CT scan for therapy guide at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$191.40
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.
$1,276.00
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.
$105.82 with BLUE CROSS vs $1,276.00 with UNITED HEALTHCARE — 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 | $105.82 | ↓ -45% |
| BLUE CROSS | TENNCARE BLUE SELECT | $105.82 | ↓ -45% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $110.43 | ↓ -42% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $110.43 | ↓ -42% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $112.28 | ↓ -41% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $114.85 | ↓ -40% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $114.85 | ↓ -40% |
| SENTARA HEALTH | SENTARA HEALTH | $354.98 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $446.60 | ↑ +133% |
| AETNA | AETNA | $814.09 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $957.00 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,276.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,276.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,276.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,276.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,276.00 | ↑ +567% |
Visitor-reported prices
Comments
CT scan for therapy guide at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $330.64 | $135.76 – $800.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $472.50 | $135.76 – $800.00 |
| Johnson City Medical Center | JOHNSON CITY | $191.40 | $101.77 – $105.84 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $403.28 | $84.49 – $551.54 |
| Greeneville Community Hospital | GREENEVILLE | $191.40 | $105.82 – $110.43 |
| Bristol Regional Medical Center | BRISTOL | $191.40 | $103.46 – $105.47 |
| Franklin Woods Community Hospital | JOHNSON CITY | $191.40 | $110.43 – $1,276.00 |
| Holston Valley Medical Center | KINGSPORT | $191.40 | $100.45 – $105.47 |