↑ +62% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↑ +85% |
| SENTARA HEALTH | SENTARA HEALTH | $455.97 | ↑ +85% |
| AMBETTER | AMBETTER | $487.87 | ↑ +98% |
| MEDCOST | MEDCOST VHN | $573.65 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +140% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $669.87 | ↑ +172% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $669.87 | ↑ +172% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $696.66 | ↑ +183% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $696.66 | ↑ +183% |
| AETNA | AETNA | $1,045.68 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,229.25 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $1,639.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,639.00 | ↑ +567% |
Visitor-reported prices
Comments
Clsd/shoulder dislo/manip/no anest 23650 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $241.24 | $130.90 – $529.75 |
| 62-1166050 BMH Carroll County | Huntingdon | $72.22 | $190.56 – $438.08 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $344.75 | $130.90 – $529.75 |
| Johnson City Medical Center | JOHNSON CITY | $245.85 | $195.08 – $617.32 |
| Hancock County Hospital | SNEEDVILLE | $241.50 | $102.02 – $703.36 |
| Greeneville Community Hospital | GREENEVILLE | $245.85 | $102.02 – $669.87 |
| Bristol Regional Medical Center | BRISTOL | $245.85 | $102.02 – $628.19 |
| Franklin Woods Community Hospital | JOHNSON CITY | $245.85 | $195.08 – $669.87 |