Dissolve clot heart vessel at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$1,818.15
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.
$12,121.00
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.
$362.29 with BLUE CROSS vs $12,121.00 with WELLCARE — 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 | TENNCARE BLUE SELECT | $362.29 | ↓ -80% |
| BLUE CROSS | TENNCARE BLUE CARE | $362.29 | ↓ -80% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $612.93 | ↓ -66% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $954.00 | ↓ -48% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↓ -11% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,850.00 | ↑ +2% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↑ +32% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2,469.00 | ↑ +36% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,521.00 | ↑ +39% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,521.00 | ↑ +39% |
| SENTARA HEALTH | SENTARA HEALTH | $3,372.06 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $4,242.35 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,702.95 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,702.95 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $5,624.14 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $5,854.44 | ↑ +222% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $6,409.78 | ↑ +253% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $6,409.78 | ↑ +253% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $6,666.17 | ↑ +267% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $6,666.17 | ↑ +267% |
| AETNA | AETNA | $7,733.20 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $9,090.75 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $12,121.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $12,121.00 | ↑ +567% |
Visitor-reported prices
Comments
Dissolve clot heart vessel at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $1,818.15 | $362.29 – $6,143.22 |
| Greeneville Community Hospital | GREENEVILLE | $1,818.15 | $362.29 – $9,440.00 |
| Bristol Regional Medical Center | BRISTOL | $1,818.15 | $362.29 – $6,121.76 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,818.15 | $440.37 – $6,666.17 |
| Holston Valley Medical Center | KINGSPORT | $1,818.15 | $362.29 – $6,121.76 |
| Indian Path Community Hospital | KINGSPORT | $1,818.15 | $362.29 – $5,866.01 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,818.15 | $362.29 – $6,730.27 |
| Ascension Saint Thomas Midtown | Nashville | not published | $312.32 – $7,684.00 |