#creutz-prot.,western blot at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$31.65
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.
$211.00
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.
$14.61 with AMERIGROUP vs $211.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $14.61 | ↓ -54% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $22.94 | ↓ -28% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $29.21 | ↓ -8% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $29.21 | ↓ -8% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $29.21 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $29.21 | ↓ -8% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $29.21 | ↓ -8% |
| SENTARA HEALTH | SENTARA MEDICARE | $29.21 | ↓ -8% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $29.21 | ↓ -8% |
| HUMANA | HUMANA MEDICARE | $29.21 | ↓ -8% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $29.21 | ↓ -8% |
| AETNA | AETNA HEALTHCARE MEDICARE | $29.21 | ↓ -8% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $29.21 | ↓ -8% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $29.21 | ↓ -8% |
| BLUE CROSS | TENNCARE BLUE CARE | $29.27 | ↓ -8% |
| BLUE CROSS | TENNCARE BLUE SELECT | $29.27 | ↓ -8% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $30.09 | ↓ -5% |
| BLUE CROSS | BLUE CROSS MEDICARE | $30.38 | ↓ -4% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $30.38 | ↓ -4% |
| NHC ADVANTAGE | NHC ADVANTAGE | $30.67 | ↓ -3% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $30.67 | ↓ -3% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $30.67 | ↓ -3% |
| WELLCARE | WELLCARE MEDICARE | $30.96 | ↓ -2% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $46.26 | ↑ +46% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $46.26 | ↑ +46% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $48.11 | ↑ +52% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $48.11 | ↑ +52% |
| SENTARA HEALTH | SENTARA HEALTH | $58.70 | ↑ +85% |
| AMBETTER | AMBETTER | $63.68 | ↑ +101% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $64.24 | ↑ +103% |
| CIGNA HEALTHCARE | CIGNA PPO | $71.07 | ↑ +125% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $71.07 | ↑ +125% |
| CIGNA HEALTHCARE | CIGNA HMO | $71.07 | ↑ +125% |
| MEDCOST | MEDCOST VHN | $73.85 | ↑ +133% |
| BLUE CROSS | BLUE CROSS E NETWORK | $100.41 | ↑ +217% |
| BLUE CROSS | BLUE CROSS P NETWORK | $102.37 | ↑ +223% |
| BLUE CROSS | BLUE CROSS S NETWORK | $102.37 | ↑ +223% |
| AETNA | AETNA | $134.62 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $141.65 | ↑ +348% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $158.25 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $211.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $211.00 | ↑ +567% |
Visitor-reported prices
Comments
#creutz-prot.,western blot at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $96.96 | $10.52 – $91.42 |
| CHI Memorial Hospital Hixson | Hixson | $314.95 | $15.99 – $171.50 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $450.08 | $15.99 – $171.50 |
| Johnson City Medical Center | JOHNSON CITY | $31.65 | $14.61 – $63.68 |
| Ascension Saint Thomas DeKalb | Smithville | $96.96 | $12.62 – $91.42 |
| Ascension Saint Thomas Highlands | Sparta | $96.96 | $12.62 – $91.42 |
| Ascension Saint Thomas River Park | McMinnville | $96.96 | $12.62 – $91.42 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $96.96 | $22.59 – $91.42 |