Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$168.60
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.
$1,124.00
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.
$284.04 with SENTARA HEALTH vs $2,101.29 with AETNA — 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $284.04 | ↑ +68% |
| MEDCOST | MEDCOST VHN | $357.35 | ↑ +112% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $379.81 | ↑ +125% |
| CIGNA HEALTHCARE | CIGNA HMO | $396.15 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $396.15 | ↑ +135% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $399.21 | ↑ +137% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $399.21 | ↑ +137% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $473.74 | ↑ +181% |
| CIGNA HEALTHCARE | CIGNA PPO | $486.00 | ↑ +188% |
| AETNA | AETNA | $651.40 | ↑ +286% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $714.70 | ↑ +324% |
| BLUE CROSS | BLUE CROSS S NETWORK | $735.12 | ↑ +336% |
| BLUE CROSS | BLUE CROSS E NETWORK | $735.12 | ↑ +336% |
| BLUE CROSS | BLUE CROSS P NETWORK | $735.12 | ↑ +336% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $765.75 | ↑ +354% |
| WELLCARE | WELLCARE MEDICAID | $1,021.00 | ↑ +506% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,021.00 | ↑ +506% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,020.47 | ↑ +1098% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,020.47 | ↑ +1098% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,101.29 | ↑ +1146% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,101.29 | ↑ +1146% |
Visitor-reported prices
Comments
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $371.45 | $57.56 – $98.00 |
| Johnson City Medical Center | JOHNSON CITY | $168.60 | $399.21 – $1,936.45 |
| Greeneville Community Hospital | GREENEVILLE | $168.60 | $313.45 – $2,020.47 |
| Bristol Regional Medical Center | BRISTOL | $168.60 | $313.45 – $1,929.68 |
| Franklin Woods Community Hospital | JOHNSON CITY | $168.60 | $379.81 – $2,101.29 |
| Holston Valley Medical Center | KINGSPORT | $168.60 | $313.45 – $1,929.68 |
| Indian Path Community Hospital | KINGSPORT | $168.60 | $379.81 – $1,849.07 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $168.60 | $313.45 – $2,121.49 |