Crotalidae poly immune fab at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$3,540.67
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.
$23,604.44
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.
$1,826.52 with AMERIGROUP vs $23,604.44 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 MEDICARE WELLPOINT | $1,826.52 | ↓ -48% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,826.52 | ↓ -48% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,826.52 | ↓ -48% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,826.52 | ↓ -48% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,826.52 | ↓ -48% |
| HUMANA | HUMANA MEDICARE | $1,826.52 | ↓ -48% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,826.52 | ↓ -48% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,826.52 | ↓ -48% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,826.52 | ↓ -48% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,881.31 | ↓ -47% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,894.15 | ↓ -47% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,894.15 | ↓ -47% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,894.15 | ↓ -47% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,899.58 | ↓ -46% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,899.58 | ↓ -46% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,900.22 | ↓ -46% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,917.84 | ↓ -46% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,917.84 | ↓ -46% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,917.84 | ↓ -46% |
| WELLCARE | WELLCARE MEDICARE | $1,936.11 | ↓ -45% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,447.85 | ↓ -31% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,502.24 | ↓ -29% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,502.24 | ↓ -29% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,218.53 | ↓ -9% |
| AMERIGROUP | AMERIGROUP | $3,380.54 | ↓ -5% |
| AMBETTER | AMBETTER | $3,981.81 | ↑ +12% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,279.18 | ↑ +21% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,279.18 | ↑ +21% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,279.18 | ↑ +21% |
| BLUE CROSS | TENNCARE BLUE CARE | $4,562.91 | ↑ +29% |
| BLUE CROSS | TENNCARE BLUE SELECT | $4,562.91 | ↑ +29% |
| SENTARA HEALTH | SENTARA HEALTH | $6,566.76 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $8,261.55 | ↑ +133% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $10,490.29 | ↑ +196% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $10,490.29 | ↑ +196% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $10,909.90 | ↑ +208% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $10,909.91 | ↑ +208% |
| AETNA | AETNA | $15,059.63 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $16,523.11 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $17,703.33 | ↑ +400% |
| WELLCARE | WELLCARE MEDICAID | $23,604.44 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $23,604.44 | ↑ +567% |
Visitor-reported prices
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Crotalidae poly immune fab at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $2,886.44 | $1,745.18 – $6,826.03 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,124.88 | $1,745.18 – $6,826.03 |
| Johnson City Medical Center | JOHNSON CITY | $3,540.67 | $1,826.52 – $9,667.35 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $6,873.14 | $1,795.60 – $4,531.81 |
| Hancock County Hospital | SNEEDVILLE | $2,942.16 | $1,055.68 – $11,014.80 |
| Greeneville Community Hospital | GREENEVILLE | $3,540.67 | $760.09 – $10,490.29 |
| Bristol Regional Medical Center | BRISTOL | $3,540.67 | $1,266.82 – $9,837.63 |
| Franklin Woods Community Hospital | JOHNSON CITY | $3,540.67 | $1,826.52 – $10,490.29 |