Condylomata destruction 56420 at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$222.45
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.
$1,483.00
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.
$121.96 with BLUE CROSS vs $1,483.00 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $121.96 | ↓ -45% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $146.00 | ↓ -34% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $183.42 | ↓ -18% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $183.42 | ↓ -18% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $183.42 | ↓ -18% |
| AETNA | AETNA HEALTHCARE MEDICARE | $183.42 | ↓ -18% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $183.42 | ↓ -18% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $183.42 | ↓ -18% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $183.42 | ↓ -18% |
| SENTARA HEALTH | SENTARA MEDICARE | $183.42 | ↓ -18% |
| HUMANA | HUMANA MEDICARE | $183.42 | ↓ -18% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $188.93 | ↓ -15% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $190.76 | ↓ -14% |
| BLUE CROSS | BLUE CROSS MEDICARE | $190.76 | ↓ -14% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $192.60 | ↓ -13% |
| NHC ADVANTAGE | NHC ADVANTAGE | $192.60 | ↓ -13% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $192.60 | ↓ -13% |
| WELLCARE | WELLCARE MEDICARE | $194.43 | ↓ -13% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $300.59 | ↑ +35% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $300.59 | ↑ +35% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $312.61 | ↑ +41% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $312.61 | ↑ +41% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↑ +79% |
| AMBETTER | AMBETTER | $399.87 | ↑ +80% |
| SENTARA HEALTH | SENTARA HEALTH | $412.57 | ↑ +85% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↑ +105% |
| MEDCOST | MEDCOST VHN | $519.05 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +165% |
| AETNA | AETNA | $946.15 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,112.25 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $1,483.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,483.00 | ↑ +567% |
Visitor-reported prices
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Condylomata destruction 56420 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $190.92 | $129.00 – $451.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $66.01 | $159.81 – $367.38 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $272.84 | $135.45 – $451.50 |
| Johnson City Medical Center | JOHNSON CITY | $222.45 | $121.96 – $411.27 |
| Hancock County Hospital | SNEEDVILLE | $218.27 | $121.96 – $315.62 |
| Greeneville Community Hospital | GREENEVILLE | $222.45 | $121.96 – $411.27 |
| Bristol Regional Medical Center | BRISTOL | $222.45 | $121.96 – $460.30 |
| Franklin Woods Community Hospital | JOHNSON CITY | $222.45 | $121.96 – $400.16 |