Debridement bone <= 20 sq cm at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$306.75
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.
$2,045.00
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.
$232.56 with BLUE CROSS vs $3,266.63 with AMBETTER — 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 | $232.56 | ↓ -24% |
| BLUE CROSS | TENNCARE BLUE SELECT | $276.37 | ↓ -10% |
| BLUE CROSS | TENNCARE BLUE CARE | $276.37 | ↓ -10% |
| SENTARA HEALTH | SENTARA HEALTH | $568.92 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $715.75 | ↑ +133% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $743.92 | ↑ +143% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $760.74 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $793.46 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $793.46 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $799.60 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $799.60 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $948.88 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $973.42 | ↑ +217% |
| AMERIGROUP | AMERIGROUP | $1,244.99 | ↑ +306% |
| AETNA | AETNA | $1,304.71 | ↑ +325% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,407.66 | ↑ +359% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,407.66 | ↑ +359% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,463.97 | ↑ +377% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,463.97 | ↑ +377% |
| BLUE CROSS | BLUE CROSS E NETWORK | $1,472.40 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,472.40 | ↑ +380% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,472.40 | ↑ +380% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,498.45 | ↑ +388% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,498.45 | ↑ +388% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,498.45 | ↑ +388% |
| HUMANA | HUMANA MEDICARE | $1,498.45 | ↑ +388% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,498.45 | ↑ +388% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,498.45 | ↑ +388% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,498.45 | ↑ +388% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,498.45 | ↑ +388% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,498.45 | ↑ +388% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,533.75 | ↑ +400% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,543.41 | ↑ +403% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,558.39 | ↑ +408% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,558.39 | ↑ +408% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,573.37 | ↑ +413% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,573.37 | ↑ +413% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,573.37 | ↑ +413% |
| WELLCARE | WELLCARE MEDICARE | $1,588.36 | ↑ +418% |
| WELLCARE | WELLCARE MEDICAID | $2,045.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,045.00 | ↑ +567% |
| AMBETTER | AMBETTER | $3,266.63 | ↑ +965% |
Visitor-reported prices
Comments
Debridement bone <= 20 sq cm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,228.70 | $354.59 – $2,905.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $478.17 | $1,287.14 – $2,958.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,755.88 | $354.59 – $2,905.70 |
| Johnson City Medical Center | JOHNSON CITY | $306.75 | $232.56 – $3,359.76 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $2,147.55 | $238.25 – $1,246.50 |
| Hancock County Hospital | SNEEDVILLE | $470.35 | $232.56 – $1,896.23 |
| Greeneville Community Hospital | GREENEVILLE | $306.75 | $232.56 – $3,359.76 |
| Bristol Regional Medical Center | BRISTOL | $306.75 | $232.56 – $3,415.60 |