Ercp biliary & pancreas at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$86.10
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.
$574.00
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.
$103.26 with BLUE CROSS vs $574.00 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 | TENNCARE BLUE SELECT | $103.26 | ↑ +20% |
| BLUE CROSS | TENNCARE BLUE CARE | $103.26 | ↑ +20% |
| SENTARA HEALTH | SENTARA HEALTH | $159.69 | ↑ +85% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $180.68 | ↑ +110% |
| MEDCOST | MEDCOST VHN | $200.90 | ↑ +133% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $281.52 | ↑ +227% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $281.52 | ↑ +227% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $292.78 | ↑ +240% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $292.78 | ↑ +240% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↑ +272% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $364.00 | ↑ +323% |
| AETNA | AETNA | $366.21 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $430.50 | ↑ +400% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $472.00 | ↑ +448% |
| BLUE CROSS | BLUE CROSS E NETWORK | $522.31 | ↑ +507% |
| BLUE CROSS | BLUE CROSS P NETWORK | $532.59 | ↑ +519% |
| BLUE CROSS | BLUE CROSS S NETWORK | $532.59 | ↑ +519% |
| WELLCARE | WELLCARE MEDICAID | $574.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $574.00 | ↑ +567% |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $142.73 | $89.02 – $222.88 |
| CHI Memorial Hospital Hixson | Hixson | $195.96 | $132.40 – $463.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $280.03 | $132.49 – $463.40 |
| Johnson City Medical Center | JOHNSON CITY | $86.10 | $103.26 – $269.81 |
| Ascension Saint Thomas DeKalb | Smithville | $149.87 | $89.02 – $241.15 |
| Ascension Saint Thomas River Park | McMinnville | $142.73 | $123.70 – $241.15 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $142.73 | $89.02 – $222.88 |
| Greeneville Community Hospital | GREENEVILLE | $86.10 | $103.26 – $281.52 |