Dev tst admin phys/qhp ea addl 30 min at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$33.75
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.
$225.00
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.
$39.00 with UNITED HEALTHCARE vs $879.37 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $39.00 | ↑ +16% |
| BLUE CROSS | TENNCARE BLUE SELECT | $59.35 | ↑ +76% |
| BLUE CROSS | TENNCARE BLUE CARE | $59.35 | ↑ +76% |
| SENTARA HEALTH | SENTARA HEALTH | $62.60 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $78.75 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $87.30 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $87.30 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $104.40 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $108.68 | ↑ +222% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $116.00 | ↑ +244% |
| AETNA | AETNA | $143.55 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $168.75 | ↑ +400% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $188.00 | ↑ +457% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $215.00 | ↑ +537% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $225.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $225.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $225.00 | ↑ +567% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $845.55 | ↑ +2405% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $845.55 | ↑ +2405% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $879.37 | ↑ +2506% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $879.37 | ↑ +2506% |
Visitor-reported prices
Comments
Dev tst admin phys/qhp ea addl 30 min at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $33.75 | $44.00 – $810.39 |
| Hancock County Hospital | SNEEDVILLE | $33.12 | $46.00 – $887.83 |
| Greeneville Community Hospital | GREENEVILLE | $33.75 | $37.00 – $845.55 |
| Bristol Regional Medical Center | BRISTOL | $33.75 | $57.00 – $807.56 |
| Franklin Woods Community Hospital | JOHNSON CITY | $33.75 | $46.00 – $879.37 |
| Holston Valley Medical Center | KINGSPORT | $33.75 | $59.35 – $807.56 |
| Indian Path Community Hospital | KINGSPORT | $33.75 | $38.00 – $773.82 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $33.75 | $43.00 – $887.83 |