Evasc prlng admn rx agnt add at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$623.55
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.
$4,157.00
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.
$401.00 with BLUE CROSS vs $19,870.18 with MOLINA HEALTHCARE — 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 E NETWORK | $401.00 | ↓ -36% |
| BLUE CROSS | BLUE CROSS P NETWORK | $410.00 | ↓ -34% |
| BLUE CROSS | BLUE CROSS S NETWORK | $410.00 | ↓ -34% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $954.00 | ↑ +53% |
| SENTARA HEALTH | SENTARA HEALTH | $1,156.48 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $1,454.95 | ↑ +133% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +144% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↑ +160% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,850.00 | ↑ +197% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↑ +284% |
| AETNA | AETNA | $2,652.17 | ↑ +325% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,774.00 | ↑ +345% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,774.00 | ↑ +345% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,083.00 | ↑ +394% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,117.75 | ↑ +400% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +414% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,157.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $4,157.00 | ↑ +567% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $19,105.94 | ↑ +2964% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $19,105.94 | ↑ +2964% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $19,870.17 | ↑ +3087% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $19,870.18 | ↑ +3087% |
Visitor-reported prices
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Evasc prlng admn rx agnt add at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $298.96 | $202.00 – $707.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $427.23 | $212.10 – $707.00 |
| Johnson City Medical Center | JOHNSON CITY | $623.55 | $4,157.00 – $18,311.39 |
| Franklin Woods Community Hospital | JOHNSON CITY | $623.55 | $19,105.94 – $19,870.18 |
| 62-0123940 BMH Collierville | Collierville | $2,391.06 | $224.73 – $224.73 |
| Indian Path Community Hospital | KINGSPORT | $623.55 | $4,157.00 – $17,485.09 |
| Parkwest Medical Center | Knoxville | $718.80 | $335.20 – $2,156.40 |
| Roane County Medical Center | Harriman | $790.68 | $1,078.20 – $2,156.40 |