Dialysis one evaluation at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$194.55
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.
$1,297.00
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.
$72.41 with BLUE CROSS vs $1,297.00 with SEVEN CORNERS, INC. — 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 | $72.41 | ↓ -63% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $83.00 | ↓ -57% |
| BLUE CROSS | TENNCARE BLUE SELECT | $92.93 | ↓ -52% |
| BLUE CROSS | TENNCARE BLUE CARE | $92.93 | ↓ -52% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $94.00 | ↓ -52% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $124.00 | ↓ -36% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $225.00 | ↑ +16% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $245.77 | ↑ +26% |
| CIGNA HEALTHCARE | CIGNA HMO | $245.77 | ↑ +26% |
| CIGNA HEALTHCARE | CIGNA PPO | $245.77 | ↑ +26% |
| AMERIGROUP | AMERIGROUP | $328.35 | ↑ +69% |
| SENTARA HEALTH | SENTARA HEALTH | $360.83 | ↑ +85% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $378.57 | ↑ +95% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $378.57 | ↑ +95% |
| AETNA | AETNA HEALTHCARE MEDICARE | $378.57 | ↑ +95% |
| HUMANA | HUMANA MEDICARE | $378.57 | ↑ +95% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $378.57 | ↑ +95% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $378.57 | ↑ +95% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $378.57 | ↑ +95% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $378.57 | ↑ +95% |
| SENTARA HEALTH | SENTARA MEDICARE | $378.57 | ↑ +95% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $389.93 | ↑ +100% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $393.71 | ↑ +102% |
| BLUE CROSS | BLUE CROSS MEDICARE | $393.71 | ↑ +102% |
| NHC ADVANTAGE | NHC ADVANTAGE | $397.50 | ↑ +104% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $397.50 | ↑ +104% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $397.50 | ↑ +104% |
| WELLCARE | WELLCARE MEDICARE | $401.29 | ↑ +106% |
| MEDCOST | MEDCOST VHN | $453.95 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $601.81 | ↑ +209% |
| AMBETTER | AMBETTER | $825.29 | ↑ +324% |
| AETNA | AETNA | $827.49 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $972.75 | ↑ +400% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,221.27 | ↑ +528% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,221.27 | ↑ +528% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,270.12 | ↑ +553% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,270.12 | ↑ +553% |
| WELLCARE | WELLCARE MEDICAID | $1,297.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,297.00 | ↑ +567% |
Visitor-reported prices
Comments
Dialysis one evaluation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $753.99 | $80.11 – $570.93 |
| CHI Memorial Hospital Hixson | Hixson | $570.99 | $119.23 – $1,350.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $815.97 | $119.23 – $1,350.30 |
| Johnson City Medical Center | JOHNSON CITY | $194.55 | $72.41 – $1,125.46 |
| Ascension Saint Thomas DeKalb | Smithville | $753.99 | $80.11 – $562.70 |
| Ascension Saint Thomas Highlands | Sparta | $753.99 | $80.11 – $562.70 |
| Ascension Saint Thomas River Park | McMinnville | $855.18 | $119.69 – $562.70 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $753.99 | $80.11 – $570.93 |