Diagnostic laryngoscopy 31575 at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$51.30
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.
$342.00
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.
$95.14 with SENTARA HEALTH vs $394.79 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $95.14 | ↑ +85% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $114.06 | ↑ +122% |
| MEDCOST | MEDCOST VHN | $119.70 | ↑ +133% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $146.00 | ↑ +185% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $181.10 | ↑ +253% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $181.10 | ↑ +253% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $181.10 | ↑ +253% |
| AETNA | AETNA HEALTHCARE MEDICARE | $181.10 | ↑ +253% |
| HUMANA | HUMANA MEDICARE | $181.10 | ↑ +253% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $181.10 | ↑ +253% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $181.10 | ↑ +253% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $181.10 | ↑ +253% |
| SENTARA HEALTH | SENTARA MEDICARE | $181.10 | ↑ +253% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $186.53 | ↑ +264% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $188.34 | ↑ +267% |
| BLUE CROSS | BLUE CROSS MEDICARE | $188.34 | ↑ +267% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $190.15 | ↑ +271% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $190.15 | ↑ +271% |
| NHC ADVANTAGE | NHC ADVANTAGE | $190.15 | ↑ +271% |
| WELLCARE | WELLCARE MEDICARE | $191.96 | ↑ +274% |
| AETNA | AETNA | $218.20 | ↑ +325% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $255.08 | ↑ +397% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $255.08 | ↑ +397% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $256.50 | ↑ +400% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $265.28 | ↑ +417% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $265.28 | ↑ +417% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $342.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $342.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $342.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $342.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $342.00 | ↑ +567% |
| AMBETTER | AMBETTER | $394.79 | ↑ +670% |
Visitor-reported prices
Comments
Diagnostic laryngoscopy 31575 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $585.17 | $45.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $737.93 | $498.60 – $1,745.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $50.60 | $154.22 – $354.54 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,054.54 | $523.53 – $1,745.10 |
| Johnson City Medical Center | JOHNSON CITY | $51.30 | $114.06 – $406.05 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $585.17 | $45.00 – $2,225.50 |
| Hancock County Hospital | SNEEDVILLE | $50.14 | $114.06 – $267.83 |
| Greeneville Community Hospital | GREENEVILLE | $51.30 | $114.06 – $406.05 |