Debridement/bone/20 sq cm or less 11046 at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$27.45
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.
$183.00
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.
$50.49 with BLUE CROSS vs $1,463.97 with AETNA — 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 | $50.49 | ↑ +84% |
| SENTARA HEALTH | SENTARA HEALTH | $50.91 | ↑ +85% |
| BLUE CROSS | TENNCARE BLUE SELECT | $51.03 | ↑ +86% |
| BLUE CROSS | TENNCARE BLUE CARE | $51.03 | ↑ +86% |
| MEDCOST | MEDCOST VHN | $64.05 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $68.08 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $71.00 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $71.00 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $71.55 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $71.55 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $84.91 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $87.11 | ↑ +217% |
| AETNA | AETNA | $116.75 | ↑ +325% |
| BLUE CROSS | BLUE CROSS S NETWORK | $131.76 | ↑ +380% |
| BLUE CROSS | BLUE CROSS P NETWORK | $131.76 | ↑ +380% |
| BLUE CROSS | BLUE CROSS E NETWORK | $131.76 | ↑ +380% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $137.25 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $183.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $183.00 | ↑ +567% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,407.66 | ↑ +5028% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,407.66 | ↑ +5028% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,463.97 | ↑ +5233% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,463.97 | ↑ +5233% |
Visitor-reported prices
Comments
Debridement/bone/20 sq cm or less 11046 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $185.30 | $65.47 – $438.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $176.87 | $44.57 – $98.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $264.80 | $65.47 – $438.20 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $471.44 | $43.99 – $2,225.50 |
| 62-0123940 BMH Collierville | Collierville | $496.44 | $44.57 – $74.55 |
| Fort Sanders Regional Medical Center | Knoxville | $437.58 | $596.70 – $1,193.40 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $437.58 | $596.70 – $1,193.40 |
| Cumberland Medical Center, Inc. | Crossville | $424.32 | $596.70 – $1,193.40 |