Cytopathology cellular enhancement technique non-gyn at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$77.55
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.
?
What you pay up front if you don't use insurance.
$517.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$19.85 with AMERIGROUP vs $517.00 with WELLCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $19.85 | ↓ -74% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $33.13 | ↓ -57% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $45.09 | ↓ -42% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $45.09 | ↓ -42% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $46.89 | ↓ -40% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $46.90 | ↓ -40% |
| BLUE CROSS | TENNCARE BLUE CARE | $46.98 | ↓ -39% |
| BLUE CROSS | TENNCARE BLUE SELECT | $46.98 | ↓ -39% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $47.28 | ↓ -39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $47.28 | ↓ -39% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $47.28 | ↓ -39% |
| SENTARA HEALTH | SENTARA MEDICARE | $47.28 | ↓ -39% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $47.28 | ↓ -39% |
| AETNA | AETNA HEALTHCARE MEDICARE | $47.28 | ↓ -39% |
| HUMANA | HUMANA MEDICARE | $47.28 | ↓ -39% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $47.28 | ↓ -39% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $47.28 | ↓ -39% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $48.70 | ↓ -37% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $49.17 | ↓ -37% |
| BLUE CROSS | BLUE CROSS MEDICARE | $49.17 | ↓ -37% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $49.47 | ↓ -36% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $49.47 | ↓ -36% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $49.47 | ↓ -36% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $49.64 | ↓ -36% |
| NHC ADVANTAGE | NHC ADVANTAGE | $49.64 | ↓ -36% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $49.64 | ↓ -36% |
| WELLCARE | WELLCARE MEDICARE | $50.12 | ↓ -35% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $57.13 | ↓ -26% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $89.22 | ↑ +15% |
| AMBETTER | AMBETTER | $103.07 | ↑ +33% |
| BLUE CROSS | BLUE CROSS E NETWORK | $127.08 | ↑ +64% |
| CIGNA HEALTHCARE | CIGNA PPO | $128.47 | ↑ +66% |
| CIGNA HEALTHCARE | CIGNA HMO | $128.47 | ↑ +66% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $128.47 | ↑ +66% |
| BLUE CROSS | BLUE CROSS S NETWORK | $129.56 | ↑ +67% |
| BLUE CROSS | BLUE CROSS P NETWORK | $129.56 | ↑ +67% |
| SENTARA HEALTH | SENTARA HEALTH | $143.83 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $180.95 | ↑ +133% |
| AETNA | AETNA | $329.85 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $387.75 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $517.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $517.00 | ↑ +567% |
Visitor-reported prices
Comments
Cytopathology cellular enhancement technique non-gyn at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $26.81 | $21.09 – $127.09 |
| CHI Memorial Hospital Hixson | Hixson | $46.77 | $35.43 – $110.60 |
| 62-1166050 BMH Carroll County | Huntingdon | $31.97 | $40.50 – $97.58 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $66.84 | $33.18 – $110.60 |
| Johnson City Medical Center | JOHNSON CITY | $77.55 | $20.41 – $106.01 |
| Hancock County Hospital | SNEEDVILLE | $76.13 | $18.41 – $108.84 |
| Greeneville Community Hospital | GREENEVILLE | $77.55 | $13.25 – $106.01 |
| Bristol Regional Medical Center | BRISTOL | $77.55 | $22.09 – $118.65 |