Electrode stimulation brain at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$282.60
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.
$1,884.00
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.
$45.82 with BLUE CROSS vs $1,884.00 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 CARE | $45.82 | ↓ -84% |
| BLUE CROSS | TENNCARE BLUE SELECT | $45.82 | ↓ -84% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $49.84 | ↓ -82% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $166.60 | ↓ -41% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $333.14 | ↑ +18% |
| CIGNA HEALTHCARE | CIGNA HMO | $333.14 | ↑ +18% |
| CIGNA HEALTHCARE | CIGNA PPO | $333.14 | ↑ +18% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $512.75 | ↑ +81% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $512.75 | ↑ +81% |
| SENTARA HEALTH | SENTARA HEALTH | $524.13 | ↑ +85% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $533.26 | ↑ +89% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $533.26 | ↑ +89% |
| BLUE CROSS | BLUE CROSS E NETWORK | $544.09 | ↑ +93% |
| BLUE CROSS | BLUE CROSS S NETWORK | $544.09 | ↑ +93% |
| BLUE CROSS | BLUE CROSS P NETWORK | $544.09 | ↑ +93% |
| MEDCOST | MEDCOST VHN | $659.40 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $665.00 | ↑ +135% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $760.00 | ↑ +169% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $779.11 | ↑ +176% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $779.11 | ↑ +176% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $779.11 | ↑ +176% |
| SENTARA HEALTH | SENTARA MEDICARE | $779.11 | ↑ +176% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $779.11 | ↑ +176% |
| AETNA | AETNA HEALTHCARE MEDICARE | $779.11 | ↑ +176% |
| HUMANA | HUMANA MEDICARE | $779.11 | ↑ +176% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $779.11 | ↑ +176% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $779.11 | ↑ +176% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $802.49 | ↑ +184% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $810.28 | ↑ +187% |
| BLUE CROSS | BLUE CROSS MEDICARE | $810.28 | ↑ +187% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $818.07 | ↑ +189% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $818.07 | ↑ +189% |
| NHC ADVANTAGE | NHC ADVANTAGE | $818.07 | ↑ +189% |
| WELLCARE | WELLCARE MEDICARE | $825.86 | ↑ +192% |
| AMERIGROUP | AMERIGROUP | $833.96 | ↑ +195% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $874.18 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $986.00 | ↑ +249% |
| AETNA | AETNA | $1,201.99 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,413.00 | ↑ +400% |
| AMBETTER | AMBETTER | $1,698.47 | ↑ +501% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,884.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,884.00 | ↑ +567% |
Visitor-reported prices
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Electrode stimulation brain at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $282.60 | $45.82 – $1,746.89 |
| Greeneville Community Hospital | GREENEVILLE | $282.60 | $45.82 – $1,746.89 |
| Bristol Regional Medical Center | BRISTOL | $282.60 | $45.82 – $1,884.00 |
| Franklin Woods Community Hospital | JOHNSON CITY | $282.60 | $49.84 – $1,699.73 |
| Holston Valley Medical Center | KINGSPORT | $282.60 | $45.82 – $1,884.00 |
| 62-0123940 BMH Collierville | Collierville | $443.94 | $39.50 – $1,863.24 |
| Indian Path Community Hospital | KINGSPORT | $282.60 | $45.82 – $1,869.87 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $282.60 | $45.82 – $1,698.47 |