Echo guide for artery repair at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$166.35
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.
$1,109.00
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.
$95.99 with UNITED HEALTHCARE vs $1,109.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $95.99 | ↓ -42% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $195.90 | ↑ +18% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $195.90 | ↑ +18% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $195.90 | ↑ +18% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $195.90 | ↑ +18% |
| HUMANA | HUMANA MEDICARE | $195.90 | ↑ +18% |
| SENTARA HEALTH | SENTARA MEDICARE | $195.90 | ↑ +18% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $195.90 | ↑ +18% |
| AETNA | AETNA HEALTHCARE MEDICARE | $195.90 | ↑ +18% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $195.90 | ↑ +18% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $201.78 | ↑ +21% |
| BLUE CROSS | TENNCARE BLUE SELECT | $203.19 | ↑ +22% |
| BLUE CROSS | TENNCARE BLUE CARE | $203.19 | ↑ +22% |
| BLUE CROSS | BLUE CROSS MEDICARE | $203.74 | ↑ +22% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $203.74 | ↑ +22% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $205.70 | ↑ +24% |
| NHC ADVANTAGE | NHC ADVANTAGE | $205.70 | ↑ +24% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $205.70 | ↑ +24% |
| WELLCARE | WELLCARE MEDICARE | $207.66 | ↑ +25% |
| AMERIGROUP | AMERIGROUP | $229.81 | ↑ +38% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $281.52 | ↑ +69% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $281.52 | ↑ +69% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $292.78 | ↑ +76% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $292.78 | ↑ +76% |
| SENTARA HEALTH | SENTARA HEALTH | $308.52 | ↑ +85% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $315.56 | ↑ +90% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $327.88 | ↑ +97% |
| MEDCOST | MEDCOST VHN | $388.15 | ↑ +133% |
| AMBETTER | AMBETTER | $427.07 | ↑ +157% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $469.00 | ↑ +182% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $535.00 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA HMO | $568.13 | ↑ +242% |
| CIGNA HEALTHCARE | CIGNA PPO | $568.13 | ↑ +242% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $568.13 | ↑ +242% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $692.00 | ↑ +316% |
| AETNA | AETNA | $707.54 | ↑ +325% |
| BLUE CROSS | BLUE CROSS E NETWORK | $722.70 | ↑ +334% |
| BLUE CROSS | BLUE CROSS S NETWORK | $736.93 | ↑ +343% |
| BLUE CROSS | BLUE CROSS P NETWORK | $736.93 | ↑ +343% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $831.75 | ↑ +400% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,109.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,109.00 | ↑ +567% |
Visitor-reported prices
Comments
Echo guide for artery repair at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $401.97 | $215.26 – $950.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $574.44 | $215.26 – $950.60 |
| Johnson City Medical Center | JOHNSON CITY | $166.35 | $95.99 – $439.24 |
| Greeneville Community Hospital | GREENEVILLE | $166.35 | $38.40 – $439.24 |
| Bristol Regional Medical Center | BRISTOL | $166.35 | $64.00 – $491.61 |
| Franklin Woods Community Hospital | JOHNSON CITY | $166.35 | $95.99 – $427.38 |
| Holston Valley Medical Center | KINGSPORT | $166.35 | $64.00 – $491.61 |
| 62-0123940 BMH Collierville | Collierville | $411.39 | $175.16 – $570.30 |